Care Coordinator

Selah is a tech-driven healthcare services company focused on improving the health outcomes of the population by offering hybrid (virtual and in-person) healthcare programs.

At Selah, we bring together providers, payers, vendors, and other stakeholders together to be your Care Anywhere companion. Our state-of-the-art technology connects people and processes to achieve the quadruple aim of reducing healthcare costs, improving patient and provider experiences, and delivering better outcomes.

Description

As a Care Coordinator, you will be managing an innovative Chronic Care Management program (ON SITE IN LEWISVILLE, TX) leveraging the best-in-class virtual care and Remote Patient Monitoring (RPM) technology / devices to improve health outcomes for patients enrolled.

Key Responsibilities :

• Remotely providing basic patient coaching and care to improve patient outcomes
• Develop a care plan with the patient, family / caregiver(s), and provider
• Monitor patient outcomes, adherence to care plans, evaluate effectiveness, monitor patient progress in a timely manner, and facilitate changes as needed
• Coaching and educating patients on improving their Chronic Conditions, preventive care, and physician directives
• Telephone outreach to English and Spanish-speaking patients
• Facilitate CCM and RPM program enrollment
• Concise and accurate documentation
• Cultivate and support the primary care providers with timely communication, inquiry follow-up, and integration of information into the care plan regarding transitions-in-care and referral
• Work with the clinical team in the practice partner to launch and scale a successful Virtual RPM / Chronic Care Program
• Patient intake into the program - Reviewing patients and identifying patients that fit the inclusion criterion for Remote Monitoring
• Answering questions about our Chronic Disease Practice from prospective patients
• Actively enrolling patients into the program at the clinic location
• Discussing the RPM program with patients and onboarding them into the program
• Training patients on the use of at-home vital sign monitoring equipment and mobile application
• Keeps supplies on hand by inventorying stock and liaising with RPM partners to ensure adequate supply
• Assigning RPM kits to patients onboarding into the program
• Off-boarding patients when necessary, from the program and preparing their devices for the next patient
• Connecting with patients in the Chronic Care Management (CCM) cohort via phone and / or video telemedicine once a month or when they have questions
• Triage of patient problems and notifications identified by the RPM technology
• Generate reports and notes about the patient's condition and escalate to the appropriate clinical resource within the clinic
• Outstanding interpersonal skills especially with the elderly and a customer service attitude is an absolute requirement for this role
• Constantly explaining and selling the benefits of the program to internal and external stakeholders

Qualifications