Care Coordinator

Job Description

Job Description

Description : Care Coordinator

Department : Quality

Reports To : Clinical Quality Director

About Primary Health Solutions

Our Mission

We meet people where they are and partner with them on their journey towards wellness.

Our Vision

The destination for servant leaders to provide comprehensive and exceptional care.

Our Values

R – Respect

I – Innovation

S – Stewardship

E – Excellence

Summary

This position is responsible for supporting patients in navigating the healthcare system and addressing barriers to care. Working under the direction of the Nurse Care Managers, this role focuses on outreach, appointment coordination, social determinants of health (SDOH) and connection to resources for patients with chronic conditions, high risk needs or missed care opportunities.

A Day in the Life

This job description reflects management's assignment of essential functions. Nothing in this job description restricts management’s right to assign or reassign duties and responsibilities to this job at any time.?

• Provides chronic condition support through reinforcing the patients plan of care and supporting self-management
• Identifies social determinants of health needs and effectively utilizes community resources to meet these needs
• Performs follow up calls for patients recently discharged from hospitalization and other established criteria
• Maintains accurate and timely documentation in the EHR.
• Schedules appointments as needed and follow up with referrals.
• Assists with patient / population communications such as calls or letters to remind of needed preventive or chronic care steps.
• Drive improvement of clinical quality measures- in partnership with the rest of the quality department

Customer Care : ?

Core Competencies

Requirements : Success Requirements

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and / or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Education / Experience

High School diploma or equivalent and preferred graduation from an accredited program for Medical Assistants. MA Registration or Certification preferred.? 2 years of health care experience required.

Language Skills

Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals. Ability to write routine reports and correspondence. Ability to speak effectively before groups of customers or employees of organization.

Reasoning Ability

Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.

Computer Skills

To perform this job successfully, an individual should have the ability to gain knowledge of current practice management system, electronic medical record, Microsoft Word, text paging, Internet, and Intranet.

Certificates, Licenses, Registrations

CPR certification required. Certified or Registered Medical Assistant preferred.?

Other Applicable Requirements

Ability to speak Spanish desirable. Knowledge of examination, diagnostic, and treatment room procedures.? Knowledge of medical equipment and instruments to administer patient care.? Skill in taking vital signs.? Skill in maintaining records and recording test results. Skill with geriatric patients and patients in lower socio-economic sectors of the community.?

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee is frequently required to stand; walk; use hands to finger, handle, or feel; reach with hands and arms and talk or hear. The employee is occasionally required to sit and stoop, kneel, crouch, or crawl. The employee must regularly lift and / or move up to 25 pounds. Specific vision abilities required by this job include close vision, distance vision, peripheral vision, depth perception and ability to adjust focus.

Work Environment

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this Job, the employee are occasionally exposed to fumes or airborne particles; toxic or caustic chemicals and risk of radiation. The noise level in the work environment is usually moderate.

Affirmative Action / EEO Statement

It is the policy of Primary Health Solutions to provide equal employment opportunities without regard to race, color, religion, sex, national origin, age, disability, marital status, veteran status, sexual orientation, genetic information or any other protected characteristic under applicable law.

Other Duties

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice