Description

SUMMARY:

The Care Coordinator serves as a link between the patient and the healthcare organization. Care Coordinator guides the patient through their care plans and ensures that they are following the best methods to a healthy lifestyle. A partner to the patients that makes sure their disease is managed by keeping track of diet, exercises, and medications along with connecting both primary care and specialty care services to optimize health care outcomes.

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.

DUTIES AND RESPONSIBILITIES:

Acts as peer support for enrolled patients which includes advocacy as patients navigate the medical system and relationship building with individuals and their families
Administers the Health Risk Assessment (HRA)
Reports any identified health care challenges to the site Care Manager
Maintains and distributes approved disease specific education to identified patient panel
Provides reminder phone calls for various scheduled appointments or follow up after scheduled appointments
Assists patients with obtaining Primary Care Provider visits, specialty care visits, and ancillary services such as labs/diagnostics including making appointment as needed
Enters and maintains electronic records, compile reports and complete other program documentation in a timely manner (ex. progress notes, incident reports, unable to reach letters, HRA attempts, etc.)
Obtains copy of medical records such as ER discharge summary if requested or summary of specialty office visits to provide to Primary Care Provider
Enroll eligible patients in disease management program(s) and provide disease specific and preventative care patient education according to program requirements
Monitor patients (in person or by telephone) at required frequencies and track clinical outcomes such as PHQ-9, blood pressure, and HbA1c. Use a worklist to identify and re-engage patients who are not participating as expected in the disease management programs
Provides assistance with preventative health care ‘pay-for-performance’ services (HEDIS) throughout the year
Handles protective health information in a manner consistent with the Health Insurance Portability and Accountability Act (HIPPA)
Other duties and responsibilities as directed
This position requires compliance with all of Alivio’s written standards, including its Standards of Conduct, Joint Commission standards, all policies and procedures and Corporate Compliance requirements. Compliance will be considered as part of the regular performance evaluation.

SUPERVISORY RESPONSIBILITIES:

None
KEY INTERRELATIONSHIPS:

WORKING CONDITIONS:

OSHA Category 3 – Involves no regular exposure to blood, body fluids, or tissues, and tasks that involve exposure to blood, body fluids, or tissues are not a condition of employment.

QUALIFICATIONS:

Education: Bachelor’s Degree or Associates Degree, or 3 years of more of health related experience preferred

Experience: 3 years or more in health related experience.

Demonstrated Competencies:

Proficient in Electronic Medical Record, MHNConnect

Microsoft Word and Excel

Exceptional organizational and interpersonal skills with attention to detail required

Strong oral/written communication skills

Ability to work collaboratively in a team and manage multiple priorities, utilize effective time management skills, and exercises sound administrative and clinical judgment

Demonstrate ability to work well with people of various ages, backgrounds, ethnicities, and life experiences.

Previous experience in community outreach setting/ health care setting highly preferred.

Bilingual (English/Spanish) preferred

Part -Time Benefits:

403b Retirement Plan
Paid Time off (Vacation, Paid Sick Leave, Paid Leave)

Pay Rate: $20.00 an hour.