Senior Care Management Coordinator

3 weeks ago

Boise, Idaho, United States Trinity Health Full time
Employment Type:Full timeShift:Day ShiftDescription:

GENERAL SUMMARY AND PURPOSE:

The Senior Care Management Coordinator works in a team environment and supports the patient care management and coordination activities of the Alliance Clinical Team (ACT). Under the direction of the Director of the clinical team, responsibilities include: utilizing standardized screening tools to triage inbound patient phone calls, making outbound patient phone calls to screen patient for appropriateness in relation to care management, transition or coordination programs, utilizing a set of standardized tools to determine patients' readiness for care management services; reviewing and distributing ACT reports (including patient daily census), scheduling patient appointments, locating and obtaining outside patient records, and other critical tasks to support the ACT.

The Senior Care Management Coordinator is responsible for developing subject matter expertise on programs related to care management of populations as prioritized by SAHA senior leadership and is expected to remain abreast of any current or impending regulatory or programmatic changes. The Senior Care Management Coordinator will lead patient engagement programs that provide telephonic and web-based outreach to patients to help engage them in their own management of chronic diseases.

Working closely with contracted payers and the Trinity Health population health team, the Senior Care Management Coordinator will help, with the assistance of the Director of the Alliance Clinical Team and the Alliance Executive Medical Director, monitor, analyze, and devise changes to the care management program that drive improved outcomes of care for SAHA's populations. The Senior Care Management Coordinator will concurrently support multiple projects/initiatives from initiation through completion, ensuring follow through on programmatic tactics and goals.

SKILLS, KNOWLEDGE, EDUCATION AND EXPERIENCE:

Associate's Degree required. Bachelor's Degree preferred.

Minimum of five years of work experience.

Minimum of two years' experience within a healthcare related organization (e.g. health system, hospital, clinic, provider practice, health insurance company, pharmaceutical company, etc.) required.

Minimum of 2 years of experience in data analysis required. Healthcare analytics experience preferred.

Experience within the healthcare industry required. Experience within Medicaid programs, an Accountable Care Organization (ACO), Clinically Integrated Network (CIN), progressive health system or medical group, state or federal healthcare agency, or progressive payer organization preferred

ESSENTIAL FUNCTIONS:

Know, understand, incorporate, and demonstrate the Organizational Health Mission, Core Values, and Vision in behaviors, practices, policies and decisions.

Develops and maintains a detailed knowledge of care management programs/care models including all relevant programmatic and regulatory requirements.

Serves as an analytic resource in support of the SAHA's care management program's strategic objectives and achievement of operational excellence.

Develops reports for meetings led by the Director, Alliance Clinical Team with SAHA's contracted payers.

Develops and manages patient engagement programs that involve telephonic or email contact with Alliance patients to help close quality of care gaps and arrange preventive health care visits.

Responsible for answering main clinical team phone line, appropriately triaging patient questions and needs to clinical staff; manage main clinical team email inbox and incoming program referral.

Use standardized tools and scripting, performing outgoing patient phone calls aimed to screen, educate, motivate and enroll patients in care management, transition and/or coordination programs.

Obtain, review and screen patient lists for prioritization of outreach and necessity of clinical programs.

Assist patients and/or care givers in scheduling patients' appointments and access services, as needed.

Obtain ACT in locating and obtaining patient clinical records; enter pertinent information into patient internal and external medical records.

Source medical supplies and equipment. Identify patients with care gaps and supporting their closure. Meet and adhere to established confidentiality, productivity and quality standards.

Coordinate incoming and outgoing information and other various administrative tasks needed to support the team.

Other duties as assigned.

Colleagues of Saint Alphonsus Health System enjoy competitive compensation with a full benefits package and opportunity for growth throughout SAHS and Trinity Health.

Visit to learn more about the benefits, culture and career development opportunities available to you at Saint Alphonsus Health System.

Saint Alphonsus and Trinity Health are committed to promoting diversity in its workforce and to providing an inclusive work environment where everyone is treated with fairness, dignity and respect. We are committed to recruit and retain a diverse staff reflective of the communities we serve. Saint Alphonsus and Trinity Health are equal opportunity employers and prohibit discrimination against any individual with regard to race, color, religion, gender, marital status, national origin, age, disability, sexual orientation, or any other characteristic protected by law.

Our Commitment to Diversity and Inclusion

Trinity Health is a family of 115,000 colleagues and nearly 26,000 physicians and clinicians across 25 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.

Our dedication to diversity includes a unified workforce (through training and education, recruitment, retention, and development), commitment and accountability, communication, community partnerships, and supplier diversity.

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