Patient Centered Med Home Care Coordinator

3 weeks ago


Cleveland, United States Northeast Ohio Neighborhood Full time
Job DescriptionJob DescriptionGeneral Duties
The Patient Centered Medical Home (PCMH) Care Coordinator will be responsible for faciliating care coordination services for NEON patients who need wellness and preventive care. The PCMH Care Coordinator will assist with the management of the computerized data repository (Population Health Analytics), including generating population health data reports and patient profiles, utilizing data for population health management, and addressing gaps in service and care. Works closely with care teams to maximize patient follow through with care plans. As a collaborating member of the health care team, provides pre-visit and follow-up direction and support to the patient, family, and health care providers. Participates in PCMH and quality improvement initiatives. Empowers patient self-management of their care and promotes Patient Centered Medical Home Model of Care.
Education
  • High School Diploma or GED is required.
  • Bachelor's degree in Health or Social Sciences, Business, Health Care Administration, Public Health or Health Education is preferred, or related work experience.

Minimum Qualifications
  • Excellent verbal and written communication skills as well as good listening skills:
  • Knowledge of health disparities and chronic disease management treatment resources;
  • Strong organizational skills, attention to detail and timely documentation required;
  • Proven critical thinking and problem solving skills;
  • Knowledge of Ohio Medicaid Managed Plans;
  • 1-2 years at a hospital, outpatient clinic or insurance plan, preferably including navigating specialty referral process.

Technical Skills
  • Demonstrated knowledge and proficient in the use of Microsoft Office and Outlook.
  • Ability to become proficient in the use of NextGen software.



  • Cleveland, United States University Hospitals Full time

    Job DescriptionDescriptionPosition SummaryEnsures appropriate next site of care for patient using evidence-based decision support tools. The Transitional Care Coordinator (TCC) collaborates with all members of a patient's care team, including the family and support systems, to enhance the patient experience and ready the patient for the next site of...

  • Registered Nurse

    4 weeks ago


    Cleveland, United States Dialysis Care Center Full time

    Job DescriptionJob DescriptionPURPOSE AND SCOPE:Supports the mission, core values and customer service of Home Dialysis Services & Dialysis Care Center, LLC (HDS/DCC).Adheres to the HDS/DCC Policies and Procedures and Compliance Program including all state and federal regulatory requirements.The In Center Hemodialysis Registered Nurse is responsible for...


  • Cleveland, United States Sonova Full time

    Who we are You enjoy creating and innovating. You never stop striving for better. You take responsibility and you get results. You love being part of a team. Above all, you want your work to matter: Welcome to our world! At Sonova we create sense by bringing sound to life. Our innovative hearing care solutions help millions of people enjoy life's...


  • Cleveland, United States Tennova Home Health - Cleveland Full time

    We are hiring for a Registered Nurse.  At LHC Group, a part of LHC Group, we embrace a culture of caring, belonging, and trust and enjoy the meaningful connections that come from it: for the whole patient, their families, each other, and the communities we serve—it truly is all about helping people. You can find a home for your career here.   As a...


  • Cleveland, United States Tennova Home Health - Cleveland Full time

    We are hiring for a Registered Nurse.  At LHC Group, a part of LHC Group, we embrace a culture of caring, belonging, and trust and enjoy the meaningful connections that come from it: for the whole patient, their families, each other, and the communities we serve—it truly is all about helping people. You can find a home for your career here.   As a...


  • Cleveland, United States Tennova Home Health - Cleveland Full time

    We are hiring for a Registered Nurse.  At LHC Group, a part of LHC Group, we embrace a culture of caring, belonging, and trust and enjoy the meaningful connections that come from it: for the whole patient, their families, each other, and the communities we serve—it truly is all about helping people. You can find a home for your career here.   As a...


  • Cleveland, OH, United States Advanced Health Care of Landerhaven Full time

    Advanced Health Care of Landerhaven is a 46 bed short-term rehab/SNF facility whose goal is to assist patients in making the transition from hospital to home. This sub-acute setting has a case load with a majority of orthopedic replacements and fractures as well as stroke patients. At Advanced Health Care we offer all private patient suites, exceptional...


  • Cleveland, United States Tennova Home Health - Cleveland Full time

    Job DescriptionWe are hiring for a Registered Nurse. At LHC Group, a part of LHC Group, we embrace a culture of caring, belonging, and trust and enjoy the meaningful connections that come from it: for the whole patient, their families, each other, and the communities we serve—it truly is all about helping people. You can find a home for your career...


  • Cleveland, United States Res-Care, Inc. Full time

    Our Company Adoration Home Health and Hospice Overview Our Hospice Licensed Practical Nurses (LPN) are the heart of our organization! In this role, you will support your patients by providing direct care and coordinating with the interdisciplinary team to ensure that both patients and their families have an optimal care experience. Take this chance to...


  • Cleveland, United States Tennova Home Health - Cleveland Careers Full time

    We are hiring for a Registered Nurse. At LHC Group, a part of LHC Group, we embrace a culture of caring, belonging, and trust and enjoy the meaningful connections that come from it: for the whole patient, their families, each other, and the communities we serve—it truly is all about helping people. You can find a home for your career here. As a...


  • Cleveland, United States Tennova Home Health - Cleveland Careers Full time

    We are hiring for a Registered Nurse.  At LHC Group, a part of LHC Group, we embrace a culture of caring, belonging, and trust and enjoy the meaningful connections that come from it: for the whole patient, their families, each other, and the communities we serve—it truly is all about helping people. You can find a home for your career here.   As a...


  • Cleveland, United States A To Z Health Provisions Inc Full time

    Job DescriptionJob DescriptionServes as a supervisor to all field staff to assure agency policies and federal and state regulations; serves as liaison among the agency field staff, patients, hospitals, the medical community and general communityJob Summary & Responsibilities Appropriately evaluates the patient, initially and periodically throughout care;...

  • Home Care Aide

    1 month ago


    Cleveland, United States A To Z Health Provisions Inc Full time

    Job DescriptionJob DescriptionBenefits/PerksFlexible SchedulingCompetitive CompensationCareers Advancement Job SummaryWe are looking for a Home Care Aide to join our team! You will be directly working with patients, following a one-on-one care plan in patient homes. You operate with a big heart, not only providing personalized and attentive care but by...

  • Home Care Aide

    1 month ago


    Cleveland, United States A To Z Health Provisions Inc Full time

    Job DescriptionJob DescriptionBenefits:Competitive salaryFlexible scheduleTraining & developmentBenefits/PerksFlexible SchedulingCompetitive CompensationCareers AdvancementJob SummaryWe are looking for a Home Care Aide to join our team! You will be directly working with patients, following a one-on-one care plan in patient homes. You operate with a big...


  • Cleveland, United States Advanced Care Partners Full time

    Job DescriptionAdvanced Care Partners is seeking a Registered Nurse (RN) Home Health for a nursing job in Cleveland, Georgia.Job Description & RequirementsSpecialty: Home HealthDiscipline: RNDuration: Ongoing40 hours per weekShift: 8 hoursEmployment Type: StaffRegistered NurseJob DetailsJob LocationCleveland, GAPosition TypeFull-Time/Part-Time/PRNSalary...

  • In-Home Therapist

    4 days ago


    Cleveland, United States Wingspan Care Group Full time

    Applewood Centers is a private, nonprofit agency providing mental health services, social services and education to children, adolescents and families living in Cuyahoga and Lorain counties. Dedicated to addressing a variety of behavioral, emotional and learning problems, we provide a continuum of care from outpatient counseling to residential...

  • In-Home Therapist

    4 days ago


    Cleveland, United States Wingspan Care Group Full time

    Applewood Centers is a private, nonprofit agency providing mental health services, social services and education to children, adolescents and families living in Cuyahoga and Lorain counties. Dedicated to addressing a variety of behavioral, emotional and learning problems, we provide a continuum of care from outpatient counseling to residential...

  • In-Home Therapist

    4 days ago


    Cleveland, United States Wingspan Care Group Full time

    Applewood Centers is a private, nonprofit agency providing mental health services, social services and education to children, adolescents and families living in Cuyahoga and Lorain counties. Dedicated to addressing a variety of behavioral, emotional and learning problems, we provide a continuum of care from outpatient counseling to residential...

  • Registered Nurse

    3 days ago


    Cleveland, TN, United States Res-Care, Inc. Full time

    Our Company Adoration Home Health and Hospice Overview Adoration Health is seeking a Registered Nurse to join our team. This position is a great opportunity to grow your RN skillset while providing essential one-on-one care to individuals in the home care setting. Join our team of dedicated Registered Nurses today to begin helping people live their best...


  • Cleveland, United States Simply Apply for Jobs Full time

    Our client is seeking a full-time RN Case Manager for Home Health in East Cuyahoga County, OH. The ideal candidate will provide skilled nursing care, demonstrate effective communication and collaboration, and maintain patient safety. This role requires strong organizational skills, the ability to work independently, and a commitment to maintaining...