Care Coordinator

2 weeks ago

New Haven, United States Fair Haven Community Health Care Full time
Job DescriptionJob Description

Fair Haven Community Health Care 

FHCHC is a forward-thinking, dynamic, and exciting community health center that provides care for multiple generations at nearly 130,000 office visits in 17 locations. Overseen by a Board of Directors, the majority of whom are patients themselves, we are proud to offer a wide range of primary and specialty care services, as well as evidence-based patient programs to educate patients in healthy lifestyle choices. As we grow and are able to bring high-quality health care to more areas that need access, we continue to put our patients first in everything we do. The mission of FHCHC is “To improve the health and social well-being of the communities we serve through equitable, high quality, patient-centered care that is culturally responsive.”

For over 50 years, we have been a health care leader in our community focused on providing excellent, affordable primary care to all patients, regardless of insurance status or ability to pay. Fair Haven is proud to have a diverse and motivated team of professionals who are constantly seeking ways to enhance and improve the health and well-being of all patients. We believe that everyone should have access to high-quality medical and dental care, regardless of ability to pay.

Job purpose

Fair Haven Community Health Care seeks to expand access to HIV prevention services across Greater New Haven, in addition to closing other gaps in care related to access to medications. The Care Coordinator (PrEP and Access to Medications) engages patients, coordinates care, and expands access to pre-exposure prophylaxis (PrEP) for HIV prevention for patients and community members. The Coordinator also coordinates other gaps-in-care initiatives related to medication access, including ensuring that appropriate patients receive evidence-based medications for chronic disease: e.g. aspirin and cholesterol-lowering medications. As a member of the Care Coordination team, the Coordinator also identifies and addresses health related social needs among patients and assists in closing other gaps in care. The Coordinator will serve as the key internal and community-facing coordinator for patients on or eligible for PrEP.  

Duties and responsibilities

Primary responsibilities include but are not limited to:

  • Maintains a census of patients prescribed PrEP (oral and injectable formulations) at FHCHC and work with clinical teams to ensure that quality PrEP care, including laboratory monitoring, is occurring on a timely basis.
  • Maintains a census of patients requiring statins for prevention of heart disease and works with clinical teams to ensure that prescriptions are appropriate and timely.
  • Maintains a census of patients requiring aspirin for management of vascular disease and works with clinical teams to ensure that prescriptions are appropriate and timely.
  • Maintains a census of patients on antipsychotic medications and ensures that yearly metabolic monitoring occurs.
  • Responds to referrals from providers across FHCHC sites for PrEP case management services.
  • Liaisons with external partners, particularly the New Haven Pride Center and A Place to Nourish Your Health, to accept referrals on a timely basis (within 30 days).
  • Works with Grand Pharmacy staff to ensure patients benefit from its services and payment opportunities.
  • Screens patients for health-related social needs and works to address those needs through community linkages and other services.
  • Assists patients in their applications for pharmaceutical assistance programs for PrEP.
  • Participates in education efforts targeting the FHCHC and external community regarding PrEP eligibility and effectiveness.
  • Ensures full compliance with HIPAA by protecting all personally identifying information associated with a patient.
  • Collaborates closely with Population Health team at Fair Haven, along with physicians, nurses, and medical assistants to ensure that patients have integrated, comprehensive and coordinated care.
  • Attends regular staff trainings and meetings as needed to ensure a fluid and effective team-based approach to patient-centered care.
  • Works with FHCHC’s Data Team to prepare grant-related reports pertinent to HIV prevention.
  • Works with FHCHC’s Data Team to maintain and act on lists of patients eligible for PrEP based on risk factors.

Qualifications

  • Associate’s degree required, Bachelor’s degree preferred. Significant experience in community or public health may substitute degree requirement.
  • Bilingual (English/Spanish) is required.
  • The selected candidate will have excellent interpersonal and organizational skills and be comfortable with learning a new computer system (Fair Haven’s electronic medical record system is Epic).
  • Commitment to serve LGBTQ and minoritized populations, regardless of immigration status and ability to pay, with humility and compassion.
  • Community Health Worker core competency training is a plus but not required.
  • Documented experience with Microsoft Excel.

Direct Reports

None

 

 

 

 

OSHA Status

CATEGORY II--Increased Risk Position

Potential exposure to hazardous waste and Bloodborne pathogens: clinical setting.

Physical requirements

Physical Demands: Requires walking, bending, sitting, standing, writing, reading, telephone use, data input into computer, pulling medical records,

Mental Demands: Ability to cope with continual changing priorities under potentially stressful conditions

Manual Dexterity Required:  Ability to use a keyboard, telephone.

American with Disabilities Requirements:

External and internal applicants, as well as position incumbents who become disabled, must be able to perform the essential job specific functions (listed within each job specific responsibility) either unaided or with the assistance of a reasonable accommodation to be determined by the organization on a case by case basis.

Fair Haven Community Health Care is an Equal Opportunity Employer. FHCHC does not discriminate on the basis of race, religion, color, sex, gender identity, sexual orientation, age, non-disqualifying physical or mental disability, national origin, veteran status or any other basis covered by appropriate law. All employment is decided on the basis of qualifications, merit, and business need.

 

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