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Quality Care Coordinator
4 months ago
**Quality Care Coordinator**
**This position is offered as in-person staff and not remote**
**General Description Promotes the mission and vision of North Country HealthCare (NCHC) as a key integrated care team member who supports patients under the direction of their primary care provider and in collaboration with other care team members (i.e. Clinical Support, Pharmacy, Behavioral Health, Outreach) to develop an appropriate patient-centered care plan and effectively utilize educational and health promotion resources, advocacy, coordination of care, and linkage to community-based supports to nurture the skills necessary for the patient to successfully meet their care plan goals.**
**Essential Duties & Responsibilities**
- Care Coordination: Responsible for organizing, coordinating, and linking services for empaneled patients focusing on those at risk for admission to the hospital, uncontrolled chronic conditions, and/or poor health outcomes.
- Care Plan Development: Utilize motivational interviewing and other techniques to develop a patient centered care plan and self-management goals, guided by provider and care team recommendations to promote the best possible health outcomes.
- Education Materials/Coaching: Utilize standardized educational materials to support health promotion, disease understanding, and self-management. Identify patients who may benefit from additional teaching and connect with appropriate care team members (i.e. Pharmacy, Clinical Support RN) or external resources as needed.
- Navigation: Contribute to a patient's health literacy by linking them to information and services to aid in health-related decisions and actions for themselves.
- Care Transitions: Identify patients who have been hospitalized via the Health Information Exchange (HIE), and outreach to facilitate a safe and effective discharge and transition back to the primary care provider. All clinical questions or concerns are shared with the appropriate care team member.
- Community Resources: Collaborate with community partners and specialty care providers across the continuum of care to provide optimal care coordination services and access to care for patients locally and regionally. Maintain a current list of community agencies and resources for integrated team members to reference.
- Integrated Care Team: Actively participate with the clinical integrated care team to support, engage, and follow-up with the patient with provider-guided treatment goals.
- Communication: Document all encounters in the patient chart within the Electronic Health Record and ensure all clinical questions or concerns are shared with the appropriate care team member.
- Quality Improvement: Continually look for ways to improve process within the clinic or care management/coordination team by participating in continuous quality improvement projects to maintain the highest quality of care and patient safety.
- Perform any other related duties as required or assigned.
**Required Qualifications**
**Required Skills**:
- Critical Thinking: ability to solve practical problems with mínimal standardization and time. Ability to interpret written, oral and diagram-formatted instructions. Able to analytically problem solve with accuracy.
- Communication: ability to use a combination of speaking, observing, writing and active listening.
- Empathy and Discretion: handling sensitive information while building trust.
- Organization and Time Management**.**
Benefits**
- No nights or weekends
- Earn up to 7 weeks paid time off to cover holidays, personal, and sick time. Accrual starts Day 1.
- Student Loan Repayment/Tuition Reimbursement Program
- Medical insurance for as little as $5 per paycheck
- Dental, Vision, 401k matching, Employee Assistance Program
- Professional development and career growth opportunities
**Required Education**:Four year college degree or equivalent experience resulting in broad knowledge of a field related to the job.
**Required Experience**:Two years related experience and/or training.
**Certifications/Licensure**
**Required**:Basic Life Support (BLS) - Can be obtained upon hire.
**Preferred**:Motivational Interviewing (MI). Lifestyle/Health Coach.
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Salary**
Starts at $21.63/hour+ DOE
- North Country is a VEVRAA Federal Contractor and Equal Opportunity Employer_
