Care Coordinator

4 weeks ago

Murfreesboro, United States Primary Care and Hope Clinic Full time

Reports To: Care Coordination ManagerEmployee Status: Non-Exempt (Regarding Overtime)Position Summary: The Care Coordinator works in collaboration with Primary Care & Hope Clinic Medical and Behavioral providers and outside providers to assist patients and their families with coordination of their healthcare.Essential Functions:Care Coordination:Represent PC&HC to patients/visitors in a caring, courteous, and professional manner. Provide prompt, efficient and accurate patient service.Perform health insurance enrollment related duties including responding to requests for information; generating interest in enrollment through outreach, application assistance and follow-up; documentation of activities; access, utilization and retention duties; and related tasks.Assess the physical, functional, social, psychological, environmental, and financial needs of clients/patients; identify a cost-effective comprehensive plan to meet the families' health care needs and implement the plan.Assess the client's formal and informal support systems.Provide consultation to patient providing education on acute and chronic illness under the direction of a Medical Doctor or Nurse Practitioner.Provide consultation to patient for preventative health maintenance including annual examinations, diagnostic screenings, immunizations, nutrition, etc.Promote timely access to appropriate careIncrease utilization of preventative careReduce emergency room utilization and hospital readmissionsIncrease comprehension through culturally and linguistically appropriate educationCreate and promote adherence to a care plan, developed in coordination with the patient, primary care provider, and family/caregiver(s)Increase continuity of care by managing relationships with tertiary care providers, transitions-in-care, and referralsIncrease patients' ability for self-management and shared decision-makingProvide medication reconciliationConnect patients to relevant community resources, with the goal of enhancing patient health and well-being, increasing patient satisfaction, and reducing health care costsReferral Program:Make appropriate and timely referrals to specialist, DME or home health agency per request of provider.Contact the insurance carriers and initiate the referral process.Remain current on insurance pre-authorization requests.Respond promptly to calls from patients regarding the referral process.Compile all pertinent medical data and supporting documentation and fax or mail to appropriate receiver.Act as liaison between practice, patients, and referral sources complaints and problems.Plan and organize work load to maintain efficient patient operations in the health center.Prioritize patient referrals when needed.Marginal FunctionsImprove the patient experience and health care processes and help assure the provision of high quality health care, as well as an ongoing process of performance improvement.Completes all required paperworkPerform all other duties as required or assigned.RequirementsRequirementsBachelor's degree in Social Work, Community and Public Health or Comparable degree preferred.Must maintain certification as a Certified Application Counselor for health insurance enrollment purposes.Must have knowledge of principles and methods for teaching and instruction for individuals and groups.Must communicate with patients in a friendly, positive manner.Must be able to operate office related equipment.Must follow HIPAA and OSHA requirements.This document is intended to describe the general nature and level of work performed. It is not intended to serve, as an exhaustive list of all duties, skills, and responsibilities required of personnel so classified.This description is intended to provide only basic guidelines for meeting job requirements. Responsibilities, knowledge, skills, abilities and working conditions may change as needs evolve.

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