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Care Coordinator

1 month ago


Newton, United States Health Ministries Clinic Full time

Job Purpose: The goal of care coordination is patients improved overall health and quality of life. This position focuses on care that is highly coordinated. The Care Coordinator will serve patients, most of whom have chronic disease, behavioral disorders, and medical conditions. The Care Coordinator functions at the center of the patients' whole-person care, preventing fragmented care and integrating all aspects of patient care and treatment. The Care Coordinator monitors and tracks progress and ensures that changes are affected when needed. The Care Coordinator is responsible for assuring that all of the services and providers of the patients' care and care team are working together. Duties/Responsibilities:Advocate, on behalf of the patient, with primary care provider, medical team, and patients themselves by developing attainable goals, being flexible and considerate of culturally sensitive options pertaining to improved health and quality of lifeBe the point of contact for patients, providers and supports, having direct access for asking questions and raising concernsSupport primary care providers and nursing staff in assisting with PCP requests and orders for patient needsMonitor and assess lack of progress and identify and effect changes to ensure progress Assist patients in problem solving potential issues related to their health care, systemic complications, financial or social barriersProvide education to patients in order to assist in patients' understanding of disease and disorder, medication compliance, specialty services, and medical and behavioral understanding of whole person healthMust have skills in making appropriate referrals and resource acquisitionParticipate as the "hub" of a multi-disciplinary (behavioral and medical) team, coordinating efforts to integrate care for the outcome of improved health and quality of lifeDevelop measurable outcomes and maintain ongoing tracking to promote treatment team awareness and ensure patients improved healthAssemble medical and behavioral information concerning patient's clinical background, diagnosis, and referral needsReview medical and behavioral details and expectations with patientsAssess barriers and needs, i.e., noncompliance and no-shows for appointments, need for interpreters, transportation services or prescription assistance, toward meeting healthy outcomesAssist in patients in getting services and visits to healthcare facilities, inpatient admissions, other resources/agencies, or treatment programsProvide education and life skills such as budgeting, independent living as it relates to patients' medical care.Additional Details:Job Type: Full-TimeSchedule: Monday-Friday, 8AM-5PMBenefits: Health, Dental and Vision insurance, PTO, 401K with matching, Life insurance, Discounted wellness memberships, and moreQualifications:Education: Bachelor's Degree in social services or related healthcare field (Required)License: Social worker (Preferred)Experience: Public/Population Health, Clinical/Hospital SettingsWhy HMC:Health Ministries Clinic is an FQHC that provides care to all members of the community regardless of socioeconomic or insurance status. Services clinic-wide are provided using sliding fee scales to make healthcare affordable to patients without insurance. We believe that integrated healthcare serves to treat the whole person and not just the symptoms. This is why we offer our patients Behavioral Health, Primary Medical Care, Laboratory, Imaging, and Pharmaceutical services all under one roof with the addition of Dental care just blocks away. If you want to be part of a caring close-knit team that provides care for our ever-growing population of patients, please apply.Covid:Masks are required by all person who enter the building and PPE is provided to all employees. On-site rapid testing for COVID 19 is available. Reception desks have plexiglass. All employees are required to self-monitor.