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Patient Care Coordinator

2 months ago

Escondido, United States Neighborhood Healthcare Full time

About UsCommunity health is about more than just vaccines and checkups. It's about giving people the resources they need to live their best lives. At Neighborhood, this is our vision:a community where everyone is healthy and happy. We're with you every step of the way, with the care you need for each of life's chapters. At Neighborhood, we are Better Together.As a private, non-profit 501(C) (3) community health organization, we serve over 414,000 medical, dental, and behavioral health visits from more than 95,000 people annually. We do this in pursuit of our mission to improve the health and happiness of the communities we serve by providing quality care to all, regardless of situation or circumstance.Since 1969,our employees have been making this mission a reality.Regardless of the role, our team focuses on being compassionate, having integrity, being professional, always collaborating, and consistently going above and beyond.If this sounds like an organization you would like to be a part of, we would love to meet you.ROLE OVERVIEW and PURPOSEThe Patient Care Coordinator works to support the mission and vision of Neighborhood Healthcare by supporting Primary Care Practice teams (PCP) to improve patient health outcomes.The PCC will assist primarily with coordinating and providing panel management services to patient at highest risk for health deterioration and assisting patients achieve their self-care goal by increasing access to health services and resources.RESPONSIBILITIESUtilizes the primary care medical home model to provide coordinated team care to address current diseasesProvides panel management for preventative and health maintenance follow-ups for the maximum number of patients per dayContacts new patients to provide a warm welcome to our clinic, explain the medical home, and answer patient questionsSchedules patients with chronic conditions for follow-up appointments per preventative and maintenance care schedulesPerforms population management tasks, such as appointment scheduling, recalls, web portal callbacks, and addressing telephone encountersMakes outreach calls to patients missing appointments based on preventative and chronic disease guidelinesDelegates ECW telephone encounters and Web Portal messages to medical assistants and providersImplements actions for increasing productivity, such as scheduling patients for PCP follow-up visits, anticipating open slots for same day appointments, and proactively maintaining full provider schedulesTracks and reports the progress of assigned tasks and logged PCP discussion topics in weekly supervisor meetingsCollaborates and supports the PCP to identify and implement actions for improving population management and patient care outcomesOrganizes weekly pre-clinic team huddles to update progress on various goals, such as Meaningful Use compliance and C.A.R.E. TransformationCoordinates monthly medical assistant team meetings to discuss progress towards PCMH goals and areas needing improvementProvides and documents patient end-of-visit interviews, coaching, and patient engagement conversationsReinforces information given to patients and/or family with handouts to improve patient self-management skills and communicationProvides education to patients during medical appointments, as neededActs as first point of contact for patients and families asking questions and raising concerns through the patient web portal and via phoneSubmits prior authorization for medications, DME supplies, and other items, as neededImpacts patient experience by demonstrating values of Transforming Care, including courteous and helpful behavior and a commitment to accuracyShares accountability for overall patient health outcomes by working in coordination with PCPCompletes ECW notes for all care coordination and other services provided in a timely mannerPrioritizes activities according to need and required follow-upProvides accurate and timely reports to supervisor, as requiredContributes to the success of the organization by participating in quality improvement activitiesOperates to instill confidence in our care and in our facilities to patients, fellow employees, and other stakeholdersAssists medical assistant and patients as neededEDUCATION/EXPERIENCEHigh school diploma or GED requiredMedical Assistant Certificate from an accredited program requiredValid AHA (American Health Association) BLS certification required (on or before hire date)One year medical assistant experience within medical home health preferredNon-profit community health clinic experience preferredBilingual-English/Spanish preferredDiabetes and hypertension education experienceADDITIONAL QUALIFICATIONS (Knowledge, Skills and Abilities)Excellent verbal and written communication skills, including superior composition, typing and proofreading skillsAbility to interpret a variety of instructions in written, oral, diagram, or schedule formKnowledgeable about and experience with medical home healthAbility to adapt to changing patient or organizational prioritiesAbility to successfully manage multiple tasks simultaneouslyAbility to use critical thinking to make decisions and problem solve.Excellent planning and organizational abilityAbility to work as part of a team as well as independentlyAbility to work with highly confidential information in a professional and ethical mannerPay range: $23.72 to $27.68 per hour, depending on experience.