Care Coordinator-AFCN

1 week ago

North Little Rock, United States EngageMED Inc. Full time

Job Type

Full-time

Description

Job Description:

  • Collaborates with providers and other members of the healthcare team to identify targeted patient populations within the practice site(s).
  • Assesses the health care, educational, and psychosocial needs of the patient/family utilizing standardized assessment tools such as depression screening, functionality, and health risk assessment.
  • Collaborates with providers, patients, and other members of the health care team to monitor the status of individualized plans of care and assist with targeted interventions as appropriate.
  • Provides patient self-management support with a focus on empowering the patient to achieve optimal health and independence.
  • Facilitates clinical interventions based on protocols and evidence-based clinical guidelines.
  • Fosters a team approach and includes patients and their families/caregivers as active members of the team.
  • Completes timely follow-up with patients discharged from the ED or Inpatient setting: Follow-up may include reviewing discharge instructions and medications, scheduling PCP or specialist follow-up appointments, coordinating necessary services/additional care/equipment/etc. during transitions of care, and problem-solving barriers.
  • Demonstrates critical thinking skills, as well as positive relationship-building communication skills (both written and verbal).
  • Maintains required documentation for all patient outreach and care coordination activities.
  • Works with practice and leadership to continuously evaluate processes, identify problems, and propose/develop process improvement strategies to enhance care coordination services.
Requirements

SKILLS AND ABILITIES
  • Demonstrates customer-focused interpersonal and communication skills to interact in an effective manner with practitioners, the interdisciplinary health care team, community agencies, patients, and families/caregivers.
  • Demonstrates ability to work autonomously and be directly accountable for assigned duties.
  • Demonstrates time management, priority setting, and work organization skills.
  • Demonstrates ability to function effectively in a fluid, dynamic, and rapidly changing environment.
QUALIFICATIONS AND EDUCATION REQUIREMENTS
  • Current Medical Assistant Certification and/or Registration or Current LPN license
  • Previous care of patients in primary/ambulatory care or other healthcare facilities, in the past five years
  • Critical thinking skills and ability to analyze data
  • Excellent verbal and written communication skills
  • Excellent interpersonal and facilitation skills.
  • Ability to affect change, work as a productive and effective team member, and adapt to changing needs/priorities
  • Demonstrates excellent time management, priority setting, work delegation, and work organization skills

General computer knowledge and capability to use various computer programs

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