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Patient Care Coordinator

2 months ago

North Little Rock, Arkansas, United States Arkansas Hospice, Inc. Full time
Job Overview

Employee Benefits:

Comprehensive Medical, Dental, and Vision Insurance plans.

401(k) retirement savings plan with employer matching contributions.

Paid Time Off (PTO) program and Critical Life Events support.

Tuition and certification reimbursement opportunities.

Employee Assistance Program (EAP) available.

Group Term Life Insurance and Accidental Death & Dismemberment coverage.

Free parking at all facilities.

Short-term and Long-term disability coverage.

Mileage reimbursement for work-related travel.

Un-reimbursed medical expenses and dependent care support.

POSITION SUMMARY

As a Clinical Care Navigator, your role will involve facilitating care for patients with dementia through the (Guiding an Improved Dementia Experience) GUIDE model. You will foster strong, collaborative relationships with both internal teams and external partners to guarantee that patients receive suitable and high-quality care. Key responsibilities include assessment, care planning, coordination of services, and transitional care management. This position entails conducting in-home evaluations of beneficiaries and frequent telephonic or video consultations to provide assistance to patients and their caregivers.

QUALIFICATIONS

Education: High school diploma or GED; completion of a Medical Assistant, Certified Nursing Assistant, or Licensed Practical Nurse training program that meets Arkansas Department of Health standards is required.

Experience: A minimum of two (2) years of experience in healthcare, with preference given to candidates who have worked with geriatric or dementia populations.

Licensure: Certified Nursing Assistant (CNA) certification.

Additional Requirements: Eligibility for a Letter of Determination and successful completion of a skills evaluation test. A valid Arkansas driver's license, car insurance, and access to a vehicle are also necessary.

PRIMARY RESPONSIBILITIES

  1. Conduct comprehensive assessments covering clinical, behavioral, psychosocial, and advance care planning aspects.
  2. Evaluate current health needs, set goals, and create personalized care plans.
  3. Develop and maintain resource directories and network with other service providers to assist clients.
  4. Familiarity with the rules and regulations of the GUIDE Program.
  5. Regularly review the GUIDE program website to ensure all information regarding beneficiaries, partners, and providers is accurate and current.
  6. Submit detailed and timely documentation on the same day services are delivered.
  7. Educate patients and families about available resources and services.
  8. Facilitate support groups for patients and their caregivers.
  9. Collaborate with primary care clinicians to ensure high-quality, team-based care.
  10. Utilize management tools to support appropriate transitional care management.
  11. Work with hospitals, rehabilitation centers, and skilled nursing facilities to manage patient inpatient stays and discharge plans.
  12. Track necessary data and complete benchmarking tools.
  13. Communicate effectively with both internal and external stakeholders.
  14. Assist in reducing unnecessary emergency department visits to minimize costs.
  15. Enhance care coordination for a complex geriatric population.
  16. Maintain proficiency in community resources.
  17. Regularly monitor Remote Patient Monitoring (RPM) software and alert clinicians to any abnormal readings.
  18. Assist clinicians in educating patients on the use of RPM equipment.
  19. Coordinate with billing to ensure timely submission of all relevant RPM and GUIDE codes.
  20. Engage proactively with providers to identify high-risk patients.
  21. Ensure compliance with all applicable state and federal laws, regulatory standards, contracts, and organizational policies.
  22. Accept guidance and follow instructions from supervisors; seek additional information as needed; work with minimal supervision.
  23. Complete special projects as assigned by management.
  24. Adhere to all organizational and departmental policies and procedures.
  25. Maintain organizational standards for attendance and punctuality; notify supervisors in a timely manner of any absences or delays.
  26. Participate in all required meetings and training sessions; seek opportunities for professional development.
  27. Perform other duties as assigned.

COMPETENCIES, KNOWLEDGE, SKILLS, AND ABILITIES

This section outlines the knowledge, skills, and abilities required for this position. This list may not be exhaustive.

  1. Proficient in basic computer software applications.
  2. Knowledge of Excel.
  3. Ability to organize and prioritize workloads to meet deadlines.
  4. Effective oral and written communication skills.
  5. Ability to communicate effectively with colleagues and clients.
  6. Understanding of basic safety policies and procedures.
  7. Ability to exercise good judgment and maintain confidentiality.
  8. Team player mentality.
  9. Demonstrated tact, resourcefulness, patience, and dedication.
  10. Ability to accept direction and adhere to policies and procedures.
  11. Capacity to work in a fast-paced environment and manage multiple priorities.
  12. Knowledge of nursing practices, documentation, and medical terminology.
  13. Understanding of insurance benefit plan design and case management processes.
  14. Ability to document and retrieve information from electronic medical records and billing systems.
  15. Ability to assess patients and interpret clinical information accurately.
  16. Competency in numeric and alphabetic filing systems.
  17. Proficient in using electronic medical records systems.
  18. Competent in Microsoft Office applications including Word, Excel, and PowerPoint.
  19. Knowledge of the billing process related to coding for provider services.
  20. Familiarity with medical terminology, anatomy, and physiology.
  21. Ability to organize and prioritize workloads effectively.
  22. Effective communication skills with colleagues and clients.
  23. Ability to follow safety policies and procedures.
  24. Ability to maintain confidentiality and exercise good judgment.
  25. Team-oriented approach.
  26. Ability to demonstrate resourcefulness, patience, and dedication.
  27. Ability to accept guidance and adhere to established policies.
  28. Capacity to work in a dynamic environment and manage multiple tasks.

This position involves regular interaction with confidential and proprietary information, including patient medical records and employee information. It is classified as a safety-sensitive role due to the handling of sensitive information and the potential for life-threatening situations. Maintaining a constant state of alertness and focus is essential for performing the required duties effectively.