Patient Care Coordinator

3 weeks ago

Mobile, Alabama, United States USA Health Full time
Job Summary

USA Health is seeking a dedicated Patient Care Coordinator to join our team. As a key member of our healthcare team, you will play a vital role in ensuring the seamless transition of patients through our healthcare system.

Key Responsibilities

• Provide dedicated clinical oversight to a specific vulnerable patient population within a department
• Serve as the intermediary between multiple service lines and pathways to ensure the patient care plan remains intact and patient-centered throughout the disease process and their care transitions
• Assist the provider in the medical management of outpatients in the clinic; participate in direct patient care activities including but not limited to assessments, vital signs, specialty-specific procedures/testing, injections, wound care, and phlebotomy
• Manage calls and messages from patients, families, other healthcare providers, and pharmacies to ensure patient needs, questions, and treatments are addressed in a timely fashion
• Communicate with overseeing providers to receive orders for prescriptions, medical equipment, home health/hospice, etc., and obtain insurance authorizations as required
• Serve as the primary contact point, advocate, and informational resource for patients, care teams, family/caregivers, payers, and community resources
• Provide education and information to the patient and caregiver(s) related to their ongoing plan of care including current medications (including side effects), diagnostic schedules, follow-up schedules, and symptom management
• Document patient teaching including family and others, based on assessment of needs and respond to patient requests
• Assist in coordination of care for the patient and caregiver(s) and provide emotional support
• Cultivate and support primary care and specialty provider co-management with timely communication, inquiry, follow-up, and integration of information into the care plan regarding transitions-in-care and referrals
• Work across healthcare disciplines to assist in coordinating patient tests, procedures, appointments, and treatments, and assist patients in overcoming barriers to care including, but not limited to, transportation, financial counseling, and referrals
• Refer patients for supportive care services including nutritionists, social workers, counselors, and financial counselors; establish referral processes for each clinical area mentioned above
• Monitor the patient through their care in the system including in working with the patient and caregiver(s) while inpatient to ensure the plan of care is clear and continues after discharge
• Round on patient as needed for plan of care update and education purposes
• Continuously educate patient and caregivers during any transitions of care including but not limited to inpatient/outpatient stay, procedure/surgical care, rehab admission or discharge, or other specialty clinic care
• Work with providers to monitor patient population to analyze care plans, resources provided, and find opportunities to develop new tools or care pathways to serve the patients
• Other related duties as required

Qualifications

• Graduation from an accredited school of nursing meeting the minimum standards set by the state of Alabama or completion of a clinical program, three years of related experience, and current licensure or certification in area of clinical focus
• Masters preferred and will substitute for one year of the required experience

USA Health is an Equal Opportunity Employer

USA Health is an EO/AA employer and does not discriminate on the basis of race, color, national origin, sex, pregnancy, sexual orientation, gender identity, gender expression, religion, age, genetic information, disability, protected veteran status, or any other applicable legally-protected basis.

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