Primary Care Team Coordinator

1 week ago


Pittsfield, Massachusetts, United States Northern Light Health Full time
Job Summary

We are seeking a highly skilled and experienced Registered Nurse to join our Primary Care Team as a Team Coordinator. This is a full-time position located in Pittsfield, Maine.

Key Responsibilities
  • Provide clinical leadership to our primary care teams to ensure high-quality patient care.
  • Assist and perform direct/telephonic patient care as required for triage of calls, provider directives, protocols, and refills for prescriptions.
  • Oversee the clinical aspects and coordination of the medical assistants.
  • Collaborate with providers, practice health team members, and other healthcare personnel to ensure quality care of patients.
  • Assess and triage patient needs and collaborate with a multidisciplinary team.
  • Perform patient-related duties in a confidential and private manner.
  • Return telephone calls to patients, preventing interruption of provider's scheduled patient flow.
  • Provide appropriate and effective patient education as indicated.
  • Assist patients/families to understand and comply with their established plan of care.
  • Conduct assessment of patients/families' needs for any barriers to meeting the necessary care (education, ability to manage, additional services, etc.) and initiating resource referrals as necessary.
  • Manage assigned case load, assessing utilization of resources and services, identifying patients that require additional management to promote quality care and cost containment.
  • Prepare and order prescription refills according to protocol, as well as overseeing prior authorizations for prescriptions/medical supplies.
  • Prepare (and order, if by protocol), diagnostic screening exams.
  • Works in conjunction with Lead MA to ensure clinical training and competency testing is met.
  • Supervise the MA patient flow, working in conjunction with the Director.
  • Assist in maintaining customer service survey scores to the practice's goal.
  • Work with Administration on all quality measures (Meaningful Use, PCMH, etc.).
  • Work with Administration to maintain a viable Patient and Family Advisory Group, as well as assist in instituting changes suggested by this group.
  • Encourage and promote daily huddles among staff.
  • Ensure proper documentation is entered into the EMR for each patient encounter.
  • Maintain a safe environment which includes knowing and understanding hospital and departmental policies and procedures.
  • Report and directly address identified environmental hazards when appropriate.
  • Report and directly address violations of patient safety policy and/or protocol when involved or observed.
  • Other duties as requested by Director.
  • Comply with HIPPA.
  • Exceed customer expectations and needs or transition customer to someone who can, being respectful of patient's time.
  • Conduct oneself as a professional and treat others with respect.
  • Adhere to all applicable policies.
  • Take pride and ownership in duties and work area.
  • Manage patient care needs across the continuum.
  • Provide appropriate reports as needed in a timely manner.
  • Help create and support department goals/strategic plan, remaining positive and receptive to change.
  • Manage assigned panels, assessing utilization of resources and services, identifying patients that require additional management to promote quality care and cost containment.
  • Review and initiate correction for any patient(s) that have laboratory, imaging and diagnostic testing that is not meeting standard thresholds.
  • Track patients that do not keep their appointment, with the goal of reducing patients that do not show for the appointment.
  • Provide appropriate reports as needed in a timely manner.
  • Provides report to BTE as necessary.
  • Provides report to Maine Quality Counts for the PCMH as necessary.
  • Attend Organization meetings.
  • Work with health care team on all quality measures (Meaningful Use, PCMH, etc.).
Requirements
  • Required: Registered Nurse
  • Education: Associate's Degree
  • Working Conditions: Potential exposure to diseases or infections, lifting, moving and loading 30 to 50 pounds, prolonged periods of standing, prolonged periods of walking

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