Patient Care Coordinator

2 weeks ago

Scottsdale, Arizona, United States HonorHealth Full time

Overview:

Are you seeking a role that offers the chance to contribute to a significant cause? At HonorHealth, you will join a dedicated team focused on delivering a comprehensive care experience for our patients. This position provides numerous opportunities to make a positive impact. With initiatives such as our Ambassador Movement and extensive training programs, you can choose how you wish to contribute.

HonorHealth presents a wide-ranging benefits package for both full-time and part-time employees, designed to support you and your family in leading fulfilling lives. Discover more about our offerings.

Join us in our mission to exceed expectations and innovate healthcare together.

HonorHealth stands as one of Arizona's largest nonprofit healthcare organizations, catering to a population of five million in the greater Phoenix area. Our extensive network includes six acute-care hospitals, a broad medical group providing primary, specialty, and urgent care services, a cancer care network, outpatient surgery centers, clinical research, medical education, a foundation, an accountable care organization, community services, and more. With nearly 15,000 team members, 3,700 affiliated providers, and close to 2,000 volunteers, HonorHealth is committed to delivering high-quality care and enhancing the health and well-being of communities throughout Arizona.

Qualifications:
Education:
High School Diploma or GED Required.

Experience:
Minimum of 1 year in outpatient, ambulatory care, specialty care, or community healthcare settings Required.

Licenses and Certifications:
Basic Life Support (BLS) CPR Card Required.
Fingerprint Clearance Card - State Current State of Arizona Finger Print Clearance Card within 8 weeks from date of hire for those employees who conduct home visits Required.

Responsibilities:
Job Summary:
The Care Coordinator I collaborates with primary care physicians and other healthcare professionals to develop patient-centered goals and actions, ensuring the establishment of realistic and definitive objectives that encompass the total care needs and resources of the patient and their family. The Care Coordinator serves as an advocate for patients throughout their care journey and is a resource for physicians, patients, and families to facilitate effective communication. This role is responsible for coaching and coordinating care for assigned patients to ensure smooth transitions as they navigate the healthcare continuum, including ambulatory care settings, hospitals, home environments, and skilled nursing facilities.

  • Provides guidance and support to patients and their caregivers in addressing critical issues and self-management tasks to aid in recovery. Employs active listening, Behavioral Motivational Interviewing, guided care goal setting, and home visits to foster face-to-face communication and relationship building. Ensures thorough and accurate documentation for every patient interaction.
  • In collaboration with clinical practitioners such as home health RNs, physicians, and physician assistants, coordinates and reviews patient progress and their ability to manage healthcare issues. Aims to educate and empower patients and caregivers to prevent the need for additional resources and potential hospital admissions. Conducts outbound calls, home visits, and appointment scheduling as necessary.
  • Assists patients with medication reconciliation, coordination of post-discharge home care needs, self-management support, follow-up care, supportive care, advanced care planning, community resources, and long-term planning. Reports patient compliance or non-compliance with medical care instructions to the appropriate clinical staff. Communicates professionally using various modalities (email, technology, written, and verbal) with clinical teams, patients, and caregivers in a clear and concise manner.
  • Ensures safe transitions of care for hospitalized or post-acute care patients from Transitional Care Managers to Care Coordinators. Coordinates follow-up care with primary care providers and specialists regarding outpatient follow-up appointments and care plans. Collaborates with internal and external providers and healthcare team members involved in patient care. Builds and maintains effective working relationships with patients, caregivers, and other healthcare partners.
  • Manages caseloads independently with minimal direction, anticipating and organizing workflow, handling a high volume of cases, and adapting to rapidly changing priorities. Works collaboratively with HonorHealth staff, social service organizations, and community resources as needed to meet each patient's requirements. Maintains a comprehensive understanding of applicable laws and regulations, as well as government (Medicare, Medicaid, SSI, and SSDI) and insurance benefits. Performs additional duties as assigned.

Facility:
Innovation Care Partners

Department:
Care Management

Work Hours:
8:00 a.m. - 4:30 p.m.

Shift:
01 - Days

Position Type:
Regular Full-Time

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