Clinical Care Coordinator

6 days ago


Springfield, Vermont, United States Springfield Medical Care Systems, Inc. Full time

At Springfield Medical Care Systems, Inc., we are seeking a skilled Clinical Care Coordinator to join our team at our Springfield Health Center. This pivotal role is designed to engage individuals in preventing and managing chronic conditions, identify their priorities for care, develop a care plan, and coordinate its implementation in partnership with the patient, their care team, and community partners.

About the Role

This Clinical Care Coordinator position requires strong communication skills to effectively collaborate with patients, families, and healthcare providers. You will assess patients' clinical, social, functional, and continuing care needs to identify priorities and desired outcomes for treatment.

  • You will consult with patients, their care teams, and related partners to develop a comprehensive care plan including immediate, short-term, and long-term goals reflecting patients' priorities and time frames to achieve desired outcomes.
  • Demonstrate knowledge and understanding of clients' diagnoses, prognoses, care needs, as well as cost and barriers to goal achievement.
  • Assist in transitioning care through patient outreach, communication with relevant service providers following discharge from other care settings to ensure a smooth transition to outpatient care, reducing readmissions.

To succeed in this role, you will:

Key Responsibilities
  • Communicate effectively with patients and families in an empathetic, patient-centered manner; coordinate with other team members to provide exceptional patient service.
  • Maintain positive working relationships and demonstrate exceptional customer service skills, working cooperatively, addressing conflict, and communicating effectively with all providers, team members, patients, and their families.
  • Facilitate patient access to appropriate medical and specialty providers as well as other care coordination team support.
  • Provide Chronic Care Management services as appropriate to eligible patients.
  • Ensure effective tracking of test results, medication management, and adherence to follow-up appointments.
  • Support patient self-management of disease and behavior modification interventions.
Requirements
  • Experience with Care Planning.
  • Two (2) years of nursing experience.
  • Excellent communication skills.
  • Proficiency with Microsoft Office, computer skills.
  • Current LPN License.
  • One (1) – Two (2) years of experience in case management (preferred).
  • Current RN License (preferred).
About Our Team

Our team is dedicated to providing high-quality patient care. As a Clinical Care Coordinator, you will play a crucial role in ensuring seamless transitions of care and promoting patient-centered care practices. If you are passionate about delivering exceptional patient experiences, we encourage you to apply for this opportunity.



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