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Patient Care Coordinator

2 months ago


Bethel, Ohio, United States TriHealth Full time

Position Overview:

The Patient Care Coordinator plays a vital role in delivering both direct and indirect patient support within a primary care setting. This position collaborates with healthcare providers to pinpoint care deficiencies, reach out to patients for necessary appointments, and ensure proper follow-up on referrals.

The LPN in this role is responsible for pre-visit organization for the patient roster, managing communications through digital platforms, and facilitating smooth transitions of care.

As a clinical liaison, the Patient Care Coordinator will actively engage with patients regarding their care plans and ensure effective communication with the healthcare team.

The LPN will contribute to process enhancements, demonstrating a solid understanding of clinical objectives and outcomes, including patient satisfaction and engagement. Additional responsibilities may be assigned as needed to support departmental goals. Strong competencies in clinical care, customer relations, communication, and teamwork are essential. This role aligns with the mission, values, and operational strategies of TriHealth Physician Practices.

Essential Qualifications:
Completion of an accredited technical, professional, or vocational program in healthcare is required. Relevant clinical experience in a physician practice or similar environment is preferred. Equivalent experience may be considered in lieu of formal education. Certification in Basic Life Support (BLS) and Cardiopulmonary Resuscitation (CPR) is mandatory.

Familiarity with medical office workflows, particularly clerical and front office functions. Ability to make informed decisions swiftly based on thorough analysis of potential outcomes. Proficiency in Electronic Medical Records (EMR), practice management software, and medical coding/billing is highly recommended. A minimum of 3-4 years of experience in clinical healthcare is expected.

Key Responsibilities:

Oversees the primary care rooming process, relevant medical procedures, and provides care for both adult and pediatric patients, including immunizations, venipuncture, and point-of-care testing.

Adheres to scheduling protocols and clinical procedures, ensuring appropriate use of medical equipment.

Maintains precise and comprehensive documentation of all aspects of patient care, including clinical inquiries, patient rooming interactions, procedure completions, order entries, prescriptions, and patient workflows.

Responds to messages promptly and escalates issues as necessary.

Utilizes MyChart messaging to enhance patient communication and participates as a member of the patient-centered medical home team during patient visits by reviewing clinical gaps in care.

Assists with outreach initiatives aimed at closing care gaps. Supports pre-visit planning and engages in daily team huddles with physicians and care staff.

Promotes wellness and preventive care by reminding patients of necessary screenings and immunizations due by year-end.

Communicates any potential barriers to care identified by patients to the physician.
Understands population health and value-based care contracts. Employs key quality metrics from value-based programs for both wellness and chronic disease management. Demonstrates proficiency in the Primary Care quality program, adhering to protocols for both well and chronic disease states. Identifies patients at risk for changes in health status and increased healthcare utilization.

Participates in required training and educational opportunities related to population health, including Lunch and Learns.

Engages in the longitudinal care of patients by conducting outreach following emergency department visits or inpatient discharges for identified at-risk groups. Updates the care team through thorough documentation and collaborates with Complex Care RNs, Social Workers, Community Health Workers, and Population Health Pharmacists. Provides patients with basic community resources addressing social determinants of health.

Facilitates patient education and coaching on wellness and chronic disease management topics (e.g., Diabetes Education, Colon Cancer Screening).

Aids in follow-up care for post-hospitalization, chronic disease management, or specialty referrals.

Additional Information:
Demonstrates age-related competencies, experience with diverse age groups, and an understanding of recommended screenings based on age demographics, along with a solid grasp of chronic disease management processes and patient-centered medical home principles.

Work Environment:


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