Care Coordinator- Community Health Worker (CHW)

The Care Coordinator / CHW ensures that patients empaneled to a Care Team receive the appropriate services per their healthcare plan. The Care Coordinator will work alongside the providers and the care team to identify and address the needs of patients assigned to the care team. This position will coordinate the population health process for the care team while promoting patient-centered care.

MAJOR POSITION RESPONSIBILITIES AND FUNCTIONS :

• Coordinate access and completion of preventative care (HEDIS) for each patient scheduled, utilizing a huddle list, as well as other lists provided by the QI Team. Determine gaps in care and initiate the implementation of next steps for all standing order items. Coordinate care with the medical provider for additional items that require a medical provider order to be submitted.
• Responsible for engaging with patients, both in-person and virtually, in a manner that utilizes evidence-based approaches (such as Motivational Interviewing) that promote collaboration between the patient and their medical team and increase the patient's sense of control over their health.
• Model commitment to continuous quality improvement by engaging in quality improvement initiatives and projects, such as identifying and addressing HEDIS gaps, and by identifying, developing, and testing new practices for improving the outcomes.
• Identify scheduled high-risk patients prior to their medical visit. Work with Care Team to achieve a successful visit.
• Identify patient barriers in achieving favorable health outcomes and work with patient and care team to diminish them.
• Work in collaboration with the referrals department to assist patients with any questions regarding their authorizations.
• Conduct telephone outreach calls to inform patients about their comprehensive care services and preventative health measures.
• Provide structured patient education as required.
• NextGen documentation as required for every encounter and follow-up.
• Work within Cozeva and maintain documentation.
• Work with Population Health system and maintain documentation as required.
• Run Population Health reports on empaneled patients for Care Team meetings.
• Maintain EHR inbox with all provider / care team tasking requests.
• Confirm all patient demographics at each visit, or during a patient phone call.
• Assist patients with patient portal.
• Actively participates in assigned weekly / monthly care team meetings and daily huddles.
• Responsible for complying with HIPPA standards and observing strict patient confidentiality.
• Advise clients and others regarding health care and other facilities available to them; assists patients in utilizing services.
• Provide clinical staff support within the care team.
• Other job duties and responsibilities as assigned.

POSITION REQUIREMENTS AND QUALIFICATIONS :

DOE : $22.00 - $25.98

East Valley offers a competitive salary, and excellent benefits including medical, dental, vision, and defined contribution retirement plan. You will also enjoy a work-life balance with paid time off and holidays throughout the year.

Please apply to this position with your current resume.

Principals only. Recruiters, please do not contact this job posting.

EOE is the Law. It is the stated policy of EVCHC to conform to all the laws, statutes, and regulations concerning equal employment opportunities and affirmative action. We strongly encourage women, minorities, individuals with disabilities, and veterans to apply to all of our job openings. We are an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, gender identity, or national origin, age, disability status, Genetic Information & Testing, Family & Medical Leave, protected veteran status, or any other characteristic protected by law. We prohibit Retaliation against individuals who bring forth any complaint, orally or in writing, to the employer or the government, or against any individuals who assist or participate in the investigation of any complaint or otherwise oppose discrimination.

Equal Opportunity Employer

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