Bilingual Health Center Care Coordinator

Brief Description

The Care Coordinator is the "link" to ensure a continuity in coordination of patient care through their collaborative interaction with all the community relationships involved in that care - including but not limited to - the labs, hospitals, patients themselves, and patient's healthcare plan (i.e. Medicaid, Managed Care Plus). Ensures all information is communicated clearly on behalf of the patient and between collaborative partners for the primary benefit, comfort and well-being of the patient.

ESSENTIAL DUTIES AND RESPONSIBILITIES :

Collaborative Partner Coordination of Services :

• Assists clinical providers / leaders in maintaining compliance with meaningful use standards.
• Follow-up consistently on transitional care for patients.
• Ensure appropriate frequency of patient visits to maintain for the team and the patient a proper continuum of care.
• Promotes clear communication amongst care team and clinicians by ensuring awareness regarding patient care plans.
• Coordinates continuity of patient care with external healthcare organizations, facilities, and payers including the process of hospital admission and discharge and referrals from the primary care provider to a specialty care provider.
• Becomes knowledgeable in and keeps updated on Pillars Community Health's payer contracts as they relate to patient access, referrals, pre-authorizations and clinical indicators measures.
• Manages patient rosters to patient's risk factors and assures prompt access to Pillars Community Health services.

Patient Centered Care :

• Manage potential risks and liabilities within the dental center to minimize risk of errors, accidents and other adverse incidents.
• Pay close attention to EMR system notes and alerts, routing information appropriately to correct team members for quality patient care.
• Assist in management of high-risk patient care including management of patients with multiple co-morbidities or high-risk for readmission to a hospital setting, including a registry.
• Coordinates continuity of patient care with patients and families following hospital admission.
• Supports patient self-management of disease and behavior modification interventions.

Continuous Quality Improvement :

• Be a voice for strictly adhering to the Pillars Community Health Quality Improvement Plan, and work with the staff to assure compliance.
• Work closely with the QI Manager to assure HIPAA compliance in the sharing of PHI with collaborative partners on behalf of patient.
• Participate in training programs that focus on the components of the Quality Program.
• Report compliance problems and patient data to QI Manager regularly as required

Other :

• Attends all meetings as required
• In compliance with all agency policies
• Adheres to OSHA guidelines for a safe work environment
• Follows all rules required to comply with confidentiality and HIPAA policies
• Complies with all applicable laws, including but not limited to medical records laws, HIPAA, OSHA and the corporate compliance program
• Performs other duties as assigned

QUALIFICATIONS :

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and or ability required. Reasonable accommodations may be made to enable an individual with a disability to perform the essential duties and responsibilities.

EDUCATION AND EXPERIENCE

• Graduation from an accredited college or university with a background in health-science, biology, anatomy & physiology, public health, behavioral science or other similar degree
• Case management experience preferred
• Public Health educational focus
• Medical Assistant background preferred.
• FQHC background or experience in outpatient setting highly preferred
• Meets company health & immunization / vaccination requirements

LANGUAGE SKILLS

• Bilingual Spanish / English skills required

DEMONSTRATED COMPETENCIES

• Computer proficiency in Electronic Health Record systems, internet and email, Microsoft Office software
• Basic math computation skills in whole numbers, fractions, decimals
• Highly organized
• Ability to multi-task and willingness to learn new tasks
• Effective oral and written communication skills
• Compassionate and patient focused
• Good listener
• Ability to read / interpret / enter / compare data and reports of a complex nature
• Ability to work within a team environment
• Critical thinker
• Resourceful & Assertive
• Ability to influence and organize
• Persistent

PAY & BENEFIT INFORMATION

$17.50 - $23.00

Medical, dental, vision, short / long term disability, life, accident, critical illness, hospital indemnity, FSA, Employee Assistance Program, 401(k) retirement plan, paid time off for vacation, sick, personal time, holidays, & wellness day. Professional development membership to Relias Essential Learning. Reimbursement for position related certifications.