Care Coordinator

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Full Time Great Falls, MT, US

Salary Range: $18.84 To $23.20 Hourly

None

Non-Exempt

The Care Coordinator works as a core member of the Collaborative Care Team that involves the patient’s primary care provider, nurse, medical assistants, and/or mental health providers in the health center and outside agencies or providers as appropriate. The Care Coordinator is responsible for coordinating and supporting primary medical, dental and/or mental health care within the health center. The Care Coordinator provides excellent customer service to patients and providers, while ensuring access to care, assessment for additional services if qualified, and coordination of non-traditional healthcare services to ensure whole patient care is achieved.

The Care Coordinator is or will be certified as a Certified Application Counselor to provide outreach and enrollment services for Marketplace insurance and/or Medicaid enrollment. The Care Coordinator is an active participant in clinical team huddles and care planning activities. In addition, the Care Coordinator participates in education and outreach events as needed in the community.

Individual is widely trusted and can present information and discuss situations in an appropriate and helpful manner, keeps confidences, admits mistakes, does not misrepresent him/herself for personal gain. Is respectful in action and communication with clients, patients, and staff.

Adheres to the organization’s mission during times of ease or challenge, is dedicated to the expectations and requirements of the mission and vision, acts in line with the values identified by Alluvion Health.

Understands and supports the team approach and integrated model of Alluvion Health. Is seen as a team player, cooperative and supportive of his/her coworkers, practices what he/she preaches. Can be candid with peers and foster open dialogue. Creates a feeling of belonging on the team and holds self and team accountable to those behaviors.

• Support and closely coordinate primary and/or mental health care with the patient’s primary care provider, mental health providers, specialists, or other community resources;
• Screen and gather information from patients;
• Use evidence-based tools to track patients (in person and by telephone) for changes in clinical symptoms and gather information about treatment side effects or complications; coordinates with other members of the care team as needed;
• Facilitate in-clinic referrals for other Alluvion Health services such as outreach and enrollment, dental, prescription assistance, etc.;
• Participate in regularly scheduled caseload consultation with the care team. Facilitate communication regarding treatment recommendations to the patient’s PCP;
• Support patient engagement and follow-up in care;
• Evaluate patient care plans with care team;
• Document patient encounters, patient progress, treatment, and follow-up care in the electronic medical record system within the scope of practice;
• Facilitates referrals for clinically indicated services outside the community health center (mental health specialty care, substance abuse treatment, housing assistance, etc.);
• Attend and participate in meetings and Quality Improvement activities as required;
• Serve as a member of committees as requested;
• Participate in peer review as part of Quality Improvement activities and in compliance with health center policies;
• Maintains confidentiality according to HIPAA;
• Works as a team player…