Coordinator Patient Care

Uintah Basin Medical Cntr
Roosevelt, UT 84066, USA

• Remote
• Full-Time
• Requisition #: COORD
  002257

The Patient Care Coordinator supports the organization’s population health and value-based care initiatives by proactively identifying and closing gaps in patient care. This position is responsible for coordinating patient outreach, scheduling Medicare Annual Wellness Visits and other preventive services, supporting chronic care management initiatives, and coordinating wellness and population health projects.

The Patient Care Coordinator works closely with patients, providers, clinical staff, and administrative teams to improve patient access, preventive care, quality outcomes, and overall patient engagement. The position requires excellent communication, organization, attention to detail, follow-through, and the ability to work independently while maintaining strong collaborative relationships across the organization.

Identify patients with open preventive, chronic care, and quality-of-care gaps through designated reports, registries, and electronic health record systems.

Conduct proactive patient outreach by telephone and other approved communication methods to address identified care gaps.

Educate patients regarding recommended preventive services, screenings, immunizations, and routine healthcare needs.

Schedule patients for appropriate services and follow up as needed to ensure completion.

Document all patient outreach, scheduling, and care-gap activities accurately and timely in the appropriate systems.

Collaborate with providers, nurses, medical assistants, and other staff to resolve barriers to care.

Monitor assigned patient populations and follow up on outstanding gaps to support organizational quality goals and value-based care initiatives.

Assist with tracking and reporting care-gap closure progress.

Coordinate and schedule Medicare Annual Wellness Visits and other preventive wellness appointments.

Conduct patient outreach to educate eligible patients about the importance and benefits of wellness visits.

Maintain and utilize scheduling lists, reports, and tracking tools to identify patients due or overdue for wellness services.

Coordinate with clinic staff and providers to ensure appropriate scheduling and preparation for wellness visits.

Follow up with patients who are unable to schedule or complete their wellness visit.

Assist in developing and maintaining processes designed to improve wellness visit completion rates.

Coordinate assigned wellness and population health projects from planning through completion.

Assist with developing patient outreach lists, tracking spreadsheets, reports, educational materials, and other project resources.

Coordinate communication between departments and team members involved in wellness initiatives.

Monitor project progress and communicate barriers, needs, and outcomes to leadership.

Participate in quality improvement initiatives designed to improve patient outcomes and organizational performance.

Assist with special projects related to preventive care, quality measures, patient engagement, and value-based care.

Coordinate assigned chronic care management projects and patient outreach initiatives.

Assist in identifying eligible patients and supporting enrollment or engagement activities as directed.

Conduct outreach to patients regarding chronic disease management needs, follow-up appointments, preventive services, and recommended care.

Coordinate with clinical staff to ensure identified patient needs are communicated appropriately.

Track assigned chronic care management…