Clinical Care Coordinator

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We are always looking for compassionate, dedicated and innovative medical LPNs and RNs to join our Quality Care team.
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The Clinical Care Coordinator role will be responsible for working with the Primary Care Providers (PCP) to provide telephonic management of patients with multiple chronic conditions and increased risk factors to ensure excellent care is provided outside of office visits. Responsible for facilitating quality care in accordance with established clinical practice guidelines and protocols in the direction of primary care physicians.

Fosters patient engagement and adherence to plan of care to achieve evidence based clinical objectives and goals specific to chronic conditions and preventive health measures.

8am to 5pm Monday through Friday No Nights or Weekends!

One to three years of similar or related experience.

• Reviews of the patient’s medical, functional, and psychosocial needs.
• Assists with meeting quality standards including HEDIS measures.
• Reinforces disease self-management education and preventive care guidelines, communicate PCP instruction and advice, and provide patient education materials.
• Assists patients with referrals, labs, radiology, and prescriptions services. Including patient assistance programs, community resources. Identify barriers to patient receiving service medically necessary.
• Audits patient charts efficiently and accurately.
• Assists with outside chart audits and submitting of required information. Submitting/reporting patient information to various health plans via their portals as directed.
• Works as part of the healthcare team to assess patient needs, plan, and modify care and implement interventions. Communicate with the healthcare team to provide a proactive approach to patient care.
• Answers patient calls and determine how to assist them as needed. Triage patient needs and identifies a necessary plan of action within office.
• Adheres to strict guidelines for reporting measures, using proper CPTII codes.
• Communicates with clinical teams and physicians of any missing care gaps, barriers to care, or changes in medical or mental conditions.