Patient Care Coordinator

SUMMARY

Under the general supervision of Program Lead, the Patient Care Coordinator is responsible for working effectively with and as part of the multidisciplinary team to support Members in improving their whole health. Plans and coordinates outreach and engagement activities, which are primarily field based. The Patient Care Coordinator is a collaborative member of the Enhanced Care Management (ECM) team, which includes members, families, and other professionals and performs other duties as assigned along with work related to Case Management.

• Active coordination and follow‑up for patient care quality metrics.
• Patient assessment completion and follow‑up.
• Assist ECM team in engagement efforts of eligible Population Health Program Members.
• Assist Members in navigating healthcare systems.
• Follow up by phone and in person with eligible Members, helping Members successfully participate in their medical and/or behavioral health care by overcoming barriers to care, and sharing this information with the multi‑disciplinary team and providers to ensure a holistic approach to delivery of care.
• Distribute health promotion materials.
• Advocate on behalf of Members with health care professionals.
• Patient outreach and scheduling for office, annual and hospital follow‑up visits, in a timely manner.
• Case Management.
• Other duties as assigned.

• Education:
  
  High School Diploma or GED.
• CPR/BLS certification required.
• Completion of an accredited Medical Assistant program.
• Successfully pass prescription competency assessment.

• Two (2) years of experience as Medical Assistant.
• Experience in Case Management.
• Strong problem‑solving skills, ability to work with little supervision and successfully work with pediatric population.
• Computer skills must include accurate data entry skills.
• Required experience utilizing electronic medical records.
• Clinical skills must include ability to accurately perform vital signs.
• Must be highly organized and have the ability to prioritize when needed.
• Excellent communication skills with patients, staff, and the public.

• Medical Assistant Certification.
• Phlebotomy Certification.
• Bilingual.