Care Coordination Specialist

Overview

Department:
Patient Care Management Service

Schedule:

Full Time - Monday to Friday, with occasional weekends; 8:00 am – 4:00 pm

Care Coordination Specialist (CCS) — Peninsula Regional Clinically Integrated Network (PRCIN).

The CCS functions as a key member of the primary care practice team. Under supervision of the PRCIN Care Coordination Supervisor, the CCS provides care coordination services to moderate and high risk patients to ensure safe and effective transitions across the health care continuum, including ambulatory care, hospital, home environment, and skilled nursing facilities. The CCS serves as a care resource and coach with a focus on health and wellness, prevention, social determinants of health, and collaborates with the practice-based health care team to develop and implement a patient-centered plan of care that promotes self-care.

Primary duties include practice-based care coordination for patients at risk for health deterioration, identifying social, environmental, and financial needs, and coordinating referrals to community resources as appropriate. The CCS motivates patients to complete specific health care tasks and provides disease-specific education to aid self-management. They are also responsible for the collection and analysis of data related to team and population health metrics.

Education

• Bachelor's of Science Degree in Community Health Education or Health Sciences, and/or a minimum of 4 years of experience working in a clinical and/or administrative role in an acute care or community outpatient setting.

Experience

• Experience with EMRs — Epic preferred.
• Advanced knowledge and proficiency in Word, Excel, and PowerPoint; experience in data compilation, analysis, tracking, and entry.
• Community (Population Health), Emergency Department, outpatient medical office, and/or inpatient hospital experience preferred.
• Must have a valid driver’s license and the ability to travel to and from care centers to meet with patients and providers.
• Preferred experience educating and engaging patients.
• Knowledge of local community resources.

Care Coordination Specialist Work Schedule

• Monday–Friday, day shift. No holidays.
• May require work outside of normal hours to meet the needs of the providers and patients.

Benefits

• Full-time employees working at least 72 hours per pay period; part-time employees working at least 36 hours per pay period and part-time employees working at least 30 hours or more on weekends only are eligible for benefits.
• Benefits include medical, prescription, vision, dental, flexible spending accounts, disability insurance plans, life insurance, paid time off, retirement plans, tuition assistance, employee assistance, and access to on-site childcare and a credit union.