The Care Coordinator is the primary liaison between patients, medical, behavioral health and outside agencies. The Care Coordinator works with a panel of patients to support medical and social determinant of health needs which may include, arranging transportation for appointments, connecting patients to community resources, providing education, giving appointment reminders and making follow-up calls. The Care Coordinator is part of a larger integrated care team and works collaboratively with a variety of team members.
CORE JOB RESPONSIBILITIES:
Essential Functions
This position does not manage or supervise employees.
Manages a caseload of patients efficiently, organizes priorities, provides timely intervention and maintains confidential records.
Coordinates outside support services and performs related functions including troubleshooting needs, facilitating interactions, assisting with resource connection, and arranging appointments.
Works collaboratively with patients, primary care providers and integrated team members to produce, implement, and maintain care plans.
Develops supportive and therapeutic relationships with patients.
Observes and documents relevant indicators including patient behavior, presentation, safety, hygiene etc.
Promotes patient independence and wellbeing.
Assists patient(s) in obtaining needed services.
Coordinates with other agencies to obtain services for recipients.
Proactively communicates with patients, primary care team, behavioral health team and other team members.
Ensures quality standards for case management are met. Completes peer reviews and follows a process for continuous quality improvement.
Addresses and responds to sensitive situations in a timely, patient-centered, and trauma informed manner.
Identifies and seeks to remove barriers to patient care.
Communicates professionally with organizations and individuals.
Maintains meticulous documentation, meets documentation standards and remains organized while managing multiple priorities.
Performs other relevant functions and duties as directed/required.
QUALIFICATIONS (SKILLS, KNOWLEDGE & ABILITIES):
Work Experience:
Work experience in community outreach or experience in social services
Experience in a customer service role.
Education, Training, Certification and Licensure:
Community Health Worker certification required or completion within the first 6 months of employment or Certified Medical Assistant
Associates degree desirable.
High School or GED required.
Skills, Knowledge & Abilities:
Strong communication and documentation skills
Knowledge of health industry
Strong customer service skills.
Exercise initiative, judgement, problem-solving and decision-making skills
Exercise conflict resolution skills; identifies problems, recommend solutions; and remain clam in urgent situations and work under pressure
Strong written, as well as verbal, communication skills
Exercise excellent time management and independent working or decision making
Ability to coordinate with teams, be flexible and collaborate
Exercise conflict resolution, identify problems, and recommend solutions; remain calm in urgent situations and work well under pressure
Remain non-judgmental in working with an indigent population and maintain confidentiality
Other: Must possess personal, reliable transportation, active/unencumbered driver’s license, a clean driving record and valid automobile nsurance coverage.