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Patient Care Coordinator

Good Shepherd Community Clinic, Inc.

Patient Care Coordinator

Ardmore, OK
Full Time
Paid
  • Responsibilities

    Position Summary:

    The Patient Navigator is a healthcare professional who guides health center patients through the complexities of the healthcare system by providing general case management services around social and emotional determinates of health. The Patient Navigator is responsible for ensuring that the needs of the patient are met as best as possible within the designated scope of practice.

    The Patient Navigator serves as the main point of contact for patients. The Patient Navigator builds strong relationships with patients and their families to help patients stay engaged in medical care and adhere to their medications. To that end, Patient Navigators spend their time communicating with patients and their families.

    Patient Navigators are committed to removing barriers to care by identifying critical resources for patients, helping them navigate through health care services and systems, and promoting patient health. They work closely with the Care Team, which includes doctors, nurse practitioners, physician assistants, RN Care Manager, nurses, behavioral health consultants and other clinical and non-clinical staff to support positive patient health outcomes.

    Patient Navigators are critical to helping patients overcome obstacles that may hinder their personal health goals. Therefore, Patient Navigator needs to be motivated to get to know the patients and understand their goals; educate patients on options for improving their health; seek root-cause solutions that hinder improved health outcomes; and understand and communicate what the patient’s care plan process will look like.

    To do well in this role, it is critical that the Patient Navigator is able to answer patient’s questions as they arise. The Patient Navigator will be a compassionate, positive individual who is capable of inspiring confidence in the patients served.

    Responsibilities:

    Patient / Care Team Communication:

    Direct patient care to patients both in person and via phone and electronic means

    Establish close relationships with and serves as primary point of contact for patients

    Provide health education and promote self-management to patients

    Communicate with Care Team members to facilitate patient care

    Appointment Confirmation

    Billing / payment questions

    Maintain strict confidentiality in accordance with health center policies including private health information

    Interact with patients prior to and after primary care physician appointments to review and update care plan with the RN Care Manager

    Interest in educating and coaching patients

    Strong understanding of cultural competencies within the target population

    Meet with Care Team (including, but not limited to, RN care manager, primary care provider and behavioral health consultant) to discuss patient care issues and needs and facilitate patient health care

    Ability to build relationships with different types of people, including patients, organization members, and health care providers

    Good communication and interpersonal skills and ability to speak concisely to patients and Care Team members

    Passionate, trustworthy, and empathetic when working with patients

    Care Navigation / Coordination / Management

    Commitment to the mission of care coordination

    Organized with the ability to prioritize and problem solve

    Confidential patient material and appointment tracking

    Introduction to GSCC services

    Perform new patient intake services

    Eligibility assistance for insurance coverage

    Health risk assessments – social determinants of health, etc.

    Identify resources for patients to overcome barriers to care, such as transportation, housing, and childcare arrangements

    Community resource coordination / referrals

    Remain aware of current community services offered by service providers, such as mental health, housing, and employment assistance

    Maintain accurate and timely documentation of all patient encounters and complete reporting requirements according to organization standards

    Track patient information, schedules, files, and forms in a confidential manner including private health information

    Track patient attendance and follow-up at medical appointments as well as any referrals and patient navigation sessions and initiate outreach and missed appointment procedures

    Patient education

    Observe, report, and assess patient self-administration of medication

    Medication restocks calls

    Referral and preauthorization management

    Translation coordination

    Flexible and adaptable in response to changing patient and health care providers’ needs and requests

    Exposure to issues of trauma, behavioral health, complex chronic disease, death and dying

    Desired Qualifications:

    Medical Assistant experience

    Ability to communicate and work effectively with people of varying backgrounds, health care professionals and support staff at all levels.

    High level of problem solving and critical thinking skills.

    Must have respect and regard for the dignity of all patients and their families / caregivers.

    Excellent computer skills required for internal communications.

    Ability to work independently as well as part of a team.

    Education/Experience:

    Bachelor’s degree or higher in a social work, psychology, behavioral health, healthcare, or related field

    At least three (3) years’ experience in social work, community health, integrated care, or community mental health

    Certificates and Licenses:

    Commission for Case Manager certification a plus but not required

    Full COVID-19 vaccination required