Care Coordinator, Family Medicine- AZ - Multispecialty Clinic

Care Coordinator, Family Medicine- AZ - Multispecialty Clinic

The Care Coordinator is primarily responsible for coordinating the chronic care management program within the Family Medicine Clinic. The Family Medicine Clinic is implementing a new program that provides patients services related to chronic care management, wellness visits, and managing patient panels for Medicare Advantage and Medicaid plans. The Care Coordinator will ensure patients are properly educated on the program, obtain consent, and track time spent each month managing chronic conditions. The position reports directly to the Manager of Patient Accounts.

Essential Responsibilities:

• Conduct outreach to eligible Family Medicine Clinic patients, educating them on the chronic care management program, and ensuring patients understand and are aware of the cost sharing components associated with the program.
• Gather and document verbal or written consent from patients that are enrolled in the program.
• Conduct monthly follow-up calls with enrolled patients, document, and track calls accordingly.
• Collaborate with Family Medicine Clinic providers to create a comprehensive care plan for each enrolled patient in the program.
• Coordinate patient's prescriptions ensuring they are in line with their comprehensive care plan.
• Schedule successive routine appointments between patients and the same assigned provider from the clinic care team, to ensure continuity of care.
• Coordinate care transition following ER visits, inpatient, or Skilled Nursing Facility (SNF) admission for patients and schedule primary care follow up appointments.
• Manage insurance dashboards for quality measures including scheduling wellness visits and assisting with quality measure follow up.
• Facilitate regular communication between patients and other members from the Family Medicine Clinic.
• Review monthly billing, ensuring that only one practitioner is charging the patient for services each month.
• Coordinate the Medicare reimbursement process for Chronic Care Management, and review billing codes to ensure correct codes are being used.
• Enter orders for labs, radiology studies, referrals as assigned.
• Facilitate the offboarding process for patients that opt out of the program.

Qualifications:

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. This individual must have the ability to work in a constant state of alertness and safe manner and must have regular, predictable, in-person attendance. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Education and/or Experience:

High School Diploma or GED is required. Must have at least 5 years of healthcare related work experience. Prior Medical Assistant or LPN experience preferred. Familiarity with Chronic Care Management highly desired. The ideal candidate will have excellent time management skills, exceptional customer service, and the ability to establish and maintain effective working relationships with patients, providers, and clinic staff.

Excellent written/oral communications skills, the ability to manage multiple priorities, and knowledge of medical terminology are essential.

Computer proficiency in MS Office (Word, Excel, Outlook, PowerPoint). Familiarity with EHRs software desired.

Physical Demands:

While performing the duties of this job, the employee is frequently required to sit, talk and hear. The employee must regularly use hands to handle or feel and reach with hands and arms. The employee is required to stand and walk for long periods of time. The employee must frequently lift and/or move up to 10 pounds and regularly lift and/or move up to 40 pounds.

Work Environment:

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The noise level in the work environment is usually moderate.

Midwestern University is a private, not-for-profit organization that provides graduate and post-graduate education in the health sciences. The University has two campuses, one in Downers Grove, Illinois and the other in Glendale, Arizona. More than 6,000 full-time students are enrolled in graduate programs in osteopathic medicine, dentistry, pharmacy, physician assistant studies, physical therapy, occupational therapy, nurse anesthesia, cardiovascular perfusion, podiatry, optometry, clinical psychology, speech language pathology, biomedical sciences and veterinary medicine. Over 500 full-time faculty members and 400 staff members are dedicated to the education and development of our students in an environment that encourages learning, respect for all members of the health care team, service, interdisciplinary scholarly activity, and personal growth.

We offer a comprehensive benefits package that includes medical, dental, and vision insurance plans as well as life insurance, short/long term disability and pet insurance. We offer flexible spending accounts including healthcare reimbursement and child/dependent care account. We offer a work life balance with competitive time off package including paid holiday's, sick/flex days, personal days and vacation days. We offer a 403(b) retirement plan, tuition reimbursement, child care subsidy reimbursement program, identity theft protection and an employee assistance program. Wellness is important to us and we offer a wellness facility on-site with a fully equipped fitness facility.

Midwestern University is an Equal Opportunity/Affirmative Action employer that does not discriminate against an employee or applicant based upon race; color; religion; creed; national origin or ancestry; ethnicity; sex (including pregnancy); gender (including gender expressions, gender identity; and sexual orientation); marital status; age; disability; citizenship; past, current, or prospective service in the uniformed services; genetic information; or any other protected class, in accord with all federal, state and local laws, and regulation. Midwestern University complies with the Smoke-Free Arizona Act (A.R.S. 36-601.01) and the Smoke Free Illinois Act (410 ILCS 82/). Midwestern University complies with the Illinois Equal Pay Act of 2003 and Arizona Equal Pay Acts.