TCHP Care Coordinator - CBO TCHP Ambulatory Quality - Full Time - Days Join to apply for the TCHP Care Coordinator - CBO TCHP Ambulatory Quality - Full Time - Days role at The Christ Hospital Health Network
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Job Description
The duties of this position involve care coordination for patients within the Primary Care Physician practice. The care coordinator works to implement and provide ongoing support of the care management program in collaboration with the primary care team. This will include supporting the primary clinical teams in monitoring health promotion, disease management and care coordination. The Care Coordinator will work with the Primary Care Physician, Care Manager and Practice Manager to best serve the needs of the patient and the primary care teams.
Job Description
The duties of this position involve care coordination for patients within the Primary Care Physician practice. The care coordinator works to implement and provide ongoing support of the care management program in collaboration with the primary care team. This will include supporting the primary clinical teams in monitoring health promotion, disease management and care coordination. The Care Coordinator will work with the Primary Care Physician, Care Manager and Practice Manager to best serve the needs of the patient and the primary care teams.
Responsibilities
Care Management - Work with all clinical teams as a resource on care management
Pre-visit planning workflow to ensure care completion prior to visit whenever possible
Use of efficient, accurate point of care reminders for evidence-based care
After visit summary review with patients whenever appropriate
Discuss with physicians and follow up appropriately to ensure smooth transition of care for patients treated in a facility (inpatient or emergency department), by a specialty physicians, or by another health care provider.
Involving the patients in activities to improve their health (patient engagement);
Educating the patient about self-management tasks they can undertake to gain greater control of their health status.
Facilitate referrals to other providers.
Communicate regularly with patients to promote proactive health management
Assist with scheduling follow up appointments, regular visits and referral appointments
Clinical quality and performance
Works closely with providers as well as clinical staff to assure clinical quality is an ongoing priority in all phases of patient care
Facilitates advanced management of care to an identified population.
Coordinates patient care services for selected patients across the continuum of care through collaboration with the patient and family and health care providers in achieving optimal patient outcomes
Participates in clinical quality activities and facilitate implementation of clinical best practices.
Coordinate with physician leadership and RN Care Managers to develop strategies for the high-risk patient population to coordinate patient care from office to hospital to home.
Provide the highest level of customer service to achieve the goal of “putting patient’s first”.
Promote excellence in healthcare delivery to the patient and/or patient family. Identify and facilitate implementation of clinical best practices.
Engages co-workers and patients in a positive, respectful manner
Shows respect and sensitivity for differences among co-workers and patients
Act as a point of contact to problem solve for the patient and clinical staff
Conducts telephone calls backs to patients requiring follow-up care.
Supports the clinical staff with health teaching and health counseling to patients and/or their families.
Facilitate a seamless transition through the healthcare system
Information Technology
Ensure complete and accurate documentation in the medical record.
Design effective workflows using population management software, the electronic medical record and registries
Collect and monitor data related to outcomes.
All Other Duties As Assigned.
QUALIFICATIONS
KNOWLEDGE AND SKILLS:
EDUCATION: High school graduate. Certification in a healthcare field such as a medical assistant or patient care assistant or college degree preferred.
YEARS OF EXPERIENCE: Minimum of 2 years' experience as an MA, PCA or other related healthcare role.
REQUIRED SKILLS AND KNOWLEDGE:
Self-motivated
Superior communication skills: Able to effectively communicate with others, both written and verbally
Possess critical thinking and problem solving skills
Abiltiy to prioritize work, and manage multiple demands
Knowledge of basic computer functions
Ability to work both with and for the team
Ability to show respect and sensitivity to cultural differences in both employees and patients
Knowledge and support of organization’s goals and values
Reliable and punctual
LICENSES & CERTIFICATIONS:
None
Seniority level Seniority level Entry level
Employment type Employment type Full-time
Job function Job function Other
Industries Hospitals and Health Care
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