Patient Care Coordinator
Full-time 1 day ago Full Job Description COMPANY OVERVIEW Everside Health is a national on-site, near-site and virtual primary care provider on a mission to fix America's broken healthcare delivery model.
We are technology-driven and care-obsessed.
With our expanding reach, scale, and expertise, we truly make an impact on a national level by serving more clients and improving the health of more people, all while achieving the goal of reducing the total cost of healthcare for employers and organizations.
That's why we exist - and our relentless focus through care delivery access, technology, transparency, and relationships drives us every day.
ABOUT THE JOB A Patient Care Coordinator working in Everside Health Centers will work with patients in reaching personal health improvement goals.
They must be able to quickly assimilate to the patient's culture, environment and goals.
Relationships based on trust, an understanding of the patient's health benefits program and the local health care community is required.
Strong collaborative skills are necessary in order to make the best use of all resources available to patient; to provide ongoing support and expertise through a comprehensive assessment, planning, implementation and overall evaluation of the patient's individual needs.
The overall goal of this position is to enhance the quality of patient management through the healthcare system and community resources.
A Patient Care Coordinator will engage patients in personal health improvement, provide care coordination services, and act as a resource and advocate for patient health care needs.
The Patient Care Coordinator must understand the health impact that can be made by managing chronic conditions and providing patients unencumbered access to care; A Patient Care Coordinator will foster an environment of collaboration and teamwork that promotes an outstanding patient experience.
Strong collaborative skills are necessary in order to make the best use of all resources available to patient; A Patient Care Coordinator will manage, deliver, and develop care coordination services for the center's patients; coordinate the integration of care management functions into the patient care with external service organizations, agencies and healthcare facilities.
A Patient Care Coordinator generally spends approximately 20% of the time directly handling clinically related tasks and the remaining 80% of the time handling administrative and patient benefit-related services.
ESSENTIAL DUTIES & RESPONSIBILITIES Work with the clinical team as a resource on care management of the center's patients.
This includes:
Plan pre-visit workflow to ensure care completion prior to visit whenever possible; Coordinate care with hospital, ER, consulting physicians, and community resources; Utilize and further develop workflows to ensure smooth transitions of patients treated at other facilities, providers, or community resources; Perform follow-up and coordination with extended care teams (specialists, ancillary care, etc.
); Provide an after visit summary review with patients whenever appropriate; Actively involve patient and family/significant others in planning patient's care; Educate patients about self-management tasks; Actively assist in the overall management of chronic care patients by performing the following:
Provide follow-up contact with patients as indicated to ensure compliance with prescribed care plan; Telephonically advising per established protocols; Perform pre-visit planning to ensure that necessary documentation and pre-visit tasks are completed prior to visit whenever possible; Assist patients with meeting short- and long-term goals for the patient and family/significant others as directed by a care plan; Assess barriers to not meeting treatment goals and advise patient care team of impacts to care plan; Provide direct chronic disease education to patients; Document patient problems and care coordination needs of the patient and family/significant others; Identify the need to involve other disciplines in the patient's care; Interface with Everside Health disease management programs; Support patient benefit questions and be familiar with Everside Health and Client tools available to assist patients; Understand cost impacts and be able to guide patients to cost and quality points of care; Actively utilize the use of electronic medical records in capturing and utilizing clinical data; Meet regularly with clinic staff to ensure care coordination, referral management, and clinical workflow processes are operating efficiently; Participate in patient care Quality Assurance programs; Efficiently and satisfactorily carry out other duties as assigned or required.
QUALIFICATIONS Minimum of three (3) years' experience in a utilization review/case management position , prefer experience in outpatient primary care; also prefer experience with care coordination and care management; Associate degree in Healthcare preferred; Must be bi-lingual (Spanish); Previous experience working with migrant agricultural workers preferred; Experience with nutrition counseling preferred; Experience with patient-centered care models is preferred; CPR certification preferred Clinical and practice skill sets and responsibilities include:
Demonstrates excellent leadership and communication skills both with the primary care office staff and patients; The successful candidate is able to utilize and incorporate in the practice setting electronic tools including EMR, patient registries and electronic data relating to quality and patient outcomes; The candidate must be able to provide clinical care using a whole team approach centered on patient needs and incorporating individual preferences in the delivery and approach to care.
An interest in treating chronic illness is a plus; Exhibits strong interpersonal and clinical skills to work within a primary care center with a variety of licensed clinical (Physicians, Nurse Practitioners, Medical Assistants, and other RN's), non-clinical staff, patients and their families.
The candidate may be expected to communicate and build relationships with external clinical consultants, provide oversight for referrals to clinical care, care management programs, and for the overall clinical experience of patients treated in the primary care office; Possesses a high degree of confidentiality, discretion, and professionalism; Consistently demonstrate professionalism in communications and relationships with patients, clients, co-workers, Everside Health corporate leadership and support staff, employers, prospects, vendors, and carriers.
WORKING CONDITIONS AND PHYSICAL REQUIREMENTS The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Essential Physical Demands:
Ability to sit at desk in office location; Ability to use a personal computer; Ability to clearly and effectively communicate clearly in person and by telephone; Ability to travel to and from client and vendor sites as required; Ability to travel commercially by common carrier as required; Ability to occasionally lift/carry up to 20 (twenty) pounds for short distances.
Essential Environmental Demands Ability to work in climate-controlled office environment; Ability to work in field environments from time to time; Ability to conduct client and prospective client meetings if requested; Ability to effectively and efficiently conduct medical team meetings.
Usual office environment with frequent sitting, walking, and standing.
Frequent use of eye, hand, and finger coordination enabling the use of office machinery.
Oral and auditory capacity enabling interpersonal communication as well as communication through automated devices such as the telephone.
ADA Everside Health provides reasonable accommodations to enable otherwise qualified individuals with disabilities to perform the essential Physical and/or Mental functions of a position.
Pay Range:
$18.
50-23.
50/hr The actual offer may vary dependent upon geographic location and the candidate's years of experience and/or skill level.
.
Estimated Salary: $20 to $28 per hour based on qualifications.
We are technology-driven and care-obsessed.
With our expanding reach, scale, and expertise, we truly make an impact on a national level by serving more clients and improving the health of more people, all while achieving the goal of reducing the total cost of healthcare for employers and organizations.
That's why we exist - and our relentless focus through care delivery access, technology, transparency, and relationships drives us every day.
ABOUT THE JOB A Patient Care Coordinator working in Everside Health Centers will work with patients in reaching personal health improvement goals.
They must be able to quickly assimilate to the patient's culture, environment and goals.
Relationships based on trust, an understanding of the patient's health benefits program and the local health care community is required.
Strong collaborative skills are necessary in order to make the best use of all resources available to patient; to provide ongoing support and expertise through a comprehensive assessment, planning, implementation and overall evaluation of the patient's individual needs.
The overall goal of this position is to enhance the quality of patient management through the healthcare system and community resources.
A Patient Care Coordinator will engage patients in personal health improvement, provide care coordination services, and act as a resource and advocate for patient health care needs.
The Patient Care Coordinator must understand the health impact that can be made by managing chronic conditions and providing patients unencumbered access to care; A Patient Care Coordinator will foster an environment of collaboration and teamwork that promotes an outstanding patient experience.
Strong collaborative skills are necessary in order to make the best use of all resources available to patient; A Patient Care Coordinator will manage, deliver, and develop care coordination services for the center's patients; coordinate the integration of care management functions into the patient care with external service organizations, agencies and healthcare facilities.
A Patient Care Coordinator generally spends approximately 20% of the time directly handling clinically related tasks and the remaining 80% of the time handling administrative and patient benefit-related services.
ESSENTIAL DUTIES & RESPONSIBILITIES Work with the clinical team as a resource on care management of the center's patients.
This includes:
Plan pre-visit workflow to ensure care completion prior to visit whenever possible; Coordinate care with hospital, ER, consulting physicians, and community resources; Utilize and further develop workflows to ensure smooth transitions of patients treated at other facilities, providers, or community resources; Perform follow-up and coordination with extended care teams (specialists, ancillary care, etc.
); Provide an after visit summary review with patients whenever appropriate; Actively involve patient and family/significant others in planning patient's care; Educate patients about self-management tasks; Actively assist in the overall management of chronic care patients by performing the following:
Provide follow-up contact with patients as indicated to ensure compliance with prescribed care plan; Telephonically advising per established protocols; Perform pre-visit planning to ensure that necessary documentation and pre-visit tasks are completed prior to visit whenever possible; Assist patients with meeting short- and long-term goals for the patient and family/significant others as directed by a care plan; Assess barriers to not meeting treatment goals and advise patient care team of impacts to care plan; Provide direct chronic disease education to patients; Document patient problems and care coordination needs of the patient and family/significant others; Identify the need to involve other disciplines in the patient's care; Interface with Everside Health disease management programs; Support patient benefit questions and be familiar with Everside Health and Client tools available to assist patients; Understand cost impacts and be able to guide patients to cost and quality points of care; Actively utilize the use of electronic medical records in capturing and utilizing clinical data; Meet regularly with clinic staff to ensure care coordination, referral management, and clinical workflow processes are operating efficiently; Participate in patient care Quality Assurance programs; Efficiently and satisfactorily carry out other duties as assigned or required.
QUALIFICATIONS Minimum of three (3) years' experience in a utilization review/case management position , prefer experience in outpatient primary care; also prefer experience with care coordination and care management; Associate degree in Healthcare preferred; Must be bi-lingual (Spanish); Previous experience working with migrant agricultural workers preferred; Experience with nutrition counseling preferred; Experience with patient-centered care models is preferred; CPR certification preferred Clinical and practice skill sets and responsibilities include:
Demonstrates excellent leadership and communication skills both with the primary care office staff and patients; The successful candidate is able to utilize and incorporate in the practice setting electronic tools including EMR, patient registries and electronic data relating to quality and patient outcomes; The candidate must be able to provide clinical care using a whole team approach centered on patient needs and incorporating individual preferences in the delivery and approach to care.
An interest in treating chronic illness is a plus; Exhibits strong interpersonal and clinical skills to work within a primary care center with a variety of licensed clinical (Physicians, Nurse Practitioners, Medical Assistants, and other RN's), non-clinical staff, patients and their families.
The candidate may be expected to communicate and build relationships with external clinical consultants, provide oversight for referrals to clinical care, care management programs, and for the overall clinical experience of patients treated in the primary care office; Possesses a high degree of confidentiality, discretion, and professionalism; Consistently demonstrate professionalism in communications and relationships with patients, clients, co-workers, Everside Health corporate leadership and support staff, employers, prospects, vendors, and carriers.
WORKING CONDITIONS AND PHYSICAL REQUIREMENTS The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Essential Physical Demands:
Ability to sit at desk in office location; Ability to use a personal computer; Ability to clearly and effectively communicate clearly in person and by telephone; Ability to travel to and from client and vendor sites as required; Ability to travel commercially by common carrier as required; Ability to occasionally lift/carry up to 20 (twenty) pounds for short distances.
Essential Environmental Demands Ability to work in climate-controlled office environment; Ability to work in field environments from time to time; Ability to conduct client and prospective client meetings if requested; Ability to effectively and efficiently conduct medical team meetings.
Usual office environment with frequent sitting, walking, and standing.
Frequent use of eye, hand, and finger coordination enabling the use of office machinery.
Oral and auditory capacity enabling interpersonal communication as well as communication through automated devices such as the telephone.
ADA Everside Health provides reasonable accommodations to enable otherwise qualified individuals with disabilities to perform the essential Physical and/or Mental functions of a position.
Pay Range:
$18.
50-23.
50/hr The actual offer may vary dependent upon geographic location and the candidate's years of experience and/or skill level.
.
Estimated Salary: $20 to $28 per hour based on qualifications.
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