Patient Care Coordinator(Part-Time)

Neighborhood Healthcare
Escondido, CA
Job Description
The Patient Care Coordinator will assist primary care practice teams to improve patient health outcomes by coordinating and providing panel management services to patients at highest risk for health deterioration and assisting patients achieve their self-care goal by increasing access to health services and resources.

Requirements

  • Utilizes the primary care medical home model to provide coordinated team care to address current diseases
  • Provides panel management for preventative and health maintenance follow-ups for the maximum number of patients per day
  • Contacts new patients to provide a warm welcome to our clinic, explain the medical home, and answer patient questions
  • Schedules patients with chronic conditions for follow-up appointments per preventative and maintenance care schedules
  • Performs population management tasks, such as appointment scheduling, recalls, web portal callbacks, and addressing telephone encounters
  • Makes outreach calls to patients missing appointments based on preventative and chronic disease guidelines
  • Delegates ECW telephone encounters and Web Portal messages to medical assistants and providers
  • Implements actions for increasing productivity, such as scheduling patients for PCP follow-up visits, anticipating open slots for same day appointments, and proactively maintaining full provider schedules
  • Tracks and reports the progress of assigned tasks and logged PCP discussion topics in weekly supervisor meetings
  • Collaborates and supports the PCP to identify and implement actions for improving population management and patient care outcomes
  • Organizes weekly pre-clinic team huddles to update progress on various goals, such as Meaningful Use compliance and C.A.R.E. Transformation
  • Coordinates monthly medical assistant team meetings to discuss progress towards PCMH goals and areas needing improvement
  • Provides and documents patient end-of-visit interviews, coaching, and patient engagement conversations
  • Reinforces information given to patients and/or family with handouts to improve patient self-management skills and communication
  • Provides education to patients during medical appointments, as needed
  • Acts as first point of contact for patients and families asking questions and raising concerns through the patient web portal and via phone
  • Submits prior authorization for medications, DME supplies, and other items, as needed
  • Impacts patient experience by demonstrating values of Transforming Care, including courteous and helpful behavior and a commitment to accuracy
  • Shares accountability for overall patient health outcomes by working in coordination with PCP
  • Completes ECW notes for all care coordination and other services provided in a timely manner
  • Prioritizes activities according to need and required follow-up
  • Provides accurate and timely reports to supervisor, as required
  • Contributes to the success of the organization by participating in quality improvement activities
  • Operates to instill confidence in our care and in our facilities to patients, fellow employees, and other stakeholders
  • Assists medical assistants and patients as needed

Benefits

  • Paid time off
  • 401k matching
  • Retirement plan
  • Generous parental leave
  • Tuition reimbursement
  • Relocation assistance
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