Care Coordination Manager

David Raines Community Health Center•Shreveport, LA

6h•Onsite

About The Position

The Care Coordination Manager closes gaps in patients’ care by serving as a resource to clinic leadership and providers in identifying patients needing services and monitoring the scheduling and planning of care that includes annual exams, emergency room follow-up, and coordinated care efforts. The Care Coordination Manager serves as a liaison with managed care representatives and other insurers concerning services provided to clients. The Care Coordination Manager supervises, and monitors staff engaged in patient care coordination activities to include appointment setting, remainder calls, referrals, etc.

Requirements

High School Diploma or GED (Associate degree in business or healthcare administration or related.)
At least 5yrs of experience in patient scheduling or healthcare setting.
Must have/demonstrate the ability to communicate effectively, both verbally and written, to communicate with physicians, therapists, community, various agencies, staff and patients accurately and concisely.
Computer literacy is necessary (Word, Excel, Outlook).
Must be able to maintain confidential manner.

Responsibilities

Supervise employee engaged in patient care coordination to include appointment setting, reminder calls, care gaps and assessments.
Identifies, prioritizes and communicates to clinic leadership, providers and provider support staff patients with priority care gaps needing attention and follows up with clinic leadership, providers and provider support staff on actions and outcomes related to care of these patients.
Follow up with clinic leadership, providers support staff on actions and outcomes related to patient with care gaps.
Maintains an effective method for tracking, reporting, monitoring and evaluating effective management of care gaps and outcomes of care to all stakeholders.
Maintain an effective method for tracking, reporting, monitoring, and evaluating effective management of internal and external referrals to all stakeholders.
Develops, implements, and utilizes available dashboards, scorecards and by problems to track, monitor, evaluate and report care coordination outcomes.
Supports the business through providing exceptional customer service and cultivating relationships with referral providers.
Coordinates with clinic leadership, providers, and provider support staff to ensure that all patients referred to David Raines Community Health Centers are contacted for an appointment within the timeframe outlined by the insurer after being discharged from referring facility.
Coordinates inquiries from patients, referral sources, payors, and co-workers in order to provide timely and accurate responses by coordinating and collaborating with clinic leadership, providers and provider support staff.
Coordinates with clinic leadership, providers, and provider support staff to facilitate referrals to healthcare providers and provide educational services as part of outreach activities to monitor gaps in care for patients.
Monitors and track performance measures related to patient care coordination to include registration, care gaps, referrals and outreach efforts related to patient gaps.
Identifies and coordinates performance improvement opportunities by provider, tracks, trends, monitors, and reports progress on a routine basis. Collaborates with providers and clinic leadership on clinical outcomes performance improvement efforts.
All other duties as required.