Care Coordination Outreach Worker
About The Position
At Aunt Martha’s Health & Wellness, we are committed to improving the health and well-being of the communities we serve by helping patients access timely, compassionate, and coordinated healthcare services. As a Care Coordination Outreach Worker, you’ll help patients stay connected to the healthcare services they need by completing health risk screenings, coordinating follow-up care, providing education, and conducting outreach in clinic, hospital, and community settings. This is a great opportunity for someone who enjoys working directly with patients, building relationships, and being part of a collaborative healthcare team.
Requirements
- High School Diploma or equivalent.
- Experience working with Microsoft Office programs.
- Strong computer and data-entry skills.
- Strong verbal and written communication skills.
- Ability to manage multiple priorities and adapt to changing needs.
- Strong organizational skills and attention to detail.
- Ability to work independently and as part of a collaborative team.
- Current driver’s license.
- Current automobile insurance.
- Ability to maintain patient confidentiality and follow organizational policies and procedures.
Nice To Haves
- Spanish-speaking / bilingual English-Spanish preferred.
- Previous experience in healthcare, patient outreach, community services, care coordination, or customer service.
- Experience using an Electronic Health Record system.
- Experience interacting with patients, healthcare providers, hospitals, or health plans.
Responsibilities
- Complete health risk screenings for active care coordination patients.
- Conduct outreach to patients through clinic visits, home visits, and hospital visits as required.
- Schedule follow-up appointments for patients recently discharged from the emergency department or inpatient care.
- Help patients stay connected to appropriate medical services and follow-up care.
- Provide ongoing health education related to preventive services and appropriate emergency department utilization.
- Collaborate with health plans, specialists, hospitals, physicians, clinic staff, and other members of the care team.
- Support coordinated care and help address barriers that may prevent patients from receiving needed services.
- Communicate professionally with patients, healthcare providers, and internal staff.
- Work independently while contributing to a collaborative Care Coordination team.
- Accurately document patient information and outreach activity in the Athena Electronic Health Record (EHR).
- Maintain databases and outcomes information as required by the program.
- Answer designated telephone calls professionally, respond to inquiries, route communications, and document messages.
- Maintain accurate and timely records while protecting patient confidentiality.
- Attend required meetings, trainings, and Core Curriculum sessions.
Benefits
- Medical, Dental, and Vision Insurance
- Life and Disability Insurance
- Paid Vacation
- Paid Sick Time
- Paid Holidays
- Retirement Plan
- Employee Assistance Program (EAP)
- Employee Discount Programs
- Professional Development and Career Growth Opportunities
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
