Care Coordinator-Specialty - Elm CHC

Clinica Sierra Vista

About The Position

Clinica Sierra Vista is excited to be one of the largest Federally Qualified Health Centers in the Nation! We’re honored to serve the men and women of the fields. We also offer care and support to the inner city, the rural and isolated, those of low, moderate, and fixed incomes, and families from an array of cultural backgrounds who speak several languages. We don’t inquire about immigration status because we simply don’t need to know. If you come to us, we will treat you like any other patient. As we grow our team, we are looking for individuals who believe the patient is always #1. The Care Coordinator will report to the Practice Manager. Care Coordination allows primary care physicians to use dedicated time to direct proactive care for their patients, uses staff support to conduct outreach, and leverages new panel-based information technology tools.

Requirements

Education: Medical Assistant certified or program completion.
Computer proficiency: Excel, Word, Outlook, Nextgen, PDF, etc.
Always maintain excellent internal and external customer service.
Maintain the highest degree of confidentiality possible when performing the functions of this department.
Possess the tact necessary to deal effectively with patients, providers, and employees, while maintaining confidentiality.
Must be able to work independently, handling high volume and multiple tasks.
Must be reliable with attendance.
Must be highly organized and detail oriented.
Possess knowledge of modern office equipment, systems and procedures.
Ability to multi-task and work efficiently in a potentially stressful environment.
Ability to apply common sense understanding when carrying out detailed written or oral instructions.
Must have excellent verbal and written communication skills.
Ability to effectively present information and respond to questions from internal and external customers.
Must have a pleasant, professional attitude toward patients, providers, co-workers and superiors.
Teamwork skills a must.

Nice To Haves

Spanish speaking preferred

Responsibilities

Receive internal referrals from primary care providers for the specialty services in CSV
Process prior authorizations required for approval of consultations from insurers, when applicable.
Review charts to assess appropriateness, urgency and medical necessity of specialty consultations.
Schedule consultation appointments according to appropriateness, urgency and medical necessity.
Work through standing orders previously designed by the specialty physicians to gather laboratory data or imaging studies required before visits.
Develop and implement a mechanism for processing and tracking outgoing referrals ordered by specialty physicians and ensuring clients successfully follow-up on referrals. This includes recovering reports.
Conduct pre-visit planning for specialty consultation and follow up encounters and obtain medical records when appropriate.
Monitors influx of new patients into provider panels and analyzes provider capacity to absorb new patients.
Responsible for patient transfers within and outside CSV for the assigned PCP’s.
Patient-initiated PCP-change requests; facilitate discussion between and obtain approval from current assigned PCP and future PCP; makes the change in the practice management system.
Provider-initiated PCP change requests. Facilitates discussion between current PCP and potential future PCPs; obtains agreement of acceptance by the new PCP.
Patient transferring care to non-CSV provider: Facilitate communication with outside provider to ensure continuity.
Proactively engage priority patients to promote availability of expanded access to clinics and reduce unnecessary Emergency Room utilization.
All other duties as assigned by Operational Leadership.