Care Coordinator-Specialty - Lexington CHC

Clinica Sierra Vista•Delano, CA

11h•Onsite

About The Position

Clinica Sierra Vista is one of the largest Federally Qualified Health Centers in the Nation, serving diverse populations including those in fields, inner cities, rural and isolated areas, and individuals of low, moderate, and fixed incomes. The organization is committed to providing care and support regardless of immigration status. As the team grows, they are looking for individuals who prioritize the patient. This role is for a Care Coordinator-Specialty who will report to the Practice Manager. Care Coordination aims to allow primary care physicians to focus on proactive care, utilize staff for outreach, and leverage technology for patient panel management.

Requirements

Medical Assistant certified or program completion.
Proficiency in computer applications including Excel, Word, Outlook, Nextgen, and PDF.
Excellent internal and external customer service skills.
Ability to maintain the highest degree of confidentiality.
Tact in dealing effectively with patients, providers, and employees while maintaining confidentiality.
Ability to work independently, handle high volume, and manage multiple tasks.
Reliable attendance.
Highly organized and detail-oriented.
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.
Excellent verbal and written communication skills.
Ability to effectively present information and respond to questions from internal and external customers.
Pleasant, professional attitude toward patients, providers, co-workers, and superiors.
Teamwork skills.
Willingness to perform other duties as assigned by Operational Leadership.

Nice To Haves

Spanish speaking preferred

Responsibilities

Receive internal referrals from primary care providers for specialty services within CSV.
Process prior authorizations required for consultation approval from insurers.
Review charts to assess the appropriateness, urgency, and medical necessity of specialty consultations.
Schedule consultation appointments based on appropriateness, urgency, and medical necessity.
Utilize standing orders from specialty physicians to gather necessary laboratory data or imaging studies before visits.
Develop and implement a system for processing and tracking outgoing referrals ordered by specialty physicians, ensuring clients follow up and recovering reports.
Conduct pre-visit planning for specialty consultations and follow-up encounters, obtaining medical records as appropriate.
Monitor the influx of new patients into provider panels and analyze provider capacity to accept new patients.
Manage patient transfers within and outside CSV for assigned PCPs.
Facilitate patient-initiated PCP change requests, including discussions and approvals between current and future PCPs, and updating the practice management system.
Facilitate provider-initiated PCP change requests, including discussions and obtaining acceptance from the new PCP.
Facilitate communication with outside providers for patients transferring care outside of CSV to ensure continuity.
Proactively engage priority patients to promote clinic availability and reduce unnecessary Emergency Room utilization.