Care Coordinator-Specialty - Comprehensive Care Center

Clinica Sierra Vista•Bakersfield, CA

1d•Onsite

About The Position

Clinica Sierra Vista is one of the largest Federally Qualified Health Centers in the Nation, serving diverse communities including those in inner cities, rural areas, and isolated regions, as well as individuals and families from various cultural backgrounds and income levels. The organization is committed to providing care without inquiring about immigration status. As the team grows, they are looking for individuals who prioritize the patient experience. The Care Coordinator-Specialty role supports primary care physicians by managing proactive care, conducting outreach, and utilizing technology for patient management. The Care Coordinator will report to the Practice Manager.

Requirements

Medical Assistant certification 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 to carry out instructions.
Excellent verbal and written communication skills.
Ability to effectively present information and respond to questions.
Pleasant, professional attitude toward patients, providers, co-workers, and superiors.
Teamwork skills.

Nice To Haves

Spanish speaking preferred.

Responsibilities

Receive internal referrals from primary care providers for specialty services within CSV.
Process prior authorizations required for insurer approval of consultations.
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 when appropriate.
Monitor new patients entering provider panels and analyze provider capacity to accept new patients.
Manage patient transfers within and outside CSV for assigned Primary Care Physicians (PCPs).
Facilitate PCP change requests initiated by patients, obtaining approval from current and future PCPs and updating the practice management system.
Facilitate PCP change requests initiated by providers, obtaining agreement 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 accessibility and reduce unnecessary Emergency Room utilization.