Care Coordinator - ECM v4

SAC Health•Indio, CA
•$25 - $29•Onsite

About The Position

The Care Coordinator, ECM manages cases involving utilization review, discharge planning, and coordination of patient services. The role collaborates with insurers, managed care organizations, referral providers, patients, and families to support the development of case management guidelines. The coordinator provides intensive case management to low- to moderate-risk patients with chronic medical, behavioral, or substance use conditions, helping coordinate medical, behavioral, and social support services. The position is based at the Indio Clinic in Indio, California, and is scheduled five days per week, eight hours per day, Monday through Friday, from 7:30 a.m. to 4:00 p.m. Home and community-based visits may be required based on patient and team needs.

Requirements

  • High school diploma or GED required.
  • Graduation from a Certified Medical Assistant Program required.
  • Medical Assistant diploma or certificate required.
  • Current CPR/BLS certification from an American Heart Association- or Red Cross-accredited program required.
  • Valid California driver's license and auto insurance required.
  • Must receive EPIC certification for the module hired into.
  • At least 2 years of experience as a Medical Assistant or in a related field required.
  • Proficiency in Microsoft Office Suite, including Word, Excel, PowerPoint, and Outlook.
  • Ability to use commonly supported internet browsers, electronic health records, and other databases.
  • Excellent oral and written communication skills and ability to relate to a diverse group of patients, community members, and staff.
  • Strong conflict-resolution and problem-solving skills.
  • Flexibility to perform varied tasks; strong organization and self-starter abilities; strong analytical and problem-solving skills.
  • Must be legally authorized to work in the United States full-time and must not now or in the future require employment visa sponsorship.
  • Must have a reliable vehicle for any required home or community-based visits.

Nice To Haves

  • Associate degree preferred.

Responsibilities

  • Provide intensive case management for a caseload of low- to moderate-risk patients with chronic medical, behavioral, or substance use health conditions.
  • Collaborate with patients and the care team to create integrated plans addressing medical, behavioral, and social support needs, and support patient engagement and coordinated care.
  • Participate in Systematic Case Reviews, present patient needs in a prioritized and organized manner, and help develop care plans using integrated feedback.
  • Compile and analyze patient and team data, provide prioritized feedback to management, oversee patient and team databases, and ensure data accuracy.
  • Monitor results to ensure appropriate follow-up and diagnostic studies are ordered and completed; help patients pursue care-plan wellness goals by phone and in person.
  • Support patients transitioning home after discharge from higher levels of care, including medication reviews, referral follow-up, linkage to external services, and transition-of-care assessments.
  • Collaborate with nurses, behavioral health clinicians, patient navigators, and other care providers to address patient needs, build rapport, and maintain trusting relationships.
  • Communicate across the health care continuum and maintain active collaboration with the care team and extended provider network.
  • Engage and enroll new patients through in-person or telephone outreach; help maintain appropriate team caseloads and patient program eligibility.
  • Understand program eligibility and expectations and assist patients in maintaining eligibility.
  • Use reports to prioritize and organize daily work and meet value-based measurement expectations through data-driven, measurement-based care.
  • Conduct home or community-based visits when required by patient or team needs.
  • Attend and participate in staff meetings, in-services, staff development, educational courses, workshops, and conferences.
  • Perform other duties as outlined in the official job description.

Benefits

  • Industry-leading PTO accrual, accrued per pay period.
  • Sick leave.
  • Paid holidays.
  • Paid jury duty and bereavement leave.
  • SAC Health covers approximately 85% of team member health premium costs, subject to benefit plan selection.
  • Retirement plan with up to an 8% employer contribution.
  • Continuing education and learning benefits.
  • Annual mission trip.
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