Care Coordinator

Community Action Corporation of South Texas
7d

About The Position

The Care Coordinator demonstrates the CACOST organizational standards of accountability, teamwork, integrity, quality service, and excellence in their everyday duties as a member of the healthcare team. The Care Coordinator performs clinical coordination and patient support activities under the supervision of a licensed healthcare clinician. This role includes pre-visit planning, preventative care support, and patient education in accordance with established Health Center protocols, policies, and procedures.

Requirements

  • Minimum of two years clinical experience
  • Must be a certified medical assistant
  • Previous medical office experience
  • Must have a valid driver's license and a safe driving record and be able to pass a pre-employment physical and criminal history background check
  • Ability to effectively communicate with patients, providers, and staff while demonstrating professionalism and discretion.
  • Beginner to intermediate computing and phone skills.
  • Ability to adjust priorities and perform assigned duties as operational needs require.
  • Ability to multi-task and work effectively in a fast-paced environment.
  • Thorough understanding of the importance of confidentiality and non-disclosure according to the general standards set forth by HIPAA.

Nice To Haves

  • Graduate of an accredited school of nursing and licensed in the State of Texas.

Responsibilities

  • Performs comprehensive pre-visit planning utilizing the medical record and applicable external portals to identify gaps in care and appropriate preventative and health maintenance needs and coordinates with the care team and patient as necessary to address identified needs.
  • Collaborates with the clinician and the patient to support development of individualized care plans for assigned patients in accordance with clinical guidelines.
  • Assesses potential barriers to care, including access, follow‑up needs, or other documented factors that may affect timely healthcare services.
  • Coordinates clinical care activities and facilitates communication between patients, clinicians and external healthcare entities to support timely delivery of care across clinical settings.
  • Assists in coordinating transitions of care following hospital, external nursing facility, or emergency department discharge.
  • Provides support and guidance to staff and patients related to patient care and education, consistent with the health center’s established care coordination model.
  • Utilizes the electronic health record to track laboratory and diagnostic orders and results, transitions of care, and patient follow-up needs.
  • Reviews internal and external quality metric data such as UDS measures, HEDIS measures, and payor portals to improve care team quality measures and patient outcomes.
  • Provided direct patient care on an as-needed basis to support health center operations.
  • Maintains patient confidentiality in accordance with all applicable federal and state laws and regulations
  • Follows established infection control protocols, including proper cleaning and disinfection of clinical areas and equipment, appropriate use of personal protective equipment (PPE), and safe handling and disposal of biohazardous materials and sharps.
  • Communicates clearly and professionally with patients and authorized representatives in accordance with clinic policies.
  • Interacts with all co-workers, vendors, and third parties in a professional manner
  • Follows the proper chain of command.
  • Adheres to agency program requirements, policies and procedures.
  • Performs other duties as assigned by supervisor.
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