Care Coordinator - ECM v4

SAC Health • Indio, CA

6d • Onsite

About The Position

The Care Coordinator, ECM manages cases involving utilization review, discharge planning, and patient services coordination. The role collaborates with insurers, managed care organizations, referral providers, patients, and families to help develop case management guidelines. The coordinator provides intensive case management for low- to moderate-risk patients with chronic medical, behavioral, or substance use health conditions, and works with patients and the care team to develop integrated plans addressing medical, behavioral, and social support needs. 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 or community visits may be required based on patient and team needs.

Requirements

• High school diploma or GED.
• Graduation from a Certified Medical Assistant Program.
• Medical Assistant Diploma or Certificate.
• Current CPR/BLS certification from an American Heart Association- or Red Cross-accredited program.
• Valid California driver's license and auto insurance.
• Must obtain EPIC certification for the module hired into.
• At least 2 years of experience as a Medical Assistant or in a related field.
• Proficiency in Microsoft Office Suite, including Word, Excel, PowerPoint, and Outlook.
• Ability to use widely 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 ability to work independently as a self-starter.
• Strong analytical and problem-solving skills.
• Legally authorized to work in the United States on a full-time basis and must not require employment visa sponsorship now or in the future.
• Must have a reliable vehicle for home or community-based visits when required.

Nice To Haves

• Associate degree.

Responsibilities

• Provide intensive case management to 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 build integrated plans addressing medical, behavioral, and social support needs.
• Engage patients in accordance with program expectations to support comprehensive, coordinated care.
• Participate in Systematic Case Reviews; present patient needs in a prioritized, organized manner and help develop plans of care based on integrated feedback.
• Compile and analyze patient and team data to prioritize needs and provide informed feedback to management.
• Oversee patient and team databases and ensure data accuracy.
• Monitor results and ensure appropriate follow-up and diagnostic studies are ordered and completed, as appropriate.
• Help patients follow their care plans and wellness goals through phone and in-person contact.
• Support patients transitioning home after discharge from higher levels of care, including medication reviews, referral follow-up, and linkage to external services.
• Perform transition-of-care assessments and collaborate with the care team to support successful transitions.
• Work with nurses, behavioral health clinicians, and patient navigators to meet patient health needs, build rapport, and establish trusting relationships.
• Maintain collaboration with the care team and extended network of care providers, communicating across the health care continuum.
• Engage and enroll new patients through in-person or telephone outreach.
• Work with team members to ensure team caseloads meet program expectations.
• Understand program eligibility and expectations and assist patients in maintaining eligibility.
• Meet value-based measurement expectations through data-driven, measurement-based care.
• Use reports to prioritize and organize daily work.
• Conduct home or community-based visits when required by patient and 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

• Full benefits package.
• 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, which may vary by benefit plan selection.
• Retirement plan with up to an 8% employer contribution.
• Continuing education and learning benefits.
• Annual mission trip.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED