Clinical Care Coordinator

Chambers County Public Hospital•Mont Belvieu, TX

19h

About The Position

The Health Center LVN Care Coordinator supports the mission of Chambers Community Health Centers, Inc. by guiding patients through their healthcare needs and providing excellent customer service. The role assesses, implements, and evaluates individual patient cases; maintains accurate and complete medical records in accordance with medical, administrative, ethical, legal, and regulatory requirements; and compiles and reports on health requirements and standards. As a member of the patient-centered medical home care team, the coordinator helps organize patient care and supports patients and families with self-management, self-efficacy, and behavior change. Care team members assess and manage the health needs of the patient population and communicate effectively with patients, especially vulnerable populations. The role also supports Chronic Care Management, Transitional Care Management, Annual Wellness Visits, quality improvement, and organizational initiatives. This position reports to the Health Center Director of Nursing and is hourly and non-exempt. The work may involve exposure to illness and communicable disease. The listed equipment includes a computer, telephone, otoscope, vital sign machine, autoclave, ophthalmoscope, EKG, audiometer, copier/fax/scanner, and scale.

Requirements

Must be able to perform each essential duty satisfactorily, with reasonable accommodations as applicable.
Ability to work independently with limited supervision.
Interpersonal and communication skills, both written and verbal.
Strong organizational skills, accuracy, and attention to detail.
Customer-service orientation.
Oral and written comprehension, expression, recognition, and clarity.
Ability to navigate and use Microsoft Office and proprietary medical software packages.
Time-management skills, including prioritizing tasks to serve patients and support clinic flow.
Cultural competency, including the ability to work with people of varied cultures and social status, as well as outside entities.
Ability to perform basic life support skills and respond to emergencies.

Responsibilities

Observe, interview, and assess patients to identify care needs.
Monitor or evaluate patient medical conditions in collaboration with other healthcare professionals.
Develop or assist patients in developing care and treatment plans.
Develop, implement, or evaluate nursing practice standards and draft related policies for medical director approval when needed.
Plan, evaluate, or recommend changes to treatment programs based on Chronic Care Management and Transitional Care Management requirements.
Conduct Annual Wellness Visits.
Make clinical recommendations to physicians, other healthcare providers, and patients.
Coordinate and facilitate patient care with participating healthcare organizations.
Improve communication with organizations and specialty care providers to facilitate exchange of patient-care information, including test results and point-of-care information.
Implement initiatives supporting CCHC operations and its mission, including patient-centered medical home and ACO initiatives.
Assess the patient’s chief complaint or reason for the visit and prepare the patient for the provider visit.
Document information not collected or disclosed during initial triage.
Educate patients about treatment procedures, medications, diets, and provider instructions.
Follow up on patient calls, lab results, referrals, prescription requests, and patient questions.
Consult, coordinate, and collaborate with healthcare team members to assess, plan, implement, or evaluate patient care plans.
Explain the purpose of referrals to patients.
Review records for completeness, accuracy, and compliance with company, state, and federal regulations.
Maintain accurate patient charts in the electronic medical records system.
Assist with organizational quality improvement, auditing, safety, and compliance measures.
Perform hearing and vision screenings as needed or indicated.
Maintain professional dress and adhere to Chambers Health appearance standards.
Provide friendly, efficient, positive, and responsive customer service, using the Service Excellence model when interacting with patients, clients, and guests.
Meet annual training commitments and participate in self-development through mandatory in-services and educational programs relevant to department goals and needs.
Follow established systems and training programs to provide a safe environment and comply with Chambers Health operating standards and Business Conduct Policy.
Maintain records and reports to ensure compliance with local, state, and federal regulations and codes, including applicable civil rights, age discrimination, and disability requirements.
Respond to emergency situations and perform basic life support skills.
Perform other related duties as assigned by the manager.