Patient Care Coordinator

South Plains Rural Health Services•Levelland, TX

About The Position

South Plains Rural Health Services (SPRHS) is hiring a Patient Care Coordinator to help patients navigate referrals, complete recommended screenings, and stay on track with chronic condition care. The coordinator works closely with providers, nursing staff, and the Referral Department to support timely follow-up and improve quality of care. This is a nonsupervisory position. The role includes coordinating specialist referrals and diagnostic imaging orders, following up with patients about scheduling and accessing care, tracking outside records and results, and documenting updates in the electronic medical record. The coordinator also maintains patient registries for conditions such as diabetes and hypertension, supports population health and quality improvement activities, and maintains accurate, confidential records in accordance with HIPAA and SPRHS policies. All employees must comply with the annual influenza vaccination policy by providing proof of vaccination or submitting a medical or religious exemption form and wearing a face mask during flu season.

Requirements

  • At least one year of experience in a clinical setting.
  • Working knowledge of EMR systems, care coordination, and chronic disease support.
  • Strong organization, communication, and follow-through skills.
  • Ability to work collaboratively and protect patient confidentiality.

Nice To Haves

  • Medical Assistant or CNA preferred.
  • Community health center experience preferred.
  • Bilingual in English and Spanish preferred.

Responsibilities

  • Coordinate outgoing specialist referrals and diagnostic imaging orders with providers and the Referral Department.
  • Follow up with patients about scheduling, next steps, and questions about accessing care.
  • Track outside records and results, document updates in the electronic medical record (EMR), and help ensure referrals are completed.
  • Partner with providers and nursing staff to support care coordination and patient follow-up.
  • Maintain patient registries for conditions such as diabetes and hypertension and contact patients who are overdue for visits or screenings.
  • Support population health initiatives, Uniform Data System (UDS) reporting, Patient-Centered Medical Home (PCMH) activities, and quality improvement projects.
  • Assist with Plan-Do-Study-Act (PDSA) activities to test and improve care processes.
  • Maintain accurate, confidential patient records in accordance with HIPAA and SPRHS policies.
  • Comply with the annual influenza vaccination policy by providing proof of vaccination or submitting a medical/religious exemption form and wearing a face mask during flu season.
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