Patient Care Coordinator (Temporary)

Neighborhood Healthcare•Riverside, CA

8d•$27 - $38

About The Position

The Patient Care Coordinator (PCC) supports Neighborhood Healthcare’s mission by assisting Primary Care Practice teams in improving patient health outcomes. The role primarily coordinates and provides panel management services for patients at highest risk of health deterioration and helps patients achieve self-care goals by increasing access to health services and resources. This is a temporary, full-time position with an anticipated assignment end date in April 2027. The PCC uses a primary care medical home model to coordinate team care, manage preventive and chronic-care follow-ups, support patient engagement and education, and collaborate with primary care providers and medical assistants. The position also contributes to quality improvement and follows applicable safety, infection-control, privacy, and corporate-integrity requirements. Neighborhood Healthcare is a private, nonprofit 501(c)(3) community health organization serving more than 95,000 people and providing over 414,000 medical, dental, and behavioral health visits annually. Its mission is to improve the health and happiness of the communities it serves by providing quality care to all, regardless of situation or circumstance.

Requirements

High school diploma or GED.
Medical Assistant Certificate or Diploma from an accredited program.
Current Basic Life Support (BLS) certification upon hire, maintained as a condition of employment; courses must follow AHA guidelines or meet recognized equivalent BLS standards.
Excellent verbal and written communication skills, including composition, typing, and proofreading.
Ability to interpret written, oral, diagrammatic, or schedule-based instructions.
Knowledge of and experience with medical home health.
Ability to adapt to changing patient or organizational priorities.
Ability to manage multiple tasks simultaneously.
Critical-thinking, decision-making, and problem-solving skills.
Planning and organizational ability.
Ability to work as part of a team and independently.
Ability to handle highly confidential information professionally and ethically.
Ability to lift or carry 20 pounds.
Ability to stand for long periods.

Nice To Haves

One year of medical assistant experience within medical home health.
Experience in a nonprofit community health clinic.
Bilingual English/Spanish.

Responsibilities

Use the primary care medical home model to provide coordinated team care addressing current diseases.
Provide panel management for preventive and health-maintenance follow-ups for as many patients per day as possible.
Welcome new patients, explain the medical home, and answer their questions.
Schedule patients with chronic conditions for follow-up appointments according to preventive and maintenance care schedules.
Perform population-management tasks, including appointment scheduling, recalls, web-portal callbacks, and handling telephone encounters.
Call patients who miss appointments based on preventive and chronic-disease guidelines.
Delegate ECW telephone encounters and web-portal messages to medical assistants and providers.
Improve productivity by scheduling primary care follow-up visits, anticipating openings for same-day appointments, and proactively maintaining full provider schedules.
Track and report assigned-task progress and logged primary care provider discussion topics in weekly supervisor meetings.
Collaborate with and support primary care providers in identifying and implementing improvements to population management and patient-care outcomes.
Organize weekly pre-clinic team huddles to review progress on goals such as Meaningful Use compliance and C.A.R.E. Transformation.
Coordinate monthly medical assistant team meetings to discuss progress toward PCMH goals and areas for improvement.
Conduct and document patient end-of-visit interviews, coaching, and engagement conversations.
Reinforce information provided to patients or families with handouts that support self-management skills and communication.
Educate patients during medical appointments as needed.
Serve as the first point of contact for patient and family questions or concerns through the patient web portal and by phone.
Submit prior authorizations for medications, DME supplies, and other items as needed.
Support patient experience by demonstrating courteous and helpful behavior, accuracy, and the values of Transforming Care.
Share accountability for patient health outcomes by coordinating with primary care providers.
Complete ECW notes for all care-coordination and other services in a timely manner.
Prioritize activities according to need and required follow-up.
Provide accurate and timely reports to the supervisor as required.
Participate in quality-improvement activities.
Help instill confidence in Neighborhood Healthcare’s care and facilities among patients, employees, and other stakeholders.
Assist medical assistants and patients as needed.
Follow safety procedures in the Illness and Injury Prevention Plan, report injuries and unsafe conditions, and maintain knowledge of safe-work practices.
Use appropriate body mechanics, know the locations of the nearest fire extinguisher and emergency exits, and follow infection-control procedures, including blood-borne pathogen protocols.
Protect the privacy of patient, employee, and volunteer information and access it only when needed for business purposes.
Comply with corporate integrity and security requirements and report unethical, fraudulent, or unlawful behavior or activity.