When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives. The Integrated Care Management Patient Engagement Coordinator (PEC) assists the Integrated Care Management team of RNs and Social Workers within Care Management to coordinate care for at risk patient populations within the BILHPN Performance Network. The Patient Engagement Coordinator works centrally and across all geographic teams supporting the central referral processes in place within the EPIC EMR and Outlook email. The integrated care management patient engagement coordinator, under the direction of the managers and collaboratively with team members, assigns appropriate referrals across teams, communicates back the status of referrals as appropriate, and triages referrals to the appropriate supportive resource (ex. Payor care management program, delegated care management teams, other BILH or BILHPN teams).This role will work within the EMR. This role is expected to take on additional care coordination tasks with oversight and guidance of the clinical management team. Duties may include facilitating Epic EMR portal messaging, facilitating patient mailings, screening calls that come into a central department phone number. assisting with outreach and coordinating follow-up care and community resources as needed under the direction of the care team members. The Patient Engagement Coordinator assists the care team members in coordinating care for at risk patients within the BILHPN Performance Network. targeted Medicare Accountable Care Organization (ACO) patient population. The Patient Engagement Coordinator communicates with hospitals, post-acute facilities, assisted living facilities and home care agencies for case information. The Patient Engagement Coordinator works with the patient registry, electronic health record, and patient tracking systems to assist with outreach, documentation of goal progress, and coordination of follow-up care and community resources as needed under the direction of the care team members.
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Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED