Patient Health Coordinator ( LPN)
About The Position
HarmonyCares is a national value-based provider of in-home primary care for people with complex healthcare needs. The Patient Health Coordinator (PHC) supports Medical Group patients by coordinating care and monitoring progress. As a member of the Integrated Care Team, the PHC helps implement patient-centered care plans and guides patients and families through their healthcare journey, including transitions of care, access to community services and resources, and closure of quality care gaps. The PHC collaborates with providers, Nurse Care Managers, patients, caregivers, facilities, and other internal and external partners. The role includes monitoring patient response to interventions, supporting care-plan adjustments with the care team, advocating for patients, and documenting communications and care-plan updates in the EHR. The position offers daytime hours and does not require holidays or weekends.
Requirements
- High school diploma or GED.
- At least 2 years of care coordination or healthcare experience.
- Familiarity with Medicare, Medicare Advantage, and Medicaid insurance and programs.
- Strong organization, attention to detail, and ability to multitask in a demanding, changing environment.
- Strong interpersonal communication and active-listening skills.
- Flexibility in responding to changing community needs and program environments.
- Critical-thinking ability and sound judgment.
- Strong time-management skills.
- Commitment to patient advocacy.
- Self-directed approach and excellent problem-solving skills.
- Knowledge of basic medical terminology.
- Ability to work independently and as part of a team.
- Proficiency with EMR software or applications, call-center technology, and Microsoft Office Suite.
- Experience in a community-work or healthcare environment.
- Knowledge of basic principles, practices, and techniques in primary healthcare.
Nice To Haves
- Active LPN/LVN license in the state where patients are located, foreign nursing graduate or foreign medical graduate background, or Community Health Worker certification.
- Experience with Athena EHR.
- At least 2 years of experience delivering exceptional customer service.
- At least 2 years of experience in a position involving critical thinking.
Responsibilities
- Assist with care coordination needs for a caseload of paneled patients.
- Collaborate with cross-functional teams to solve problems and achieve objectives.
- Serve as a liaison between providers and patients by coordinating in-market activities, relaying messages, processing referrals and faxes, and handling prior authorizations.
- Monitor the effectiveness of interventions and treatments and collaborate with the provider or Nurse Care Manager to address medical concerns and consider care-plan adjustments.
- Advocate for patients during High-Risk Huddles by sharing assessments and recommendations with the Integrated Care Team.
- Contact patients discharged from hospitals or emergency rooms to collect information and close care gaps.
- Identify, document, and resolve problems, goals, and interventions in care plans, adding problem, goal, and intervention entries as needed.
- Communicate clinical information and instructions to patients, caregivers, facilities, and others on behalf of providers, as directed.
- Participate in the collaborative care team to support quality and patient-experience outcomes, including active participation in High-Risk Huddles.
- Identify and help resolve social determinants of health barriers.
- Proactively monitor patients through outreach and regular checkpoints established in care plans.
- Promptly document phone calls and patient interactions in the EHR according to company guidelines and applicable laws and regulations.
- Communicate clearly and compassionately with patients, families, care-team members, and external parties, representing the company professionally.
- Identify, acknowledge, escalate, and/or address patient complaints, grievances, and concerns in a timely and effective manner.
- Comply with state and federal laws, including HIPAA.
Benefits
- Health, dental, vision, disability, and life insurance.
- 401(k) retirement plan with company match.
- Tuition, professional license, and certification reimbursement.
- Paid time off, holidays, and volunteer time.
- Paid orientation and training.
- Daytime hours with no holidays or weekends.
- Manageable rosters and visits per day compared with a traditional practice environment.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
