Serves as a linkage between patients and primary care providers to improve the coordination of care. Collaborates with physicians, clinic staff and other interdisciplinary staff to identify care needs and connect patients with appropriate services. Navigates care for patients who have gaps in care, or quality flags, to close these gaps by outreaching, engaging and scheduling patients. Coordinates patients scheduling, cancellations, and re-scheduling. Communicates with patients through telephone, mail, MyChart and text messages where appropriate, to increase patient attendance. Answers the telephone in a timely manner, politely and in a professional manner. Meets with patients, primary care and BH providers and other staff as needed to coordinate care. Encourages patient self-management with a focus on the achievement of care plan goals. Documents and maintains patient-specific records. Maintains accurate daily logs for statistical reporting purposes and for weekly reviews of productivity. Meets leadership when necessary to discuss various concerns involving the functions and performance of the Ambulatory Care Department. Completes mandatory hospital in-services via Healthstream. Logs in to E-Mail, and any other necessary program daily. Performs any other duties as assigned. Attend scheduled department and division meetings and participate as appropriate.
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Career Level
Mid Level
Number of Employees
5,001-10,000 employees