Pediatric Care Coordinator

Fair Haven Community Health Care•New Haven, CT

104d•Hybrid

About The Position

The Pediatric Care Coordinator is a vital member of the interdisciplinary patient care team. This role provides patient navigation and facilitates access to care based on EHR data and referrals from clinical teams. The Care Coordinator identifies any barriers that may impact a patient’s access to health, and will link them to appropriate services.

Requirements

Associates degree in health-related field and/or relevant years of experience is required.
A valid CT driver’s license and access to reliable transportation is required.
Excellent computer skills including word processing and data entry required
Ability to work independently

Nice To Haves

Bachelor’s degree preferred.
Experience in Care Coordination
Experience working with teams
Experience using EPIC electronic health record highly preferred.
Bilingual in English and Spanish is highly desirable.

Responsibilities

Outreach to patient populations based on gaps-in-care reports or other reports that have identified vulnerable patients and families
Conduct needs assessments at least yearly using a validated screening instrument on all patients with whom the Care Coordinator interacts
Use technological platforms to link patients with needs to community resources
Assist with and follow-up on the successful completion of health maintenance items (e.g. lab testing, annual visits) and chronic disease management (e.g. routine diabetic or asthmatic care)
Conduct home visits as needed
Identify barriers to care impacting patients’ abilities to adhere to treatments.
Assist patients with insurance enrollment, or other patient assistance programs
Work collaboratively with clinical teams to meet the needs of complex, high-cost patients
Attend relevant trainings as required and assigned.
Document client referrals, encounters, and services in the EPIC electronic health record and communicate securely with other team members and clinicians.
Maintain strict adherence to all deadlines including report deadlines and timely completeness of documentation.