Patient Care Coordinator Jobs

About The Position

Requirements

• High School Diploma required
• Proficiency in Microsoft Applications
• Proficiency in Accounting Software systems
• Minimum of five (5) years of experience in medical assisting.
• Strong interpersonal skills with the ability to communicate effectively, both orally and in writing, with healthcare providers, patients, and staff at all organizational levels.
• Proficient in computer applications, including word processing, spreadsheets, and presentation software (e.g., Microsoft Office Suite).
• Demonstrated excellence in written and verbal communication, with attention to detail and professionalism in all forms of correspondence.
• Demonstrated ability to interact effectively and respectfully with individuals from diverse backgrounds, including but not limited to race, ethnicity, nationality, sexual orientation, gender identity and expression, socio-economic status, religion, age, English language proficiency, immigration status, and physical ability, within a multicultural work environment.
• Ability to communicate clearly and effectively in both verbal and written formats.
• Must be compliant with all required immunizations as per organizational and regulatory standards.
• Completion of a Tuberculosis (PPD) screening test required upon hire.
• Level 2 background clearance required.

Nice To Haves

• Business Associate’s degree preferred
• experience with Sage accounting software a plus
• The ability to communicate in Spanish, Creole, or both is a plus.

Responsibilities

• Provides chronic care management services in accordance with CMS guidelines
• Ensures patient qualifies as CCM eligible having: Multiple (two or more) chronic conditions expected to last at least 12 months, or until death of patient, Chronic conditions place the patient at significant risk of death, acute exacerbation/decompensation, or functional decline, Comprehensive care plan established, implemented, revised, or monitored
• Works closely with the front desk staff to schedule patients according to visit type and availability of the provider
• Provides explanation and obtains patient consent for enrollment into the program
• Establishes monthly contact with the patient and documents the required elements
• Structured recording of patient health information including problems, medications, and medication allergies
• Maintains a documented comprehensive electronic care plan that is based upon a physical, mental, cognitive, psychosocial, functional, and environmental (re)assessment, and an inventory of resources (a comprehensive plan of care for all health issues, with particular focus on the chronic conditions being managed)
• Manages transitions of care and other care management services
• Coordinates sharing patient health information timely within and outside of the practice
• Provides support for chronic diseases to achieve health goals and 24/7 patient access to care and health information
• Provides preventative care information and schedules of appointment when required
• Works closely with the Patient Navigator to coordinate and execute services to assist and address needs. Services inclusive of, but not limited to: Federal, State, and local programs.
• Coordinates with Billing Team when billing requirements are met to ensure accurate reporting of services to payers to achieve quality and reimbursement goals
• Coordinates with internal and external care team members to promote quality outcomes
• Coordinate with internal and external Pharmacy Team to ensure prescriptions are updated and medications are prepared and available for patient pick-up, delivery, or mailing.
• Attend monthly meetings as scheduled.
• Communicate with providers to resolve issues related to medication management.
• Complete prior authorization for medications according to health plans.
• Initiate PAP enrollments, as requested
• Complete prior authorization process for diagnostics and specialty services.
• Other duties as assigned.