The Care Coordinator is the “link” to ensure a continuity in coordination of patient care through his/her collaborative interaction with all the community relationships involved in that care - including but not limited to - the labs, hospitals, patients themselves, and patient’s healthcare plan. Ensures all information is communicated clearly on behalf of the patient and between collaborative partners for the primary benefit, comfort and well-being of the patient.
TO PERFORM THIS JOB SUCCESSFULLY, AN INDIVIDUAL MUST BE ABLE TO PERFORM EACH ESSENTIAL DUTY SATISFACTORILY. THE REQUIREMENTS LISTED BELOW ARE REPRESENTATIVE OF THE KNOWLEDGE, SKILL, AND/OR ABILITY REQUIRED. REASONABLE ACCOMMODATIONS MAY BE MADE TO ENABLE INDIVIDUALS WITH DISABILITIES TO PERFORM THE ESSENTIAL DUTIES.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
Collaborative Partner Coordination of Services:
Assists clinical directors in maintaining compliance with meaningful use standards.
Coordinates continuity of patient care with external healthcare organizations, facilities, and payers including the process of hospital admission and discharge and referrals from the primary care provider to a specialty care provider.
Becomes knowledgeable in and keeps updated on Pillars Community Health’s payer contracts as they relate to patient access, referrals, pre-authorizations and clinical indicators measures.
Manages patient rosters to patient’s risk factors and assures prompt access to Pillars Community Health services.
Patient Centered Care:
Manage potential risks and liabilities within the health center to minimize risk of errors, accidents and other adverse incidents.
Pay close attention to EMR system notes and alerts, routing information appropriately to correct team members for quality patient care.
Assist in management of high-risk patient care including management of patients with multiple co-morbidities or high-risk for readmission to a hospital setting, including a registry.
Coordinates continuity of patient care with patients and families following hospital admission.
Continuous Quality Improvement:
Be a voice for strictly adhering to the Pillars Community Health Quality Improvement Plan, and work with the staff to assure compliance.
Work closely with the QI Manager to assure HIPAA compliance in the sharing of PHI with collaborative partners on behalf of patient.
Report compliance problems and patient data to QI Manager regularly as required
Graduation from an accredited college or university with a background in health-science, biology, anatomy & physiology, public health, behavioral science or other similar degree
Case management experience preferred
Public Health educational focus
Medical Assistant background
FQHC background or experience in outpatient setting highly preferred
Meets company health & immunization/vaccination requirements
Computer proficiency in ECW, internet and email, Microsoft Office software
Basic math computation skills in whole numbers, fractions, decimals
Bilingual Spanish/English skills required
Ability to multi-task and willingness to learn new tasks
Ability to perform basic mathematical computations using whole numbers, fractions, decimals
Effective oral and written communication
Compassionate and patient focused
Ability to read/interpret/enter/compare data and reports of a complex nature
Ability to work within a team environment
About Pillars Community Health
Pillars Community Health is an innovative health and social services agency, one of only a few nonprofits in the state of Illinois to integrate primary medical and dental care with behavioral health, social, and educational services. The organization is the result of a merger between Pillars and Community Nurse Health Center on January 1, 2018. To learn more about our merged agency, visit www.PillarsCommunityHealth.org
Pillars Community Health is an Equal Opportunity Employer. We consider applicants for all positions without regard to race, religion, creed, color, national origin, gender, age, marital or veteran status, sexual orientation, disability or any other legally protected status.