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Clinical care coordinator – taunton

Taunton
Manet Community Health Center
Care coordinator
Posted: 6 October
Offer description

Overview

POSITION TITLE: Clinical Care Coordinator
REPORTS TO: Director of Nursing and Clinical Services
FLSA Status: Non-Exempt

The Clinical Care Coordinator will play a key role in assisting patients achieve improved health outcomes. Reporting to the Quality Manager, and working closely with the RN/Care Managers, Community Health Specialists (CHSs), the Clinical Care Coordinator will reach out to those patients who need preventive care as well as patients who have chronic diseases. He/she will also reach out to those patients recently discharged from hospital and emergency room, and who regularly visit the emergency room, to actively encourage them to receive the necessary follow up care, so that Manet can assist patients manage their health more effectively.


Responsibilities

* Prioritizes inpatient discharge notes, triages to level of follow-up needed, and subsequently assigns to Manet RN Care Manager, self, or CCM as appropriate; if Manet RN/CC, outreaches to patient and schedules. Initiates appropriate cases to staff as needed.
* Reads ED follow up notes to determine the range of patient needs for indicated subpopulations (high utilization, diabetes, CHF, CAD, COPD; as present in Azara) and subsequently follow up with patients after specified ED visits and hospital discharge and schedule follow up appointment with preferred provider.
* Work closely with operations staff to improve outreach capabilities, including proper booking of follow-up patients.
* Refers to Manet RN care manager and embedded Complex Care Manager as needed to determine short- and long-term care needs.
* Performs outreach to patients who left ED AMA or without being seen.
* Recognize and reroute as needed Behavioral Health or Recovery patients.
* Provides patient navigation for cancer screenings (PAP, HPV, mammography, FIT Kit, colonoscopy).
* Performs any other duties as required.


Qualifications

1. Professional Qualification as a Medical Assistant, Nursing, or LPN preferred;
2. Minimum of 3 years’ experience, a plus;
3. Excellent organizational and interpersonal skills required;
4. Proven customer service skills required;
5. Proven verbal and written communication skills;
6. Highly organized and systematic skills with excellent attention to detail required;
7. Judgment to review the record for ambiguities and/or contradictory material;
8. Must have working knowledge of computers and office procedures;
9. Must have data entry experience;
10. Previous administrative experience strongly preferred; and
11. Previous experience in a health care setting preferred.


Certifications and Licenses

* If a medical assistant MA Certification required
* If LPN or RN – current active state license required
* BLS Required within 30 days of hire


Critical Demands

* Manage multiple requests and prioritize appropriately.
* Ability to function in a fast-paced setting with a variety of patients and staff.
* Attention to details and prompt follow-up.
* Includes walking and standing for long periods of time, sitting for short periods of time, hand dexterity, clear hearing and speaking ability. Must be able to lift a maximum of 1/3 of their body weight.
* Excellent organizational and interpersonal skills.


Working Conditions

Works in well-lighted environment with comfortable surroundings. Stressful at times due to competing demands, including attention to multiple patients and staff.


Required Availability

May be required to work a rotating schedule as the department requires. This includes evenings, holidays and weekends. This is an in person role which may require travel to other sites

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