Care Coordinator

Location 8535 TOM SLICK DR,SAN ANTONIO, TX, 78229,United States

Job Category Care Coordination, 370008

Employee Type Non-Exempt PT

Required Degree 4 Year Degree

Manage Others No

Description

POSITION SUMMARY

Works in collaboration and continuous partnership with chronically ill or “high risk” patients and their family/caregivers, clinic/hospital/specialty providers and staff, and community resources in a team approach to: promote timely access to appropriate care, increase utilization of preventative care, reduce emergency room utilization and hospital readmissions, increase comprehension through culturally and linguistically appropriate education, create and promote adherence to a care plan, increase continuity of care by managing relationships, increase patients ability to for self-management and shared decision-making, provide assistance with medication refill requests and prior authorizations, connect patients to relevant community resources with the goal of enhancing patient health and well-being.

It is expected that the employee demonstrate behavior consistent with the Core Values and support the strategic plan and the goals and direction of the Performance Improvement Plan.

Requirements

EDUCATION/TRAINING EXPERIENCE

Bachelor's degree or equivalent

Three to five years in clinical or community resource settings; care coordination and/or case management experience desired

Summary

THE ESSENTIAL DUTIES OF THE POSITION

Develop and implement a system for identifying and prioritizing continuedcare needs for Clarity patients, including identification and management ofhigh risk patients

Assist patients through the health care system by acting as patient advocateand navigator

Educate patients/caregiver using “teach back” skills

Conduct Post-Discharge phone calls within 48-72 hours to reinforce Discharge Plan

Facilitate patient access to appropriate medical and specialty providers

Coordinate continuity of patient care within Clarity system of care and withexternal providers to promote quality health outcomes and efficiently manageresources

Communicate and coordinate effectively with, and is responsive to,internal/external providers (e.g., Clinical Staff, Medical Staff, andcommunity providers)

Promotes clear communication amongst care teams and treating cliniciansby communicating care plans

Support patient education and self management of disease

Assists with identification of “high risk” patients, and add these to patientregistryParticipates in clinical team meetings and quality improvement initiatives

Facilitate and attend meetings between patient, family, care team, payor,and community resources, as needed

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