General SummaryThe Clinical Care Coordinator will work together with other members of the CACOST healthcare team to provide high quality, comprehensive care to the patients and their families/caregivers/support systems. The Clinical Care Coordinator will work in a number of capacities as a support role to the care team. The overall goal of the position is to enhance the quality of patient management and satisfaction and to promote continuity of care through the functions of care management. This position is accountable to the RN Quality Coordinator.Primary Responsibilities
Performs high quality, comprehensive, pre-visit planning to identify gaps in care, appropriate preventative screenings and timely completion of lab orders.Adheres to agency goals, objectives, standards of performance and policies and procedures.Acts as a resource within the clinic to staff members and patients in regards to patient care and patient education.Identifies patients that are due for follow up, assesses for any potential barriers to care, to include social determinants and encourages appropriate healthcare maintenance.Utilizes electronic health records to track labs, diagnostics, transitions of care and reviews patient outcomes utilizing referral logs.Reviews quality reports through various health insurance portals as assigned.Coordinates the integration of care management functions into patient care with other agencies, external service organizations and healthcare facilities.Provides leadership to the Patient Care Clinical Team, conducts regular team meetings and delivers team support as per the patient centered medical home model.Performs miscellaneous duties as assigned.Education/Certifications/Licensure
- Must be a graduate of an accredited school of nursing and licensed in the State of Texas or be a Certified Medical Assistant with previous medical office experience.
- Must have a valid driver's license and a safe driving record and be able to pass a pre-employment physical and a criminal history background check.
- Bilingual (English/Spanish) ability is preferred.
Required Skills
- Ability to effectively communicate with patient population, providers, and staff while demonstrating a high degree of diplomacy and tact.
- Beginner to intermediate computing and phone skills.
- Willingness to demonstrate flexibility in regards to job duties and assignments.
- Ability to multi-task and work effectively in a fast paced environment.
- Cultural sensitivity to effectively work with ethnically diverse populations.
- Thorough understanding of the importance of confidentiality and non-disclosure according to the general standards set forth by HIPAA.
Physical RequirementsIf a preliminary offer of employment is extended, a physical will be required before the offer can be accepted.Light to medium physical duties include standing, walking, reaching, bending, talking for up to eight (8) hours a day. Must have good vision. Must be able to lift thirty-five pounds. Lifting will be primarily confined to occasional on premises lifting boxes of office supplies and minor office equipment. Non-physical demands include performing multiple tasks simultaneously, judgment decisions, and working closely with others as part of a team.