Patient Care Coordinator-Outreach

Description:

Position Summary:

Works with Care Alliance Health Center patients in a clinical or outreach environment as part of the Patient- Centered Medical team. Patient Care Coordinators-Outreach address and reduce barriers to care. Activities include health care navigation, benefits enrollment and usage, population-specific interventions, community case management, and patient advocacy, checking patients in for care, and following up on referrals and care.

Task Responsibilities:

*Include but are not limited to:

· Oversee appointment management and update records of scheduled patients working with patients in various settings including but not limited to those who are homeless, in outreach clinics, shelters, and encampments.

· Screen patients for eligibility, support enrollment, recertification, and follow up as appropriate. Work with providers to coordinate specialty care outside Care Alliance. Support enrollment and use of private benefits such as pharmaceutical assistance programs. Benefits may include Medicaid, Medicare, SSI/SSDI, CHAP, SNAP, WIC, etc.

· Provides basic advocacy, assessment, planning and casework services, working to arrange care for vulnerable populations with chronic illnesses, mental illness. Educate patients on how to use new insurance options such as basics on managed care network coverage and drug formularies

· Support patient comprehension of their diagnosis, treatment plan, and next steps, and connect patients to the appropriate licensed clinical professional.

·Identify and address non-medical barriers to health and self-sufficiency such as transportation, housing, income, recreation, and education. Based on provider referral and patient screening, connect patients to available community resources such as reduced fare bus tickets, housing support, income and food support, job training, obtaining birth certificates and identification.

· Assist patients with scheduling appointments; coordinating prior authorizations or insurance benefits; basic understanding of procedures; retrieval of specialty care reports, results, or visit summaries and appropriate follow up.

· Establish and maintain positive relationships with community resources and social service agencies to link patients appropriately.

· Link patients to other experts such as Legal Aid or housing case managers and follow up with patients and external providers accordingly.

· Conduct daily review of outstanding referrals including appointments to be scheduled, patient navigation, and specialty visit results.

· Support engagement in primary care and provide support and assistance to clients in gathering and completing all necessary documents, submitting to applicable agencies, and appropriate follow up.

Requirements:

Minimum Education and Experience:

Required:

· High School diploma and associate degree and/or commensurate experience may be considered, BA degree in social work, family development, healthcare administration or a related field preferred.

· 1-3 years' experience in at least one of the following areas: case management or counseling, experience, experience working with vulnerable populations, mental illness, and/or substance abuse.

· Experience using EPIC or another EHR is an added plus.

· Ability to work 8am to 5 pm Monday through Friday, and nontraditional hours when required.

· Knowledge of relevant community resources and ability to work collaboratively with community service providers.

· Ability to work independently and as part of a multi-disciplinary team of staff at various skill and professional levels.

· Strong problem-solving skills

· Ability to plan, organize and complete paperwork in timely manner and maintain confidentiality.

· Commitment to the mission of Care Alliance Health Center

Compensation details: 39000-41000 Yearly Salary

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