JOB SUMMARY

The Care Coordinator works with patients to ensure the highest quality of services are provided. They must provide patients and their families with educational information in conjunction with direct care providers related to treatment, procedures, medications, and continuing care requirements. They work with administration, staff, and patients to reach healthcare goals and keep the lines of communication open.

GRANT-FUNDED

This position is time-limited (3 years) and is contingent upon sufficient funding. When the term of the grant-funded position is nearing its end, the department will strive to provide grant-funded employees with as much notice prior to the end of the funding as possible.

PRIMARY FUNCTIONS

• Plan with the patient, family/caregiver, primary care provider, support staff, payers, and the community resources, to maximize healthcare responses, quality, and cost-effective outcomes.
• Facilitate communication and coordination between members of the healthcare team, involve the patient in the decision-making process to minimize fragmentation in the services.
• Educate the patient, family or caregiver, and members of the healthcare delivery team about treatment options, community resources, insurance benefits, psychosocial concerns, care coordination, etc., so that timely and informed decisions can be made.
• Empower the patient to problem-solve by exploring options of care, when available, and alternative plans, when necessary, to achieve desired outcomes.

• Encourage the appropriate use of healthcare services and strive to improve quality of care and maintain cost effectiveness on a case-by-case basis.
• Assist the patient in the safe transitioning of care to the next most appropriate level.
• Strive to promote patient self-advocacy and self-determination.
• Advocate for the patient to facilitate positive outcomes for the patient, health care team, and payers.
• Attend monthly meetings with insurance payers to have a consistent line of communication open and assist with setting goals for quality improvement.
• Work on projects as assigned based on priorities informed by information received from insurance companies.
• Stay involved and active with quality improvement activities.
• Assist the referral department with referral tracking: including documentation, phone calls and sending out reminder letters of patients pending referrals.

• Other duties as assigned.

EDUCATION AND EXPERIENCE

• Certified or Registered Medical Assistant

KNOWLEDGE, SKILLS, AND ABILITIES

• One (1) year minimum experience in care coordination / case management (preferred)
• Completion of accredited Certified or Registered Medical Assistant program (required)
• Current Florida Certified or Registered, active and in good standing (required)
• Experience with Athena Health EHR (preferred)
• Computer competency is required

ADDITIONAL QUALIFICATIONS

• Bilingual is a plus (English / Spanish)

RELATIONSHIP REPORTING

• Reports to Care Coordination Manager

PHYSICAL REQUIREMENTS

• Ability to stand and or walk for extended periods of time
• Ability to view a computer screen for extended periods of time
• Ability to perform repetitive hand and wrist motions for extended periods of time
• Ability to communicate effectively with patients and staff