Ambulatory Care Coordinator (6499)

Regional One Health; Memphis (TN); On-site; USD 32,000 - 42,000; Full time

Job summary

Regional One Health is seeking a Care Coordination support role to identify and facilitate Gaps in Care (GIC) for patients requiring enhanced care coordination. You will aid the Care Team in tracking high-quality health services, coordinating referrals, and updating patient records within the EHR.

Responsibilities include appointment outreach, data aggregation, and assisting with multi-disciplinary care plans.

Qualifications

• Completion of an approved Medical Assistant program.
• Minimum 1 year experience in a healthcare setting.
• BCLS - Basic Life Support required at hire.

Responsibilities

• Identify and facilitate Gaps in Care (GIC) services for patients needing enhanced Care Coordination.
• Assist with data collection, aggregation and analysis activities.
• Perform appointment outreach and facilitate referrals.
• Update patient information in medical records and ensure timely EHR documentation.
• Track patients as they receive services outside the practice and follow up after ED visits or hospital discharges.

Skills

Population stratification

Quality Improvement

HIPAA compliance

Customer service

Education

Medical Assistant program

Tools

EHR systems

Job description

Job Details

Job Location: Amb Svcs Admin - Memphis, TN 38103 Position Type: Full Time Education Level: High School/GED Travel Percentage: Up to 25% Job Shift: Day Job Category: Ambulatory Support Services

JOB SUMMARY

As a part of the Care Team, responsible for identifying and facilitating "Gaps in Care" (GIC) services for patients in need of enhanced Care Coordination services. Also responsible for assisting the Care Team with the tracking and coordination of timely, high quality and efficient health care and support services as identified through a multi-disciplinary care plan, self-management goals and referrals to both internal and external resources. Provides administrative support by performing appointment outreach, facilitating referrals, updating patient information in medical records and assisting with data collection, aggregation and analysis activities.

Key Job Responsibilities

• Perform stratification of member populations into targeted subsets, using information collected through population assessment and other data sources, aimed at health promotion and wellness, management of chronic conditions and complex case management.
• Perform continuous Quality and Performance Improvement activities as assigned.
• Maintain surveillance ticklers and/or work with Health Information Technology (HIT) to proactively identify the need for patient care and outreach as assigned.
• Track and support patients when they obtain services outside the practice like Emergency Departments, Hospitals and other health care facilities.
• Follow-up with patients as prescribed after an emergency department (ED) visit or hospital discharge.
• Work with patients both in person and over the phone to remind and review their plan of care and progress towards their goals.
• Assist patients with the process of determining eligibility, obtaining and maintaining free pharmaceuticals through the internal pharmacy subsidy program.
• Collaborate with other members of the Care Coordination and Management team for activities including assistance with implementation of Care Plan.
• Manage referrals, when needed, to appropriate agencies required to assist the client in achieving the goals and objectives identified in their Care Plan.
• Identify and utilize cultural and community resources.
• Establish and maintain relationships with identified service providers.
• Assist with data collection and generation of patient registry reports.
• Ensure timely documentation in the Electronic Health Record (EHR).
• Demonstrate excellence in both internal and external customer service.
• Understand and effectively communicate HIPAA compliance, corporate compliance and client confidentiality.
• Ensure and/or remain in compliance with local, state, and federal regulation.
• Adhere to the National Patient Safety Goals as defined by Joint Commission and adopted by Ambulatory Administration and Services.

Required for All Jobs

• Performs other duties as assigned
• Complies with all policies and standards

Physical Demands

• Standing - Constantly
• Walking - Constantly
• Sitting - Frequently
• Lifting - Frequently
• Carrying - Frequently
• Pushing - Occasionally
• Pulling - Occasionally
• Climbing - Occasionally
• Balancing - Occasionally
• Stooping - Frequently
• Kneeling - Frequently
• Crouching - Frequently
• Crawling - Occasionally
• Reaching - Frequently
• Handling - Frequently
• Grasping - Frequently
• Feeling - Constantly
• Talking - Constantly
• Hearing - Constantly
• Repetitive Motions - Constantly
• Eye/Hand/Foot Coordination - Constantly

Qualifications

QUALIFICATIONS

• Successful completion of an approved Medical Assistant program. Required
• Minimum 1 year experience. Experience working with patients in a health care setting. Required
• Managing competing priorities, medical terminology, public speaking, group training and project coordination desired. Preferred
• BCLS - Basic Life Support Upon Hire Required