Care Coordination Specialist: Patient Referrals & Plans

Fairview Health Services; Minneapolis (MN); On-site; USD 42,000 - 60,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

Life insurance

Short-term disability

Long-term disability

PTO and Sick time

Tuition reimbursement

Retirement plan

Early access to earned wages

Job summary

Fairview Health Services in Minneapolis is seeking a clerical and administrative support role to manage phone calls, calendars, and scheduling across care teams. The position collaborates with RN Care Coordinators and specialty providers to support pre-visit planning and data entry in EMR systems.

The role emphasizes facilitating referrals, coordinating discharge planning, populating care plans, and acting as a liaison with community partners to advance population health initiatives and patient

Qualifications

• Two years of healthcare experience.
• Experience using EMR systems.
• Basic knowledge of health care insurance coverage.

Responsibilities

• Completes the Care Coordination process for clinic team’s patients.
• Referrals, hospital discharge coordination, working with providers to complete Care Plans as necessary, creating goals with patients and follow-up with the patients on goal setting, and other duties for care coordination.
• Liaison between clinic and community partners for shared initiatives, and long term collaborations.
• Assists with population health management through working panels and by addressing action items created in panel management meetings and from panel review.
• Completes all referrals and referral tracking for patients enrolled in care coordination
• Partners with patient/care-giver/management in care/decision making.
• Individualizes care/service plan to meet patient/customer needs.
• Modifies interventions/service based on population served.
• Provides patient/employee education based on assessment of learning needs of learner.
• Facilitates complex health referrals.
• Coordinates care for patients requiring referrals.

Skills

Healthcare experience

EMR usage

Tools

EMR systems

Job description

Fairview Health Services in Minneapolis is seeking a clerical and administrative support role to manage phone calls, calendars, and scheduling across care teams. The position collaborates with RN Care Coordinators and specialty providers to support pre-visit planning and data entry in EMR systems.

The role emphasizes facilitating referrals, coordinating discharge planning, populating care plans, and acting as a liaison with community partners to advance population health initiatives and patient