Care Coordinator (ECM) - Full Time Days

MLK Community Healthcare; Los Angeles (CA); On-site; USD 65,000 - 90,000; Full time

Job summary

MLK Community Healthcare is seeking a Care Coordinator for Enhanced Care Management (ECM) to act as a liaison among patients, providers, and the healthcare system in Los Angeles, CA. The role involves discharge planning, care coordination, and ensuring adherence to care management criteria across services.

Responsibilities include home visits, patient advocacy, and facilitating access to community-based services.

Qualifications

• One (1) year of customer service experience in a healthcare setting or similar preferred.
• Valid unrestricted CA Driver’s License with proof of vehicle insurance; must present within 30 days of hire/transfer.
• A team player that can follow a system and protocol to achieve a common goal.
• Must complete annual Workplace Violence Prevention Program/Certificate within 30 days of hire/transfer.
• Highly organized with strong oral and written communication skills.
• Confidence to communicate with community health care organizations and personnel.
• Demonstrates sound judgment, decision making and problem solving skills.
• Prior Cerner EMR experience preferred.
• Prior healthcare facility or Street Medicine experience preferred.

Responsibilities

• Participates in implementing the ECM program to ensure eligible Medi-Cal beneficiaries receive enhanced care management and coordination.
• Supports patient self-management and promotes behavioral modifications.
• Conducts home visits and street visits for enrollment and ongoing services.
• Assists patients as a health systems navigator and advocate.
• Helps patients access community-based services and supports.
• Coordinates continuity of patient care with external healthcare organizations and facilities.
• Coordinates care following hospital admission, discharge, and ED visits.
• Reports care barriers to physicians or designee.
• Performs preventive screenings and supports daily patient interactions as needed.
• Facilitates communication among interdisciplinary care team members regarding patient care plans.
• Manages patient medication coordination based on standing orders.
• Supports data collection, health outcomes reporting, and clinical audits.
• Assists in developing new clinical tools, forms, and procedures.
• Works with leadership on project plans, timelines, and risk mitigation.
• Provides direction to project team and identifies risks with solutions.
• Projects defined: Metrics, Physician Dashboards, Quality Metrics.
• Assists in creation/submittal of Medical Group invoices.
• Travels to MLKCH ambulatory, hospital, and admin sites as needed.

Skills

Customer service

Healthcare setting

Communication skills

Organizational skills

Team leadership

Tools

Cerner EMR

Microsoft Office

Job description

The Care Coordinator – Enhanced Care Management (ECM) functions as a liaison between patients, providers, and the healthcare system. The Care Coordinator ensures that patient needs, discharge planning, and care coordination efforts are performed consistently with care management criteria. The Care Coordinator must understand and implement evidence-based services while adhering to patient necessity, levels of care, medical conditions, discharge plans, and medication plans. Duties may also include patient instruction, care orientation, navigation and coaching.

ESSENTIAL DUTIES AND RESPONSIBILITIES

Care Coordination

• Participates in the implementation of the Enhanced Care Management (ECM) program with the goal of ensuring that eligible Medi-Cal beneficiaries receive enhanced care management and coordination.
• Supports patient self-management of disease processes and promotes behavioral modifications self-intervention.
• Conducts home visits and street visits with ECM eligible Medi-Cal beneficiaries for enrollment and on-going services.
• Assists patients through the healthcare system by operating as a patient advocate and health systems navigator.
• Assists patients with navigating and accessing community-based services and support as needed to support healthy living.
• Coordinates continuity of patient care with external healthcare organizations and facilities.
• Coordinates continuity of patient care with patients and families/caregivers following hospital admission, discharge, and Emergency Department visits.
• Reports care barriers and challenges to physician or designee.
• Conducts comprehensive, preventive screenings for patients and/or assists all support staff in daily patient interactions as needed.
• Promotes clear communication amongst interdisciplinary care team members by ensuring awareness regarding patient care plans.
• Facilitates patient medication management based upon standing orders and protocols.
• Participates as a successful team associate supporting data collection, health outcomes reporting, clinical audits, and pragmatic evaluation.
• Participates in the evaluation of clinical care, utilization of resources, and development of new clinical tools, forms, and procedures.
• Collaborating with leadership to coordinate project plans including project timelines.
• Provide direction and support to the project team as required.
• Identify project risks and recommend appropriate resolutions.
• Projects defined: Metrics, Physician Dashboards, and Quality Metrics.
• Assists in creation and submittal of Medical Group invoices.
• Travel to MLKCH ambulatory, hospital, and administrative sites as needed to aid in patient care.
• Performs other duties as assigned.

POSITION REQUIREMENTS

A. Education

B.Qualifications/Experience

• One (1) year of customer service experience in a healthcare setting or similar preferred.
• Valid unrestricted CA Driver’s License with proof of vehicle insurance. Must present both within 30 days of hire/transfer.
• A team player that can follow a system and protocol to achieve a common goal.
• Must complete annual Workplace Violence Prevention Program/Certificate, per hospital policy, during initial training/orientation but not to exceed 30 days from hire/transfer.
• Highly organized and well developed oral and written communication skills.
• Confidence to communicate and outreach to other community health care organizations and personnel.
• Demonstrates sound judgment, decision making and problem solving skills.
• Prior Cerner or Electronic Medical Record experience (preferred).
• Prior employment in healthcare facility and/or Street Medicine (preferred).

C. Special Skills/Knowledge

• Proficient to expert computer skills utilizing Microsoft Office especially Word and Excel
• Critical thinking
• Leadership
• Knowledge of healthcare delivery systems

Equal Rights Employer

Applicants are considered for positions without discrimination on the basis of race, color, religion, sex, national origin, age, disability, genetic information, citizenship status, military service, or any other status protected by federal, state, or local laws.

E-Verify / Right to Work

MLK Community Healthcare

1680 E 120th Street
Los Angeles, CA 90059
Tel: [phone]
Email: [e-mail]
www.mlkch.org

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