Care Coordinator - MHN

Christian Community Health Center; South Holland (IL); On-site; USD 42,000 - 62,000; Full time

Benefits offered by this job

Blue Cross Blue Shield Medical and Vis

Blue Cross Blue Shield Dental and VIis

Life Insurance

Job summary

Christian Community Health Center is seeking a Care Coordinator to join the care management team in Illinois. The role supports outreach to patients in care management, uses the MHN portal, and helps build individual care plans in collaboration with the Medical Home.

Ideal candidates have a high school diploma, 3+ years in a medical office, EMR experience, and strong communication skills; bilingual is a plus.

Qualifications

• High school diploma or equivalent required.
• No licensure required; at least three years of experience in a medical office; ambulatory environment preferred.
• One to three years of experience with electronic medical records.
• Medical Assistant program completion preferred.
• Bilingual abilities are highly desirable.

Responsibilities

• Monitors the MHN portal and coordinates outreach for care management.
• Gathers and delivers required documents such as medical records and notes.
• Participates in initial patient screening, surveys, and education under the care team.
• Follows up with patients in hospital/clinic settings as needed.
• Audits patient records and supports care plan development.
• Acts as a trained health coach and connects patients with community services.
• Assists patients with utilizing health care services and referrals.
• Schedules appointments and tracks adherence to scheduling.
• Documents all correspondence in MHN portal and EMR where required.
• Collaborates with Medical Home to arrange calls and develop individualized care plans.
• Works with the care team to improve outcomes using MHN measures.

Skills

Verbal communication

Written communication

Interpersonal skills

Organization

Multi-tasking

Self-motivated

Education

High school diploma

Medical Assistant program

Tools

EMR system

Job description

FLSA Status

Non-Exempt

Position Summary

The Care Coordinator will be an integral member of the care management team. Responsible for assisting the team in providing outreach efforts to patients currently receiving care management services. This role will utilize the established model of case management to support the care teams. Exemplifies the CCHC mission, vision and values and acts in accordance with CCHC policies and procedures, including complying with all CCHC Customer Service Standards.

Responsibilities Include but are not limited to:

• Monitors Medical Home Network (MHN) portal.
• Gathers and delivers required documents for care management model, including but not limited to medical records outside of CCHC, referral/consult notes, and post hospitalization records.
• Involved in the initial patient screening process, initial patient survey, reminder patient phone calls, as well as providing education under the guidance of the care team.
• Follows up with patients in the hospital/clinic setting as needed.
• Audits patients’ records.
• Serves as a trained health coach to patients (CCHC will provide motivational interviewing training)
• Connect patient and Medical Home to needed community-based services, providing care management.
• Assists patients in utilizing healthcare services and referrals that are both in and out of their individual insurance plan.
• Schedules appointments and monitors compliance with keeping appointments.
• Documents all correspondence in MHN portal and electronic medical records, as necessary.
• Collaborates with patient’s Medical Home to arrange conference calls as needed.
• Collaborates with the care management team to develop the patient’s individualized care plan.
• Works with care team to improve identified outcomes by using MHN quality measures.
• Works with care team to identify extrinsic barriers to adherence (i.e. transportation, financial concerns or pharmacy) and works with patient and team to alleviate barriers.
• Acts as a liaison to multiple departments, agencies, and provider offices.
• Performs related duties as assigned.

Minimal Qualifications/ Experience & Skills:

• High school diploma or equivalent required.
• No licensure required. At least three years of experience in a medical office; experience working in an ambulatory environment required.
• One to three years of experience with electronic medical records.
• Medical Assistant program completion preferred.
• Knowledge of the needs of highly complex patients.
• Strong verbal and written communication skills and interpersonal skills. Good organizational skills.
• Ability to multi-task and be self-motivated.
• Ability to work effectively independently and as part of a team.
• Bilingual highly desirable.

Employee Benefits offered to Fulltime Staff

• Blue Cross Blue Shield Medical Insurance
• Blue Cross Blue Shield Dental and Vision Insurance
• Life Insurance (Provided by the company)