Care & Outreach Coordinator: Bridge to Care & Community

Penn Medicine; Philadelphia (Philadelphia County); Sur place; USD 42 000 - 65 000; Plein temps

Résumé du poste

Penn Medicine is seeking a Care & Outreach Coordinator to serve as the primary contact for treating physicians, clinicians, and patients, coordinating access to clinical and community care services within UPHS. You will organize, attend, and present at provider and community resources to expand outreach of the COE.

In this role, you will meet with patients monthly to assess needs, coordinate services across disciplines, and facilitate timely appointments with behavioral health programs, labs,

Qualifications

• H.S. Diploma/GED (Required).
• An Associate’s Degree in Behavioral Health, Nursing or related field of study required.
• Prior experience in behavioral health preferred.

Responsabilités

• Care Coordinator will meet with patient at least monthly to assess compliance, address patient needs and gain insight into unmet needs.
• Coordinate information and patient needs with appropriate interdisciplinary provider: PCP, social work, MAT provider, D&A provider, etc.
• Serve as an essential link between patients and all other care providers.
• Care Coordinator is responsible for interacting with patient service representatives to expedite scheduling for follow-up and acute care appointments within UPHS.
• Facilitate appointments for consults and support services within established service standards, including behavioral health clinicians, social workers, physician, community agencies, etc.
• Coordinate multidisciplinary team meetings
• Develop concise patient progress summaries for use by the care team, and document recommendations made utilizing standardized care protocols in accordance with state/nationally recognized care guidelines.
• Monitors and evaluates the delivery of care through documentation and tracking of needs addressed, track outcomes and support strategic planning through COE data collection in accordance with all State requirements.
• Assist in the development of patient education programs and tools.
• Follow patients throughout the care continuum, including inpatient admissions, discharges from all levels of care, and collaborate with inpatient care management resources.

Formation

H.S. Diploma/GED (Required)

Associate’s Degree in Behavioral Health, Nursing or related field of study required

Description du poste

Penn Medicine is seeking a Care & Outreach Coordinator to serve as the primary contact for treating physicians, clinicians, and patients, coordinating access to clinical and community care services within UPHS. You will organize, attend, and present at provider and community resources to expand outreach of the COE.

In this role, you will meet with patients monthly to assess needs, coordinate services across disciplines, and facilitate timely appointments with behavioral health programs, labs,