Patient Coordinator Home Health

582 Navicent Health, Inc; Macon (GA); On-site; USD 43,000 - 65,000; Full time

Benefits offered by this job

Healthcare benefits

Paid time off

Educational opportunities

Job summary

Advocate Health is seeking a dedicated Care Coordinator to engage medically vulnerable patients, provide support and education to help them achieve better health outcomes. You will screen for social determinants of health, coordinate with the Care Management team, and refer patients to community resources and support services.

This role requires strong communication, organizational skills and a commitment to confidentiality as you navigate transitions of care across home, clinic, and hospital

Qualifications

• A High School Diploma or GED is required.
• Must possess excellent verbal and written communication skills.
• Must possess basic computer knowledge and ability to use Microsoft Office applications.
• Strong organizational skills.
• Must have effective interpersonal skills.
• Must be able to respond quickly to changes in community and clinic settings.

Responsibilities

• Engages a population of medically vulnerable or chronically ill patients and provides support and education.
• Communicates with the Care Management team to promote proactive patient partnerships.
• Completes screenings on patients for social determinants of health needs and refers as appropriate.
• Uses Chronic Disease Management protocols and monitors patient-reported biometrics and adherence; follows up as needed.
• Provides customized, evidence-based patient education under clinical guidance across areas like weight management and tobacco cessation.
• Assists with coordination of care across the care continuum and transitions of care while maintaining patient confidentiality.

Skills

Verbal and written communication

Interpersonal skills

Organizational skills

Adaptability

Education

High School Diploma or GED

Tools

Microsoft Office

Job description

Job Overview

Department: 12101 Enterprise Corporate - Community Education Status: Full time Benefits Eligible: Yes Hours Per Week: 40 Schedule Details/Additional Information: Monday through Friday 8a to 5p shift Pay Range: $20.80 - $31.20

Essential Functions

Engages a population of medically vulnerable or chronically ill patients in their care, assisting them through the process of working towards better health by providing support, encouragement and education. Communicates and maintains relationships with other members of the Care Management team to promote a lifelong, proactive partnership with patients to enhance and personalize management of health-related needs. Completes screenings on patients for social determinants of health needs and refers as appropriate. Communicates with patients and caregivers in person, by telephone and via electronic means. Utilizes Chronic Disease Management protocols, under the direction of clinical teammates; monitors patient-reported biometrics, medication adherence, reported challenges/barriers and promptly connects the patient with the appropriate resources, and/or notifies the patient's care team for additional follow-up. Provides customized, evidence-based patient education in a variety of areas, under the guidance of clinical teammates and based on the patient's readiness to change; includes but not limited to weight management/exercise, tobacco cessation, stress reduction and chronic disease self-management. Uses Motivational Interviewing skills to engage and assist patient/parent/family. Assists providers' offices/ medical home staff with member specific missed appointments through outreach and scheduling. Advocates and facilitates referrals to gain access to services and resources for patients, including patient assistance programs, community-based services and mental health support. Assists with the coordination of care across the care continuum and transitions of care (including home care, outpatient care, ER care, and hospital care) while maintaining strict patient confidentiality. Advocates to help those who frequently access inappropriate levels of care.

Physical Requirements

Work requires walking, standing, sitting, lifting, reaching, bending and stooping. Must lift a minimum of thirty-five pounds shoulder high. Ability to travel/ drive between various locations is required for this position. Requires frequent verbal and written communication in English. Must have intact sense of sight, hearing and finger dexterity. Occasional intermittent noise and exposure to conditions such as dust, fumes and chemicals.

Education, Experience and Certifications

A High School Diploma or GED is required. Must possess excellent verbal and written communication skills. Must possess basic computer knowledge and ability to use Microsoft office applications. Strong organizational skills. Must have effective interpersonal skills. Must be able to respond quickly to changes in community and clinic settings.

Our Commitment to You

Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more - so you can live fully at and away from work, including: Compensation Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training Premium pay such as shift, on call, and more based on a teammate's job Incentive pay for select positions Opportunity for annual increases based on performance Benefits and more Paid Time Off programs Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability Flexible Spending Accounts for eligible health care and dependent care expenses Family benefits such as adoption assistance and paid parental leave Defined contribution retirement plans with employer match and other financial wellness programs Educational Assistance Program.

Note: Eligibility for programs listed above may depend on your FTE or status (e.g., full-time, part-time, per diem, temporary, etc.; please ask a Recruiter for more information during an interview.

About Advocate Health

Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation’s largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits. This is Transformation One shared purpose brought us together. Now, as one of the 10 largest not-for-profit, integrated health systems in the United States, our combined strength and stability drives us forward. Starting with You Caring for nearly 3 million people has inspired a transformation. One in which the patient’s experience guides our vision and empowers us to offer new possibilities in our communities. Reshaping Access What is access? It’s offering more sites of care than any other health system in the Midwest. But there's a new frontier. Access is exploring the latest technologies to deliver care to patients exactly where they are and exactly when they need it Inspiring Professionals With our dynamically inclusive workforce and strong connections to the places where we live and work, we’ll touch more lives and contribute to stronger and more vibrant communities. Transforming Care We’re redefining the standard for care with world-class doctors and caregivers, innovative solutions, outstanding outcomes, and leading-edge research and clinical trials. Combined, Advocate and Aurora are recognized for clinical excellence in: Cardiovascular Care Neurosciences Gynecology Oncology Pediatrics Primary Care Neurology Geriatrics Trauma Care.