Care Coordinator

Job Summary

Performs duties under the direction of the Associate Director for Care Coordination & Special Programs to assist in the ongoing care of patients regarding referrals, coordination of care, test results, prior authorizations for medications/durable medical equipment as needed. Responsible for the coordination of care based on a given assignment from providers or service types and will work hand in hand with clinic staff to provide quality patient care.

Position Goal

Provide patient care through follow up and care coordination with utmost customer service, compassion, and integrity to patients/clients in a clinic or telephonic setting.

Schedule/Compensation

Excellent and competitive benefits package offered which includes medical, dental, vision, disability, and life insurance. Company matching retirement plan and generous paid time off to include vacation and sick leave accruals starting from the date of hire.

Responsibilities

• Accept and follow referrals to completion (scheduling external appointments if needed, verify patient insurance and information is acceptable by partnering institutions, referral notes, imaging notes, and reports are obtained from external providers and scanned into the chart) along with appointment arrangements for patients needing specialist or external medical visits.
• Stays informed about external referral sources and provides appropriate referral options for patients based on services needed and ability to pay.
• Initiate and complete prior authorization for medications and Durable Medical Equipment as needed.
• Takes detailed messages from patients about medical questions/concerns/requests to triage call level of importance, documents these appropriately in Nextgen, routes them to provider, and ensures a timely response to such based on NTACHC expectations.
• Actively participate in performance improvement initiatives such as chronic care management for UDS measures, PCMH certification and any HRSA OSV requirements.
• Ensure timely acceptance and completion of paperwork/forms and reports.
• Communicate with other clinics, specialists, physicians, management, and billing as needed.
• Maintain updated patient information, imaging order forms and referral forms for external entities.
• Is knowledgeable of and maintains HIPAA standards of privacy and confidentiality.
• Ensures that patients get the best possible care and follow up.
• Schedule and contact patients for special programs appointments as assigned.
• Perform other duties as assigned to support NTACHC’s Mission, Vision and Values.
• Performs accurate charting in medical record in accordance with NTACHC policies and procedures.
• Assists nurses, certified medical assistants and providers as needed.
• Able to accurately make/cancel/reschedule appointments in the computer appointment system.
• Keep up to date with all emails, intranet updates, and comply with policies/procedural updates and training as required.
• Understand all emergency protocols and respond accordingly.
• Other Certified Medical Assistant duties as assigned.

Performance Requirements

• Ability to recognize and respect cultural diversity of patients.
• Serve as the communication liaison between patient and physician. Capable of documenting patient communication and clinical treatment accurately and appropriately.
• Recognize and respond effectively to verbal, nonverbal, and written communication.
• Ability to follow established policies and procedures dealing with health care.
• Comply with established risk management and safety procedures.
• Able to establish and maintain effective working relationships with the public and health care team.
• Must respect the confidential nature of medical information and comply with HIPAA laws.
• Working knowledge of standard concepts, practices, and procedures.
• Able to work efficiently and cope with emergency situations.
• Capable of using experience and judgment to plan and accomplish goals.
• Good computer skills and a working knowledge of Microsoft Office.
• Able to read and interpret documents such as charts, safety rules, operating and maintenance instructions, and procedure manuals. Ability to write routine reports and correspondence.
• Behave in a professional manner and maintain a professional appearance.
• Must be a team player and always keep patients as the number one priority.
• Emotional and physical health sufficient to meet the demands of the position.
• Ability to stand/sit for long periods of time.
• Strength sufficient to lift some patients, move heavy equipment on wheels (up to approximately 250 lbs.), and to move patients in wheelchairs and stretchers.
• Consent to scheduled and random drug screen testing as required by NTACHC.

Minimum Qualifications

• High school diploma or GED required.
• Current Basic Life Support certification for healthcare providers from one of the following organizations is required:
  • American Heart Association
  • American Red Cross

• Medical Assistant Certificate from one of the following organizations required:
  • CMA - American Association of Medical Assistants (AAMA)
  • RMA - American Medical Technologists (AMT)
  • CCMA- National Health Career Association (NHA)
  • NRCMA through National Association of Health Professionals (NAHP)
  • NCMA- National Center for Competency Testing (NCCT)
• Prior professional experience as a Medical Assistant is required.
• Bilingual (English/Spanish) highly preferred
• Maintain valid driver’s license and auto insurance as traveling to different clinic locations will be required.

Typical Physical Demands

The physical demands described herein are representative of those that must be met by a staff member to successfully perform the essential functions associated with this position. Because we are committed to inclusion of those with disabilities, reasonable accommodations will be made to enable individuals with disabilities to perform the essential functions associated with their position.

• Balancing: Maintaining body equilibrium to prevent falling over.
• Carrying: Transporting an object, usually by hand, arm or shoulder.
• Crouching: Bending body downward and forward by bending legs.
• Eye/Hand/Foot Coordination: Performing work through use of two or more.
• Feeling: Perceiving attributes of objects by means of skin receptors.
• Fingering: Picking, pinching or otherwise working with fingers.
• Handling: Seizing, holding, grasping or otherwise working with hand(s).
• Hearing: Perceiving the nature of sounds by ear.
• Pulling: Exerting force on an object so that it is moving to the person.
• Pushing: Exerting force on an object so that the object is away.
• Reaching: Extending the hand(s) and arm(s) in any direction.
• Repetitive Motions: Making frequent movements with a part of the body.
• Standing: Remaining on one's feet in an upright position.
• Stooping: Bending the body by bending the spine at the waist.
• Talking: Expressing or exchanging ideas by means of spoken words.
• Walking: Moving about on foot on uneven surfaces.
• Lifting: Raising or lowering an object 25-50 pounds.