Referrals - Care Coordination Specialist

Job Description

Job Description

About Company:

Our Journey of Care: Empowering Communities Across Arkansas

 

Welcome to Healthy Connections, your destination for quality healthcare across the state of Arkansas. For over 25 years, we have been steadfast in our commitment to providing exceptional medical, dental, and behavioral health services to the diverse communities we proudly serve.

As premier health clinics in Arkansas, we are a Federally-Qualified Health Center (FQHC) that embraces a patient-centric approach. Our services extend beyond conventional healthcare; we are dedicated to ensuring access to quality care for all, with a focus on inclusivity and community engagement.

Comprehensive Health Services Across Arkansas
At Healthy Connections, we operate as health clinics across Arkansas, offering a wide range of medical, dental, and behavioral health services. Our medical clinics are equipped to handle various healthcare needs, from routine check-ups to specialized care. Our dental clinics provide comprehensive dental services, promoting oral health and well-being. Additionally, our behavioral health clinics cater to the mental health needs of our community, fostering emotional wellness.

Accepting Medicaid and Medicare, Supporting Our Communities
As Medicaid and Medicare accepted clinics in Arkansas, we are committed to removing barriers to healthcare access. Our goal is to ensure that everyone in our community, regardless of financial circumstances, can receive the care they need. We also operate on a sliding fee scale, providing affordable healthcare to those without insurance. Our dedication to accessibility is further underscored by our acceptance of ArKids 1st, making us a reliable choice for families seeking pediatric care.

Diversity and Inclusivity in Healthcare
Healthy Connections takes pride in being part of Arkansas community health centers that prioritize diversity and inclusivity. Our healthcare team is culturally competent, ensuring that every patient receives personalized and respectful care. We embrace the diversity of our community and strive to make healthcare accessible to everyone.

Looking Ahead with Optimism:
As we celebrate more than 25 years of service, we look forward to continuing our legacy of care and compassion across Arkansas. Our commitment to excellence and community engagement remains unwavering. Whether you are seeking medical, dental, or behavioral health services, we invite you to explore the comprehensive and compassionate care we provide at Healthy Connections.

Thank you for being a part of our journey. Explore our website to learn more about our dedicated team and the health services we offer. At Healthy Connections, we are not just healthcare providers; we are partners in your health and well-being. Together, we will build healthier, happier communities for years to come.

This is an On - Site position.

About the Role:

The Care Coordination Specialist will play an instrumental role in a department that is providing fully coordinated patient care to improve the overall performance of the value-based care population across the healthcare continuum by ensuring patients receive the right care, at the right time, by the right people. The Care Coordination Specialist is responsible for facilitating multiple components of care to include but not limited to the scheduling of Annual Wellness Visits, gaps in care closure, as well as playing a critical role in the onboarding of patients into other key care management programs. This individual will assist in providing value-based, cost-effective healthcare services throughout the care continuum by meeting Key Performance Indicators (KPIs) and quality measures as set forth by the Accountable Care Organization (ACO), insurances, and Healthy Connections Quality Team. The Care Coordination Specialist is an essential liaison between patients and practice by coordinating medical treatment, building relationships with patients, serving as an advocate for the champion of patient’s health, and connecting patients with social and community support systems for continuation of care.

Minimum Qualifications:

a. High school education

b. Must have a working knowledge of Microsoft office products, and familiarity with network systems.

c. Excellent organizational, written and customer service skills necessary.

d. Ability to travel to all locations and to meetings outside of the service area.

e. Ability to understand verbal communication and instruction, exchange verbal information and to present information verbally.

f. Ability to establish and maintain effective, courteous working relationships with patients, staff team members, business entities and others.

g. Ability to organize, prioritize and problem-solve independently.

Preferred Qualifications:

• Experience working with electronic health records (EHR) and referral management software.
• Knowledge of healthcare regulations such as HIPAA and patient privacy standards.
• Certification in care coordination or case management (e.g., CCM, CPC).
• Bilingual abilities to support diverse patient populations.

Responsibilities:

• Manage and process patient referrals by coordinating with healthcare providers, specialists, and insurance companies to ensure timely and appropriate care.
• Verify patient insurance eligibility and benefits related to referrals to prevent coverage issues and delays.
• Schedule appointments and follow up with patients and providers to confirm referral completion and address any barriers to care.
• Maintain detailed and accurate records of all referral activities in compliance with healthcare regulations and organizational policies.
• Communicate effectively with patients to provide clear instructions and support throughout the referral process, addressing any questions or concerns.