CLINICAL CARE COORDINATOR

Health Center LVN Care Coordinator

The Health Center LVN Care Coordinator(s) plays an important role in the support of the mission of Chambers Community Health Centers, Inc. (CCHC), and they lead the patient through their healthcare needs by providing excellent customer service while assessing, implementing, and evaluating their individual cases. They are responsible for maintaining accurate and complete medical records of the clinic patients in a manner consistent with medical, administrative, ethical, legal, and regulatory requirements of the health care system. They also compile and report on health requirements and standards. This position works as a member of the patient-centered medical home care team to coordinate patient care and support patients and families in self-management, self-efficacy, and behavior change. Care team members assess and manage the health needs of the patient population and communicate effectively with all patients, especially vulnerable populations.

Essential Duties and Responsibilities

• Observe, interview, and assess patients to identify care needs.
• Monitor or evaluate medical conditions of patients in collaboration with other health care professionals.
• Develop or assist patients in the development of care and treatment plans.
• Develop, implement, or evaluate standards of nursing practice and if there is a need for a related policy, write a draft policy for approval by the medical director.
• Plan, evaluate, and/or recommend modification of treatment programs based on requirements for Chronic Care Management. Plan, evaluate, and/or recommend modification of treatment programs based on requirements for Transitional Care Management.
• Conduct Annual Wellness Visits.
• Make clinical recommendations to physicians, other health care providers, and patients. Coordinate/facilitate patient care with participating health care organizations.
• Improve communications with organization(s) and specialty care providers to facilitate exchange of patient-care information, including test results and other point-of-care information.
• Implement initiatives vital to the operation of CCHC and the success of its mission, including those initiatives related to the patient centered-medical home and ACO.
• Assess the patient's chief complaint or reason for the visit to prepare the patient for their visit with the provider. Document additional information not collected or disclosed during the initial triage.
• Educate patients about treatment procedures, medications, diets, and provider's instructions.
• Follow-up on patient calls, lab results, referrals, prescription requests and patient questions.
• Consult, coordinate and collaborate with healthcare team members to assess, plan, implement or evaluate patient care plans.
• Educate the patient as to the purpose of a referral.
• Review records for completeness, accuracy and compliance with company, state, and federal regulations.
• Maintain patient charts in the electronic medical records system, while ensuring accuracy in the patient record.
• Assist in quality improvement, auditing, safety, and compliance measures of the organization.
• Performs Hearing & Vision Screenings as needed/indicated
• Adheres to all Chambers Health appearance standards and maintains a professional dress at all times while working.
• Maintains friendly, efficient, positive customer service attitude toward customers, clients and co-workers. Is responsive to customer needs.
• Uses Service Excellence model when interacting with patients, client, and guests.
• Demonstrates commitment to professional growth and competence by adherence to hospital and departmental annual training commitments.
• Participates in self-development by attending mandatory in-services and educational programs appropriate to the goals and needs of the department.
• Adheres to all established systems and training programs to provide a safe environment.
• Maintains compliance with Chambers Health standards of operation. Always adheres to Chambers Health Business Conduct Policy. Maintains all records and reports to ensure compliance, with all local, state and federal regulations and codes.
• Maintains compliance with all requirements of Federal, State and local regulations and guidelines including the Civil Rights Act of 1964, as amended, the Age Discrimination in Employment Act of 1967, as amended, and the Americans with Disabilities Act, as amended.

Other Duties

• Customer service oriented.
• Oral and written comprehension, expression recognition and clarity.
• Computer & Technology skills includes the ability to navigate and utilize Microsoft Office and proprietary medical software packages.
• Time Management - includes the ability to prioritize tasks to serve the patient and the flow of the clinic.
• Cultural Competency includes the ability to deal with people of various cultures and social status, as well as outside entities.
• Respond to emergency situations and perform basic life support skills
• Performs other related duties as may be assigned by manager.

Work Environment

The work environment characteristics described in the following tables are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee may illness and communicable disease.

Use of Equipment

• Computer
• Telephone
• Otoscope
• Vital Sign Machine
• Autoclave
• Ophthalmoscope
• EKG
• Audiometer
• Copier/Fax/Scanner
• Scale

Requirements

Qualifications

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions:

Must be able to work independently with limited supervision. Demonstrates interpersonal and communication skills, both written and verbal. Requires strong organizational skills, accuracy and attention to detail.

Lifting Requirements

• Sedentary Lifting up to 10 pounds maximum and occasionally lifting and or carrying small items (files, manuals, binders)
• Light Lifting 20 pounds maximum with frequent lifting and/or carrying objects up to 10 pounds
• Medium Lifting 50 pounds maximum with frequent lifting and/or carrying objects weighing up to 25 pounds
• Heavy Lifting 100 pounds maximum with frequent lifting and/or carrying objects to 50 pounds
• Very Heavy Lifting objects in excess of 100 pounds with frequent lifting and/or carrying objects weighing 50 pounds or more

Physical Demands

Definitions

Not Required May be a routine part of the job, but the essential functions can be performed without this activity.

Occasional Activity is needed to perform the essential functions of the job at random intervals.

Frequent Activity is usual and customary part of the essential functions of the job.

Constant Activity is continually occurring and required to perform the essential functions of the job.

Bending - Frequent

Keying - Frequent

Hearing - Constant

Reaching - Frequent

Seeing - Constant

Speaking - Constant

Standing - Constant

Walking - Frequent

Lifting - Frequent

Carrying - Frequent

Climbing - Not Required

Kneeling - Occasional

Tasting - Frequent

Smelling - Frequent

Pushing - Frequent

Pulling - Frequent

Overhead Reaching - Occasional