Care Coordinator-Specialty - Lexington CHC

Care Coordinator-Specialty

Clinica Sierra Vista is excited to be one of the largest Federally Qualified Health Centers in the Nation!

We're honored to serve the men and women of the fields. We also offer care and support to the inner city, the rural and isolated, those of low, moderate, and fixed incomes, and families from an array of cultural backgrounds who speak several languages. We don't inquire about immigration status because we simply don't need to know. If you come to us, we will treat you like any other patient.

As we grow our team, we are looking for individuals who believe the patient is always #1.

Why work for us?

• Competitive pay which matches your abilities and experience
• Health coverage for you and your family
• Generous number of vacation days per year
• A robust wellness plan and health club discounts
• Continuing education assistance to grow and further your talents
• 403(B) plan with company matching

The Care Coordinator will report to the Practice Manager. Care Coordination allows primary care physicians to use dedicated time to direct proactive care for their patients, uses staff support to conduct outreach, and leverages new panel-based information technology tools.

Essential Functions:

1. Receive internal referrals from primary care providers for the specialty services in CSV
2. Process prior authorizations required for approval of consultations from insurers, when applicable.
3. Review charts to assess appropriateness, urgency and medical necessity of specialty consultations.
4. Schedule consultation appointments according to appropriateness, urgency and medical necessity.
5. Work through standing orders previously designed by the specialty physicians to gather laboratory data or imaging studies required before visits.
6. Develop and implement a mechanism for processing and tracking outgoing referrals ordered by specialty physicians and ensuring clients successfully follow-up on referrals. This includes recovering reports.
7. Conduct pre-visit planning for specialty consultation and follow up encounters and obtain medical records when appropriate.
8. Monitors influx of new patients into provider panels and analyzes provider capacity to absorb new patients.
9. Responsible for patient transfers within and outside CSV for the assigned PCP's.
10. Patient-initiated PCP-change requests; facilitate discussion between and obtain approval from current assigned PCP and future PCP; makes the change in the practice management system.
11. Provider-initiated PCP change requests. Facilitates discussion between current PCP and potential future PCPs; obtains agreement of acceptance by the new PCP.
12. Patient transferring care to non-CSV provider: Facilitate communication with outside provider to ensure continuity.
13. Proactively engage priority patients to promote availability of expanded access to clinics and reduce unnecessary Emergency Room utilization.

You'll be successful with the following qualifications:

• Education: Medical Assistant certified or program completion.
• Computer proficiency: Excel, Word, Outlook, Nextgen, PDF, etc.
• Spanish speaking preferred
• Always maintain excellent internal and external customer service.
• Maintain the highest degree of confidentiality possible when performing the functions of this department.
• Possess the tact necessary to deal effectively with patients, providers, and employees, while maintaining confidentiality.
• Must be able to work independently, handling high volume and multiple tasks.
• Must be reliable with attendance.
• Must be highly organized and detail oriented.
• Possess knowledge of modern office equipment, systems and procedures.
• Ability to multi-task and work efficiently in a potentially stressful environment.
• Ability to apply common sense understanding when carrying out detailed written or oral instructions.
• Must have excellent verbal and written communication skills.
• Ability to effectively present information and respond to questions from internal and external customers.
• Must have a pleasant, professional attitude toward patients, providers, co-workers and superiors.
• Teamwork skills a must.
• All other duties as assigned by Operational Leadership.

Clinica Sierra Vista values human rights, goodwill, respect, inclusivity, equality, and recognizes that the organization derives its strength from a rich diversity of thoughts, ideas, and contributions. As leaders in healthcare industry, we aspire to be an employer of choice by promoting an organizational culture that reflects these core values. We seek to attract, develop, and retain a talented and dedicated workforce where people of diverse races, genders, religions, cultures, political affiliations and lifestyles thrive. Our goal is to create a welcoming and inclusive environment that empowers our employees to provide the highest level of service to our community of residents and businesses; they're counting on us.

Clinica Sierra Vista is an equal opportunity employer and strives to attract qualified applicants from all walks of life without regard to race, color, ethnicity, religion, national origin, age, sex, sexual orientation, gender identity, gender expression, marital status, ancestry, physical disability, mental disability, medical condition, genetic information, military and veteran status, or any other status protected under federal, state and/or local law. We aim to create an environment that celebrates and embraces the diversity of our workforce. We welcome you to join our team!