Licensed Care Coordinator

Job Description

Job Description

POSITION SUMMARY

Provides support for the Vital Signs Wellness Chronic Care Management program by coordinating a comprehensive plan of care. Facilitates the transmission of information between providers and patients, as well as access to services needed. Provides advocacy, information and referral services to patients and families to address their medical and psychosocial needs.

The following statements describe the principal activities of this position identified and shall not be construed as a detailed exposition of all duties that may be inherent in this position.

DUTIES AND RESPONSIBILITIES

● Communicate effectively with doctors and other healthcare professionals the status of clients and their current needs.

● Reviews client’s medical preferences, pharmacy, providers and clinicians and make referrals based on need.

● Advocate for and provide information to patients and their families based on necessity

● Establish a relationship of trust and support that continues over time as needs of patients change.

● Learn to effectively utilize the portal and all software systems needed.

● Represent Vital Signs Wellness in a caring and professional manner to doctors and other health professionals.

● Complies with Compliance plan and HIPAA Policies. Maintains confidentiality of information relating to the patient and family with those directly involved in the patient’s care.

● As business needs may change, may perform additional responsibilities assigned by supervisors that are reasonably related to the position.

● Follow coordination of care Medicare guidelines on chronic care management.

● Develop rapport with patient, gain trust. Obtaining consent

● Completion of coordination of care minimum of 20 minutes per patient per month. If unable to complete coordination of care must specify the reason why coordination was not attained. If no CPT code formulated, it is not a reimbursable code/time

● Coordinate with all care-team members involved with care: patient, caregiver, pharmacy, hospital, consult team, home health, hospice, nursing home etc

* Formulation of careplan, revision of and editing care plan as needed or every 3 months

● Introduction of advance care planning- do not resuscitate orders, etc

● Completion of screening schedule yearly for each patient: annual wellness screen and transitional care management,

● Utilization of chronic care codes on chronic care diagnosis only

● Utilization of Behavioral Health codes for all Behavioral diagnosis codes only

● Utilization of Remote Physiologic Monitoring (RPM) for physiologic data i.e. blood pressure, pulse, weight, glucose levels

MINIMUM JOB REQUIREMENTS:

Education: Must possess a certificate or degree related to healthcare, customer relations, management, marketing

Language: Fluently speak Gujarati

EXPERIENCE:

At least has some experience with dealing with a patient in a clinical setting

KNOWLEDGE, SKILLS, & ABILITIES:

● Ability to plan and organize time effectively, work independently and show good judgment.

● Must have excellent problem-solving and critical thinking skills.

● Ability to deal effectively and courteously with clients, family, physicians, medical professionals and co-workers.

● Ability to interact and exhibit an empathetic attitude toward the sick and elderly.

● Must maintain confidentiality of client records and information.

● Must be proficient with computer use, keyboarding skills and Microsoft Office.

● Ability to work independently and with initiative to meet work production expectations.

● Ability to communicate effectively, verbally and in writing. Friendly, caring, attentive and listening voice.

● Knowledge of basic keyboarding, personal computer, Microsoft office, Google docs

● Ability to work on-call as needed

PHYSICAL DEMANDS AND WORK ENVIRONMENT:

● Constant Sitting, Constant Reaching with Arms and Hands

● Constant Keyboarding and Fine Manipulation

● Constant Close Vision and Manual Dexterity

● Occasional Reaching Above Shoulder Level

WORK ETHIC:

● Projects a professional attitude toward self, clients, consumers, attendants and other staff members at all times, most especially to the patients

● Equipment and Supplies: Prudent and efficient use of routine office equipment.

● Job entails valid credentials for the coordinator wherever physician/provider in United States is licensed meaning all work done outside of Illinois will have to be reviewed, signed off and managed by a credentialed nurse before all documentation will be submitted for billing.

* Portals used dependent on assigned accounts are: Practice Fusion, Health Endeavors, Chronic Care IQ (CCIQ), E Clinical Works (ECW), Point Click Care (PCC), Chart Path

● Phone service: RingCentral with extension assigned to each coordinator

● Per physician account population 150 +/- patients

● Expectation of submission of CPT codes documented weekly and must be submitted/approved for payroll

● Expectation is every 1st week of the month to attend mandatory meeting keeping everyone up to par regarding patient care, issues and concerns, regulatory updates

● 1 month notice to be given when leaving company

● Biweekly payroll