Care Coordinator

Location 8535 TOM SLICK DR,SAN ANTONIO, TX, 78229,United States Job Category Care Coordination, 370008 Employee Type Non-Exempt PT Required Degree 4 Year Degree Manage Others No Description POSITION SUMMARY Works in collaboration and continuous partnership with chronically ill or “high risk” patients and their family/caregivers, clinic/hospital/specialty providers and staff, and community resources in a team approach to: promote timely access to appropriate care, increase utilization of preventative care, reduce emergency room utilization and hospital readmissions, increase comprehension through culturally and linguistically appropriate education, create and promote adherence to a care plan, increase continuity of care by managing relationships, increase patients ability to for self-management and shared decision-making, provide assistance with medication refill requests and prior authorizations, connect patients to relevant community resources with the goal of enhancing patient health and well-being. It is expected that the employee demonstrate behavior consistent with the Core Values and support the strategic plan and the goals and direction of the Performance Improvement Plan. Requirements EDUCATION/TRAINING EXPERIENCE Bachelor's degree or equivalent Three to five years in clinical or community resource settings; care coordination and/or case management experience desired Summary THE ESSENTIAL DUTIES OF THE POSITION Develop and implement a system for identifying and prioritizing continuedcare needs for Clarity patients, including identification and management ofhigh risk patients Assist patients through the health care system by acting as patient advocateand navigator Educate patients/caregiver using “teach back” skills Conduct Post-Discharge phone calls within 48-72 hours to reinforce Discharge Plan Facilitate patient access to appropriate medical and specialty providers Coordinate continuity of patient care within Clarity system of care and withexternal providers to promote quality health outcomes and efficiently manageresources Communicate and coordinate effectively with, and is responsive to,internal/external providers (e.g., Clinical Staff, Medical Staff, andcommunity providers) Promotes clear communication amongst care teams and treating cliniciansby communicating care plans Support patient education and self management of disease Assists with identification of “high risk” patients, and add these to patientregistryParticipates in clinical team meetings and quality improvement initiatives Facilitate and attend meetings between patient, family, care team, payor,and community resources, as needed #J-18808-Ljbffr