Wellness Care Coordinator

Job Description

Job Description

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Base Salary: $21.00 - $31.50 / hour JOB SUMMARY Under the direction of the Director of Quality Improvement, the Wellness Care Coordinator works as part of a multidisciplinary team to support quality patient care, population health activities, and organizational performance. The Wellness Care Coordinator performs patient outreach, care coordination, and pre-visit planning activities, including annual wellness visit preparation and completion of health risk assessments. This role conducts outreach by phone, text, and mail; provides patient education related to preventive and chronic care needs; and facilitates coordination with internal departments and external partners. The Wellness Care Coordinator supports SCHC quality initiatives, including but not limited to Aledade ACO and other programs as assigned by the QI Supervisor and/or Director of Quality Improvement.

JOB DUTIES AND RESPONSIBILITIES

Patient Scheduling

·         Schedules Annual Wellness Visits and coordinates related pre-visit processes to ensure efficient patient flow and readiness for care.

·         Assists with coordinating and scheduling other patient appointments as appropriate to support continuity of care and population health activities.

·         Reviews and completes Health Risk Assessments, including medical, surgical, and family history, fall risk, activities of daily living, social history, and patient-provider relationships.

·         Collaborates with front office and clinical staff to optimize appointment availability and ensure alignment with provider workflow.

Outreach & Care Coordination

• Conducts patient outreach via phone, text, or mail to support preventive care, chronic disease management, and care gap closure.
• Provides patient education related to preventive screenings, chronic disease management, and general health maintenance.
• Assists patients in connecting with appropriate services and resources to support continuity of care and improved health outcomes.

Quality Program Support

• Supports SCHC quality health measures, including but not limited to Aledade ACO and other programs as assigned by the QI Supervisor or QI Director.
• Collaborates with clinical teams, Training, Operations, and external partners such as the Aledade ACO team to advance quality initiatives.
• Assists with implementation and monitoring of workflows tied to quality-related activities, including Annual Wellness Visit optimization, Emergency Department follow-up calls, and transitional care processes.

Participates in special projects and operational tasks assigned by the QI Director or QI Supervisor.

Phones

·         Answers and routes incoming calls appropriately, maintaining professionalism and appropriate boundaries related to clinical advice and triage.

·         Provides clear communication to patients regarding outreach, scheduling, and Health Risk Assessment processes.

·         Ensures timely, accurate messaging and follow-up using appropriate communication tools.

Health Information Services Duties

·         Maintains and protects patient confidentiality of medical records

·         Maintenance of patient records in the EHR system

·         Works with management in the use of the patient portal to provide patient communications, reminders, and other electronic messages from the referral team

·         Maintains open communication in the referral center by sharing acquired information with team members

·         Processes incoming documents (paper and eFax) for Indexing into chart

·         Accurately performs data entry and retrieval on computers as needed, including making appropriate changes in chart activity status and performing chart tracking functions

Other Duties

·         Communicate regularly with clinical teams and managers regarding scheduling, outreach, and workflow needs. Effectively maintains and protects the confidentiality of all medical records and patient information

·         Maintain accuracy of patient demographics and financial information in current system

·         Reports on any safety hazards

·         Perform other duties as assigned

KNOWLEDGE, SKILLS, AND ABILITIES

·         Average proficiency using a computer to accomplish work

·         High level of communication skills

·         Ability to maintain a calm, professional, and helpful demeanor under stressful conditions. Skill in making appropriate decisions to benefit patients and meet SCHC objectives

·         Ability to prioritize work and complete it on a timely basis with minimal supervision

·         Strong customer service approach to problem solving situations

·         Ability to read, write, understand, and spell English and medical terminology correctly

• Demonstrated ability to work effectively in a team environment.
• Ability to adapt to change and participate in efforts that promote patient care and quality.

EDUCATION & EXPERIENCE

·         High school diploma required or equivalent

·         Ability to read, write, understand, and spell English and medical terminology correctly

·         Excellent people skills and customer service orientation

·         Basic Computer or keyboarding skills

·         Typing 35 WPM or above

 

PREFERRED

·         Experience working with common health care programs

·         Experience working with patient registration procedures

·         Basic knowledge of medical or dental terminology

 

BENEFITS

SCHC understands the importance of good health for every employee. We offer a comprehensive benefits package to ensure employees and their families receive the optimal in health care coverage, along with options to meet their needs.

• Competitive wages
• Medical insurance
• Dental insurance
• Vision insurance
• 403(b) retirement plan with matching employer contribution
• Long-term disability coverage
• Life insurance
• Accidental death and dismemberment insurance
• Supplemental Insurances
• Flexible spending account
• Paid vacation
• Paid sick
• Paid holidays
• Paid CME time and CME allowance
• Employee assistance program
• Jury duty pay
• Bereavement pay
• Prescription discount program
• 529 college savings plan
• Educational reimbursement program
• Gym membership discounts
• Free subscription based app for meditation and sleep
• Free telemedicine service for benefit eligible employees

Shasta Community Health Center is an Equal Opportunity Employer