Clinical Care Coordinators

The Clinical Care Coordinators will support the Patient-Facing Care Delivery Support programs. It combines both patient care coordination and administrative/operational responsibilities in a customer-oriented professional role. Our care coordinators will work together as a team to facilitate the planning and organizing of all critical activities for our patients in the home setting. As a care coordinator, you will facilitate referrals and assist our field based team with utilization and patient transitions back to their home. You will work closely with our clinical team of physicians, nurse practitioners, nurses, social workers, and dieticians to make sure our patients receive the highest quality care.

Essential Functions

  • Consistently exhibits behavior and communication skills that demonstrate Tandigm Health’s commitment to superior customer service, including quality, care, and concern for each and every internal and external customer.
  • Assist the field-based house calls team with scheduling, communicating, and coordinating care by communicating and completing tasks as directed.
  • Assist the care coordination staff with execution and documentation of the discharge care plan that includes initiation of referral forms, gathering clerical information, initiating the process of completing a chart and appointment scheduling.
  • Supports daily functions of the field based team, including answering incoming calls; coordination of clinical services; responding to internal and external requests and inquiries; updating databases, spreadsheets, or other reports.
  • Communicate and coordinate directly with patients on a timely basis for all scheduling requirements.
  • Communicate authorization/denial for services to appropriate parties.
  • Coordinates with PCP practices, skilled nursing facilities, urgent care centers, home health, and durable medical equipment companies to ensure coordination of services to support patient needs.
  • Maintain accurate and complete documentation of records. Forms are fully-completed, legible, have no unapproved abbreviations and have the proper signatures. Electronic medical records are completed
  • Ensure that documents get to appropriate parties in a timely manner, without compromising confidentiality or patient privacy procedures.
  • Maintain familiarity with clinical and medical terminology pertinent to the patient population.
  • Works closely with clinicians to address member concerns; communicates resolutions as directed.
  • Acts as a resource to other coordinators, staff and providers, as requested, resolving issues and responding to requests in a timely and efficient manner.
  • Utilizes applicable software to track and document activities.
  • Uses, protects, and discloses HCP patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards.
  • Performs additional duties, as assigned.

Education

Minimum: High school diploma, G.E.D. or equivalent. Preferred: Associate’s or Bachelor’s Degree; Clinical Medical Assistant (CMA) or Clinical and Administrative Medical Assistant (CAMA) Certification strongly preferred.

Experience

At least two years of experience in a medical office or hospital setting.

  • Knowledge of medical terminology, HIPAA procedures, and experience working in patient care settings.
  • Proficiency with Microsoft Excel/Outlook.
  • Ability to adjust quickly and effectively to changing conditions and demands when performing assignments in order to meet Department and Regional goals.
  • Ability to speak with patients and act professionally under pressure.

Knowledge, Skills, Abilities

  • The self-motivated individual who takes on this rewarding role will have a history of success in project accountability and customer responsiveness; is a team player yet comfortable working autonomously; and is detail-oriented, accurate, and thorough.
  • Customer-service oriented; responsive and respectful to colleagues, clients, patients, and providers.
  • Excellent communication skills; ability to represent the organization to outside vendors with skill and confidence.
  • Requires superior interpersonal skills; especially important will be the ability to engage and motivate patients, physicians, and service providers telephonically.
  • Organized, detailed, accurate.
  • Self-motivated and proactive; responds to requests in a timely and efficient manner.
  • Collaborative and resourceful; functions successfully in a team environment as well as independently.
  • Computer literate with proficiency in Microsoft Office suite of programs.
  • Proficient with web-based search engines and software applications, office hardware (phones, fax machines, etc.)
  • Ability to type at least 45 wpm.
  • Knowledge and familiarity with medical terminology.
  • Working knowledge of HMO/managed care/health plans.
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