Role Description
Patient Care Coordinator manages and coordinates all aspects of a patient’s care, working closely with the care team to ensure treatment plans are followed and the patient’s needs are met.
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Assists the care team in coordinating safe, timely, effective, efficient, equitable, patient-centered care.
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Assesses self-management skills of patients and caregivers and encourages wellness and autonomy through support, training, and coordination of community and/or referred services.
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Communicates regularly with patients and caregivers regarding Plan of Care (POC).
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Responsible for management and coordination of internal and external referrals.
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Acts as a communication portal between patients and their care team, sharing lab results to patients, generating patient letters, and completing relevant forms as needed.
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Performed patient outreach—either by telephone or text encouraging patients to schedule with care team.
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Supports care coordination within and outside of the SEARHC health system to ensure a consistent, effective, supportive system of care.
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Facilitates efficient clinic flow and utilization.
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Tracks and maintains case management and coordination data.
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Monitors normal patient progress and tracks outcomes using SEARHC standards of performance and care.
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Advocates for patient and patient caregivers at service-delivery level, empowers patient decision-making and self-care, and addresses patient needs in a timely manner.
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Facilitates patient outreach utilizing patient health and quality data.
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Participates in departmental and clinical improvement efforts, maintains a clean and safe working environment for self, staff, and patients, and maintains compliance with annual competencies.
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Identifies community resources, fosters partnerships, and utilizes resources effectively.
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50% of the job will require referral management work, 25% performing patient outreach, and 25% care team communication.
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Other duties as assigned.
Qualifications
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Associate’s degree or 2 years of college preferably in social work, social services, healthcare administration, business administration, or related field OR 2 years of relevant professional experience may be exchanged for a degree or course work.
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A Bachelor’s degree in a relevant field may be exchanged for all required experience.
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Basic Life Support preferred.
Requirements
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2 years of healthcare, behavioral health, dental, or relevant administrative experience required.
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Internal candidates with at least 2 years of experience working in a front or back-office role may be considered for this role.
Knowledge, Skills, and Abilities
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Knowledge of available services at SEARHC, other tribal health organizations in Alaska, and community.
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The clinical process and the ability to apply this knowledge in the working environment.
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Customer service principles.
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Safety and infection control principles.
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Skills in assessment, anticipation of needs, and data collection.
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The use of equipment such as computers and medical equipment.
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Oral and written communications.
Computer Skills
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Proficient in Microsoft Office Products including Word, Excel, and PowerPoint.
Other Qualifications
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Excellent communication and interpersonal skills.
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Strong organizational & time management abilities.
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Teamwork.
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Proficient in EHR systems.
Travel Required
Safety and Risk Management Responsibilities
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Employees are responsible for complying with safe work rules; reporting all accidents and injuries immediately; cooperating in all accident and injury investigations; reporting defective equipment and unsafe conditions.
Physical Demands
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While performing the duties of this job, the employee is regularly required to talk or hear.
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The employee is frequently required to stand; walk; sit; use hands to finger, handle or feel and reach with hands and arms.
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The employee is occasionally required to climb or balance; stoop, kneel, crouch or crawl.
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The employee must lift and/or move 50 lbs.
Work Environment
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The noise level in the work environment is usually moderate.
Required Certifications
If you like wild growth and working with happy, enthusiastic over-achievers, you'll enjoy your career with us!