Job Description

Mission Statement:

Position Summary:

Working with Care Alliance Health Center patients as part of the Patient- Centered Medical team, Patient Care Coordinators address and reduce barriers to care. Activities include health care navigation, benefits enrolment and usage, population-specific interventions, community case management, and patient advocacy. 

Task Responsibilities:

(Include but are not limited to:)

• Screen patients for eligibility, support enrolment, recertification, and follow-up as appropriate. 
• Benefits may include Medicaid, Medicare, SSI/SSDI, CHAP, SNAP, WIC, etc.
• Based on provider referral and patient screening, connect patients to available community resources such as reduced fare bus tickets, housing support, income and food support, job training, etc. 
• Support patient comprehension of their diagnosis, treatment plan, and next steps, and connect patients to the appropriate licensed clinical professional.
• Work with providers to coordinate specialty care outside Care Alliance.
• Assist patients with scheduling appointments, coordinating prior authorizations or insurance benefits; basic understanding of procedures.
• Retrieval of specialty care reports, results, or visit summaries and appropriate follow-up.
• Support enrollment and use of private benefits such as pharmaceutical assistance programs. 
• Identify and address non-medical barriers to health and self-sufficiency such as transportation, housing, income, recreation, and education. 
• Establish and maintain positive relationships with community resources and social service agencies to link patients appropriately. 
• Link patients to other experts, such as Legal Aid or housing case managers, and follow up with patients and external providers accordingly. 
• Conduct daily review of outstanding referrals, including appointments to be scheduled, patient navigation, and specialty visit results.
• Support engagement in primary care and provide support and assistance to clients in gathering and completing all necessary documents, submitting to applicable agencies, and appropriate follow-up.
• Educate patients on how to use new insurance options, such as basics on managed care network coverage and drug formularies. 

Minimum Education and Experience: 

Required:

• Associate’s degree and/or commensurate experience may be considered, BA degree in social work, family development, healthcare administration or a related field preferred.
• 1-3 years’ experience in at least one of the following areas: case management or counseling experience, experience working with vulnerable populations, mental illness, and/or substance abuse.
• Experience using EPIC or another EHR is an added plus.
• Knowledge of relevant community resources and ability to work collaboratively with community service providers.
• Ability to work independently and as part of a multi-disciplinary team of staff at various skill and professional levels.
• Strong problem-solving skills.
• Ability to plan, organize, and complete paperwork in a timely manner and maintain confidentiality.
• Commitment to the mission of Care Alliance Health Center.

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