November 16, 2024

Boston Medical Center

Brighton

FULL TIME

Care Coordinator, Adult Medicine, St. Elizabeth's Medical Center, 40 Hours (Days)

Under the direction of the Clinical Practice Manager, this position is responsible for coordinating patient care per the NCQA Patient Centered Medical Home (PCMH) guidelines. The Care Coordinator is responsible to arrange and manage patient care as directed by the primary care provider; provide self-care literature and arrange community support; and track and coordinate patient care utilization. This position helps support the Adult Medicine practice to improve quality of patient care and outcomes. In conjunction with the SEHC Clinical Care Teams, the Care Coordinator organizes patient educational materials, patient care plans, patient self management tools, referrals, and procuring community resources and durable medical supplies. The Care Coordinator tracks population disease management practices. Key Responsibilities:

"Provides superior customer service to internal and external clients, customers, and patients as referenced in the NCQA Patient-Centered Medical Home and Service Excellence Standards."
Manages patient education room
Assists patients with self-motivation efforts to help patients manage their care
Distributes appropriate teaching materials to patient/family to review
Communicates and assists RN with patient care plans
Attends morning daily huddles to coordinate patient care
Coordinates referrals and resources, including Diabetes Center, VNA referrals, DME, meals on wheels
Assists with completing and tracking patient forms and letters
Schedules, tracks and reconciles patient referrals and diagnostic tests, as appropriate
Coordinates care transitions
Assist with tracking quality and preventive screening measures
Assists with patient outreach
Performs other duties as assigned
Schedules test per written SEHC workflow with SEMC Central Scheduler via telephone or electronically
Coordinates patient flow throughout all scheduled departments
Notifies SEMC Central Scheduler when Interpreter services are needed
Answers telephones, routes calls, takes messages, and provides information to callers in a polite and professional manner per established RN and ACC telephone trees
Responsible to keep up with changes in departmental hospital regulations, policies, and procedures
Shows respect for patient privacy by following established HIPPA guidelines
Follows Joint Commission policies and procedures, including the National Patient Safety Goals
Cross trains to other areas of the Health Center, as appropriate
Processes Prescription Prior Authorizations
Demonstrates respect and regard for the dignity of all patients, families, visitors, and fellow employees to ensure a professional, responsible, and courteous environment.

1. Commits to recognize and respect cultural diversity for all customers (internal and external).
2. Communicates effectively with internal and external customers with respect of differences in cultures, values, beliefs and ages, utilizing interpreters when needed.

Required Knowledge/Skills: