Care Coordinator-School Based Health Centers and Dental

POSITION DESCRIPTION:

Responsible for the overall coordination of care for patients. Care Coordinators work with affiliated agencies, such as counselors or other medical, behavioral health or dental facilities, and act as advocate between patients and other medical, behavioral health and dental facilities; helps to ensure patients understand every aspect of their care while also working and making decisions that are in the best interest of the patients. This position requires compliance with CHS written standards, including the Compliance Plan and policies and procedures (including the Code of Conduct), as well as assistance in the continuous monitoring, reporting and corrective action processes of corporate compliance.

Essential Duties and Responsibilities:

Every effort has been made to make your job description as complete as possible. However, it in no way states or implies these are the only duties you will be required to perform. The omission of specific statements of duties does not exclude these from the position if the work is similar, related, or is a logical assignment to the position.

1. Provide case management support and manage all aspects of the patient’s interaction with the health center outside of the dental visit

2 Works with the dental assistant to understand the SDOH issues identified at intake and provides resources to patient/parent to address SDOH.

3. Works with school staff who identify students/families that need resources to connect them to the available resources in the community.

4. Makes referral, as appropriate, for medical, dental, or behavioral health services.

5. Counsel’s patients upon first visit to the clinic, with a face-to-face encounter, regarding all available services at CommuniHealth Services (CHS) and documents actions appropriately according to policy and procedures.

6. Assesses the financial needs of patients and explains the sliding fee scale and other discounted services to the patient, with a face-to-face encounter, upon their first visit to the clinic or as needed, and documents actions in a patient case

7. Assists patients with the completion of the sliding fee application and determines eligibility.

8. Acts as patient advocate, identifies, and develops new community resources and assists with problem solving and documents actions in a patient case.

9. Works with patient to identify government programs such as Medicaid, WIC, welfare, food stamps, social security disability or unemployment eligibility and documents in a patient case.

10. Takes online applications for health insurance and Medicaid and works with patients to ensure applications are appropriately completed.

11. Acts as patient advocate to link patients with drug manufacturers’ indigent care programs such as 340-B program, follows-up on pending prescription assistance applications to ensure patients receive medications timely, and works with patients to timely file renewal applications and refill medication orders.

12. Completes prior authorizations on high tech imaging for providers while being the liaison between provider, insurance, and the patient.

13. Collaborates with fellow Care Coordinators and coworkers in a teamwork environment.

14. Maintains current and active list of referral providers.

15. Provides outgoing referral appointments to appropriate providers, per policy guidelines, and monitors activities to ensure services are being delivered, meets the needs of patients, and ensures the delivery of services provided meets policy requirements and standardization.

16. Schedules referral appointments, when applicable, while patient is in clinic, and verbally delivers appointment information to patient. Ensures the delivery of services provided meets policy requirements and standardization.

17. Works care gap reports by scheduling patients for open gaps in care and appropriately documents actions in a patient case. Follows guidelines, procedures, and timeframes for care gap reports.

18. Maintains compliance with and knowledge of all CHS departmental, facility specific and system-wide policy and procedures.

19. Completes required CHS training per policy, maintains compliance with and knowledge of all CHS departmental, facility specific and system-wide policy and procedure, attends mandatory departmental meetings and/or training, and follows CHS Mission, Vision and Values in delivery of all services.

20. Maintains strictest confidentiality and adheres to all HIPAA guidelines/regulations as well as compliance with HRSA regulations.

21. In addition to the outlined duties above, as a patient-centered medical home, the incumbent fulfills the principles and theories outlined in organizational policies including assisting navigating patients as needed through the health system making appropriate referrals to case/care management, communicating with the healthcare team to address patient / family caregiver specific needs, etc.

22. This position requires travel.

23. Performs all other duties as assigned.

Education:

1. High School diploma or GED

2. Maintains annual certification as ACA counselor and CAC Medicaid

Skills/Experience:

1. Must be able to read, write, and speak the English language in an understandable manner.

2. One (1) year of medical clinic experience.

3. Ability to establish and maintain effective working relationship with patients, employees, and the public.

4. Ability to perform well-organized and detail-oriented work while maintaining privacy in all aspects of the job.

5. Competence to gather information such as vital signs, weight, changes in medical history including medications, and utilize screenings and interpret results of those screenings during each telehealth appointment.

Environmental/Working Conditions:

1. Works in a well-lighted/ventilated office area of the facility.

2. Is subject to frequent interruptions.

3. Is involved with personnel, patients, visitors, government agencies/personnel, etc., under all conditions/circumstances.

4. Is subject to hostile and emotionally upset personnel, patients, visitors, etc.

5. Is willing to work beyond normal working hours: weekends, holidays, and other shifts/positions as necessary.

6. Attends and participates in continuing educational programs designed to keep you abreast of changes in your profession.

7. Is subject to cuts, bruises, falls, burns from equipment, odors, etc., throughout the workday.

8. May be exposed to blood borne pathogens, infectious waste, diseases, conditions, etc., including the potential exposure to the AIDS and Hepatitis B viruses.

9. Occasional overtime may be required and/or hours may be shortened as business needs dictate.

Physical Demands:

1. Must be able to handle occasional lifting and pulling.

2. Must be able to move intermittently throughout the workday to other sites, if needed.

3. Must be able to function independently, have personal integrity, and the ability to work effectively with patients, personnel, and support agencies.

4. Must be able to relate to and work with ill, disabled, elderly, emotionally upset, and at times hostile people within the facility.

This description is intended to provide only basic guidelines for meeting job requirements. Responsibilities, skills and working conditions may change as needs evolve.

EOE

Job Type: Full-time

Benefits:

• Dental insurance
• Disability insurance
• Employee discount
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Retirement plan
• Vision insurance

Schedule:

• 8 hour shift
• Day shift
• Monday to Friday

Education:

• High school or equivalent (Required)

Experience:

• Customer service: 1 year (Preferred)

Work Location: In person