What are the responsibilities and job description for the Care Coordinator - Chronic Disease position at sjfmc?
Job Description:
Southern Jersey Family Medical Centers, Inc. is looking for a Chronic Disease Care Coordinator to manage the care of our chronic disease patients.
Summary: The Chronic Disease Care Coordinator provides assistance to the physicians and nursing staff by coordinating care and services for patients in order to maximize use of available resources and to offer complete preventative care to those in need.
Hours: This is a full-time position that requires the ability to work a flexible schedule. General daytime hours Monday – Friday with at least one late night per week.
Position Responsibilities/Duties Include But Not Limited To:
• Assist in coordinating patient care for visits, ordered tests, and
other healthcare needs
• Collaborate with providers and nursing
staff to identify concerns that would prevent quality medical
care
• Assist with patients enrolled in case
management
• Provide effective and productive communication
between patients and providers
• Educate and assist patients in
the management, prevention, and maintenance of their health wellness
state through the use of evidence based guidelines and best
practices
• Assess and identify actual and potential patient
problems by gathering relative data
• Address gaps in care of
patients as identified in the electronic health record
• Work
with physicians and nursing staff to develop plan of care for patients
and make adjustments as needed
• Build and maintain relationships
with both internal and external healthcare contacts and organizations
in an effort to improve available patient resources
• Track
patient outcomes and provide information to authorized personnel as
requested
• Maintain electronic medical records (EMR) and other
company information and ensure compliance with all State and Federal guidelines
