TCC Care Coordinator

Description: Care Coordinator

Purpose: The Care Coordinator will provide coordinated care to patients by developing, monitoring, and evaluating interdisciplinary care.

Job Duties

• Orients and educates patients and their families by meeting them; explaining the role of the patient care coordinator; initiating the care plan; providing educational information in conjunction with direct care providers related to treatments, procedures, medications, and continuing care requirements.
• Develops interdisciplinary care plan and other case management tools by participating in meetings; coordinating information and care requirements with other care providers; resolving issues that could affect smooth care progression; fostering peer support; providing education to others regarding the case management process.
• Evaluates outcomes of care with the interdisciplinary team by measuring intervention effectiveness with the team; implementing team recommendations.
• Respects patients by recognizing their rights; maintaining confidentiality.
• Maintains quality service by establishing and enforcing organization standards.
• Maintains patient care database by entering new information as it becomes available; verifying findings and reports; backing up data.
• Maintains professional and technical knowledge by attending educational workshops; reviewing professional publications; establishing personal networks; benchmarking state-of-the-art practices; participating in professional societies.
• Assists all patients through the healthcare system by acting as a patient advocate and navigator.
• Complete home visits as needed to further evaluate patient needs and home life circumstances.
• Initiate referrals for services that are assessed as needed.
• Participates in Patient-Centered Medical Home team meetings and quality improvement initiatives.
• Supports patient self-management of disease and behavior modification interventions.
• Contributes to team effort by accomplishing related results as needed.
• Performs other duties as assigned
  
  

Education/Skills/Qualifications

• Bachelor's Degree in Public Health, Nursing, and Behavioral Sciences preferred or combination of Associates Degree and relevant experience.
• Self-disciplined, energetic, passionate, innovative
• One year ambulatory or public health experience is preferred
• Excellent interpersonal and communication skills required
• Leadership and organizational skills essential
• Bilingual especially in Spanish is preferred
• Computer literate
• Demonstrate sound judgment, decision-making, and problem-solving skills
• Knowledge of medical office practices, procedures, and equipment
• Knowledge of problem-oriented record-keeping
• Correct English usage, spelling, and grammar
• Confidence to communicate and outreach to other community healthcare organizations and personnel
• Knowledge of community resources
  
  

The Chautauqua Center is an Equal Employment Opportunity employer and does not discriminate in employment opportunities or practices on the basis of race, creed, color, religion, sex, national origin, nationality, ancestry, age, disability, or status as a disabled veteran or veteran of the Vietnam era, pregnancy, affectional or sexual orientation, gender identity or expression, marital status, status with regard to public assistance, veteran status, citizenship or membership in any other legally protected class.