About This Role
This role involves managing and coordinating all aspects of a patient's care, working closely with the care team to ensure treatment plans are followed and patient needs are met. The Patient Care Coordinator assesses self-management skills, encourages wellness, and facilitates communication between patients, caregivers, and the care team.
Responsibilities
- Assist the care team in coordinating safe, timely, effective, efficient, equitable, patient-centered care
- Assess self-management skills of patients and caregivers and encourage wellness and autonomy through support, training, and coordination of community and/or referred services
- Communicate regularly with patients and caregivers regarding Plan of Care (POC)
- Manage and coordinate internal and external referrals
- Act as a communication portal between patients and their care team, sharing lab results to patients, generating patient letters, and completing relevant forms as needed
- Perform patient outreach, either by telephone or text, encouraging patients to schedule with the care team
- Support care coordination within and outside of the SEARHC health system to ensure a consistent, effective, supportive system of care
- Facilitate efficient clinic flow and utilization
- Track and maintain case management and coordination data
- Monitor normal patient progress and track outcomes using SEARHC standards of performance and care
- Advocate for patients and patient caregivers at the service-delivery level, empower patient decision-making and self-care, and address patient needs in a timely manner
- Facilitate patient outreach utilizing patient health and quality data
- Participate in departmental and clinical improvement efforts
- Maintain a clean and safe working environment for self, staff, and patients
- Maintain compliance with annual competencies
- Identify community resources, foster partnerships, and utilize resources effectively
- Perform referral management work (50% of the job)
- Perform patient outreach (25% of the job)
- Perform care team communication (25% of the job)
- Perform other duties as assigned
Requirements
- Associate’s degree or 2 years of college preferably in social work, social services, healthcare administration, business administration, or a related field OR 2 years of relevant professional experience may be exchanged for a degree or course work
- A Bachelor’s degree in a relevant field may be exchanged for all required experience
- 2 years of healthcare, behavioral health, dental, or relevant administrative experience
- Knowledge of available services at SEARHC, other tribal health organizations in Alaska, and the community
- Knowledge of the clinical process and the ability to apply this knowledge in the working environment
- Knowledge of customer service principles
- Knowledge of safety and infection control principles
- Skills in assessment, anticipation of needs, and data collection
- Skills in the use of equipment such as computers and medical equipment
- Skills in oral and written communications
- Ability to work in teams with providers, nurses, and other healthcare personnel
- Proficient in Microsoft Office Products including Word, Excel, and PowerPoint
- Excellent communication and interpersonal skills
- Strong organizational and time management abilities
- Teamwork skills
- Proficient in EHR systems
Nice to have:
Benefits
- Retirement benefits
- Paid time off
- Paid parental leave
- Health insurance
- Dental and vision benefits
- Life insurance
- Long and short-term disability
Physical Demands
- Regularly required to talk or hear
- Frequently required to stand, walk, sit, use hands to finger, handle or feel, and reach with hands and arms
- Occasionally required to climb or balance, stoop, kneel, crouch or crawl
- Must lift and/or move 50 lbs
About the Company
SEARHC is a non-profit health consortium which serves the health interests of the residents of Southeast Alaska. The organization prioritizes employee development and professional advancement.
