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CARE COORDINATOR - QUALITY

Vibrant Health
United States, Kansas, Kansas City
21 North 12th Street (Show on map)
Nov 13, 2024

SUMMARY OF POSITION

Works as part of a team-based health care delivery model to provide coordinated and comprehensive patient outreach and care coordination that follows the Patient-Centered Medical Home model - specifically focused on supporting patients in the clinic.

ESSENTIAL JOB RESULTS

Care Coordination

In collaboration with healthcare teams, it ensures patient care is coordinated and comprehensive by providing patient outreach, care coordination, education, and follow-up services.

  1. Monitors all outgoing referrals, and conducts weekly referral tracking and follow-up, ensuring proper documentation is maintained throughout the referral process. Requests consult notes and conducts scheduling follow-up with various referral specialists.
  1. Generates weekly reports tracking the success rate of outgoing referrals and identifying potential problems or barriers to care.
  1. Monitors outgoing and incoming DI results, working with care teams to retrieve any missing or incomplete results.
  1. Communicates with KanCare Managed Care Organizations regarding patient appointment compliance, durable medical equipment requests, and other plan resources.

Medical Records Administration and Technical/Support Services

As part of a team-based health care delivery model, assumes responsibility for electronic medical records quality control services including but not limited to:

  1. Assists in monitoring patient demographics by ensuring the appropriate information is entered into the patient management system. Reviews patient documents for accuracy of data.
  1. Scans and appropriately routes patient documents in the patient management system.
  1. Reviews and distributes faxes received.
  1. Requests records from outside organizations as needed, including all newborn records prior to the patient's first visit. Obtains newborn screen results from the State.
  1. Completes requests for medical records in a timely manner and tracks responses.

Carries out Vibrant Health's mission: To provide access to quality health care for underserved children.

Accepts and uses supervision, direction and consultation to maximize available resources in the completion of work duties.

Additional responsibilities will be assigned as needed to maintain and improve the effective functioning of the department and to advance the mission of the organization.

All job responsibilities will be carried out under the direction of the organization's policies and procedures.

REQUIRED KNOWLEDGE, SKILLS, AND ABILITIES

Two (2) years relevant working experience providing Care Coordination or Patient Service Representative required. Bilingual fluency in written and oral English/Spanish preferred. Proficiency in use of personal computers and Microsoft Office Suite (Word & Excel) required.

Individual must:

  1. Develop rapport with patients and their families, community and other health care personnel.
  2. Must exhibit a professional and respectful demeanor.
  3. Work successfully within team environment and collaborate with other professional staff.
  4. Demonstrate excellent customer service, helpfulness, and a positive attitude.
  5. Possess superior organizational skills with attention to detail and the ability to multi-task and meet deadlines.
  6. Demonstrate the ability to recognize, understand, and appreciate the value of cultural diversity. Demonstrate social and cultural sensitivity appropriate to ethnically and economically diverse patients and staff.
  7. Travel to all parts of the facility and throughout the community.
PREFERRED KNOWLEDGE, SKILLS, AND ABILITIES Working knowledge of electronic health records, medical terminology, and third party health care coverage preferred. Prior experience working in a pediatric health care environment.

Americans with Disability Specifications

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee is occasionally required to stand; walk; sit; use hands and fingers to handle or feel objects, tools or controls; reach with hands and arms; climb stairs; talk and hear. The employee must frequently lift and/or move materials that may weigh up to 40 pounds.

Work Environment

Work environment characteristics described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

  • Must have manual dexterity and experience to perform handwritten paper work, recordkeeping, and filing.
  • Prolonged sitting, standing, or walking may be required.
  • Frequent bending/stooping, squatting, reaching above the shoulders, twisting and turning, kneeling, and pushing/pulling may be required.
  • Employment is contingent upon successful clearance from Criminal, Kansas and Missouri Child/Elder Abuse and Neglect, Sex Offender background investigations, TB testing, pre-employment drug testing, and verification of Hepatitis-B immunization.
  • Occasional evening and weekend availability is required.

Commitment to Diversity

We are proud to be an Equal Employment Opportunity (EEO) and Vietnam Era Veterans Readjustment Assistance Act (VEVRAA) Employer. We are committed to cultivating a workplace in which diverse perspectives and experiences are welcomed and respected. We do not discriminate on the basis of race, color, religion, creed, ancestry, national origin, sex, age, disability (physical or mental), marital or veteran status, genetic information, sexual orientation, gender identity, political ideology, or membership in any other legally protected class. We are an Affirmative Action employer. We encourage individuals with diverse backgrounds to apply and desire priority referrals of protected veterans.

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