Population Health Clinical Care Coordinator (FT)--Remote (Connecticut Based Only)

Job Description

Summary:Job Description:Monday- Friday, start time 7:30 or 8am, position pays $21 per hour. Occasional travel to CHC Inc clinics, must be flexible with travel. Remote position, Connecticut based only. Must be bilingual (English/Spanish) Provides clinical, administrative and technical support for the Population Health Department to ensure successful achievement of all value based and other program specific metrics. This includes direct contact with CHC's patients to facilitate appointment scheduling, data collection, and closing of care gaps among other services.The Population Health Clinical Care Coordinator (PHCCC) is essential to the Population Health Department. The PHCCC enhances the clinical care delivery of the Population Health team by delivering care to the top of their training and education. This role facilitates processes and delivers support that ensure that the team's Population Health Registered Nurses (PHRN) are able to complete required patient care delivery of the highest quality and at the top of their license, while also meeting the operational and financial goals of the organization.ROLE AND RESPONSIBILITIESPopulation Health (PH) Clinical Care Coordinator (CCC) ResponsibilitiesCommunicates with patients by telephone, or on video; Communication can include coordination of care for the patient with CHC's clinical departments (i.e. medical, behavioral health, dental, etc.), external community partners or programs, or other healthcare agencies as needed. It can also include data collection, basic education, and other applicable care delivery with a focus on improving health care outcomes for CHC's patients.Supports the medication reconciliation processesDocuments in each patient's medical record the relevant clinical and administrative data and information to support the closing of care gaps and to facilitate further action by other PH team members, such as the PHRNsDocuments discharge information in preparation for PHRN action for Transition Care Management (TCM)Retrieves hospital discharge summaries from the appropriate hospital or HIE portal and uploads into patient recordsWorks care gap lists and other reports as directed by the Director of Population Health, the Chief Nursing Officer (CNO) or their designeeOutreaches to patients due for Medicare Annual Wellness Visits to educate patients about the importance of AWVsSupports the scheduling of Health Risk Assessments with the PHRN and the subsequent scheduling of AWVs with providers.Assists patients who wish to establish care with CHC by directing their calls to the appropriate enabling services department/agentEnters data and information into payer applications when required for value based contractsMay participate in the training of other Medical Assistant staff either on zoom or in-person if required; given this role is majority remote, in-person work will be the exception, and intermittent in natureOther work as delegated by the Director of Population Health, the CNO or their designeeQUALIFICATIONSRequired Skills and EducationThe successful candidate is a graduate of a nursing assistant program, is a certified paramedic or non-certified Medical AssistantApplicant will also possess sound organizational skills and accuracy at all levels of jobPrior demonstrated excellent communication and customer service skillsBilingual (English/Spanish)Preferred SkillsAssociate's Degree or higherExpert knowledge of the electronic health recordPHYSICAL REQUIREMENTS/WORK ENVIRONMENTRequires manual dexterity to perform administrative tasks, minimal physical activity requiredThis is a majority remote role and therefore requires a clean/organized space that is free from distractions at home to complete work (see CHC's Remote Worker Policy for more information)Demonstrates a HIPAA compliant work environmentFollows CHC policies around remote work space and connectivity requirementsOn rare occasions, in-person training or meetings may be required. This will be pre-arranged with the employee to ensure appropriate planning time.ADDITIONAL QUALIFICIATIONSCommunicates client information to providers and the clinical team accurately. Accurately takes messages, and communicates on the telephone.Communicates effectively with other administrative staff, collaborates with medical providers, nursing staff and members of leadership.Access to clients' charts and health care information within appropriate parameters.Maintains client confidentiality.Confidentiality of InformationConfidentiality of business information is a requirement. Confidentiality must be maintained according to CHC policiesThis Position is available for remote work.Organization Information:Time Type:Full time