Care Manager II (LVN) Ascot

Description

COMPANY OVERVIEW

CentroMed is a 501(c)3 non-profit organization that provides healthcare for all populations across the greater San Antonio area.

Founded in 1971 by CEO and President Ernesto Gomez, PHD, CentroMed has grown from a community based program focused on providing culturally competent care for undeserved populations, to a network of high quality healthcare clinics across San Antonio and New Braunfels providing full service health and dental care to all populations, regardless of income limitations.

We are a mission focused organization that wants to be the heart of our communities. We invite you to visit CentroMed and discover how we can be your medical home.

MISSION

We improve lives through improving the well being of families through high quality, compassionate health care.

CORE VALUES

RESPECT We treat all persons with dignity and compassion

INTEGRITY We build trust through honesty, word and deed

EXCELLENCE We use best practices to deliver exceptional quality care

AFFORDABILITY We manage resources to provide affordable health care

TEAMWORK We work together as a team in the interest of patient care

JOB SUMMARY:

The Care Coordinator II will work within the context of medical home, from a team approach and in continuous partnership with patients, providers, and clinic staff to promote timely access of needed services and continuity of care, which will result in enhancing the patient’s health and wellbeing. This position requires cultural sensitivity, effective communication, proactive management of needed services and the implementation of critical thinking skills to plan and coordinate care for patients.

DUTIES AND RESPONSIBILITIES:

• Provide patients and families with the best possible experience when they visit or contact CentroMed regarding their health care.
• Proactively reviews, identifies and follows up on outstanding patient needs such as, but not limited to referrals, laboratory or radiology services.
• Collaborates as member of healthcare team by proactively coordinating and scheduling disease prevention measures such as, but not limited to, immunizations, screenings, annual physical exams and diagnosis or age specific requirements in accord with Population Health Management.
• Collaborates as member of healthcare team by developing and conducting education and tracking of high risk factors and chronic disease management for patients to include, but not limited to, diabetes, asthma, obesity, low birth weight and behavioral concerns and turning on of clinical guidelines as indicated.
• Collaborates as member of healthcare team by contributing to development of comprehensive plans of care based on patients' needs, to include plan modification/evaluation as directed by the Provider; communicating changes with patients; and monitoring patient progress toward goal attainment.
• Effectively accesses specialty resources for the patient by assisting with referral process; ensures that specialty reports are readily available in the chart for Provider’s review.
• Responds to telephone inquiry calls from patients, pharmacies, health care providers, and others, as needed.
• Acts as a liaison providing an effective communication link between the patient and the care team addressing healthcare, access and insurance concerns; schedule/refer accordingly.
• Engages patients for (re)introduction of healthcare services based on insurance alerts/ ER access lists, hospital discharge and internal database tracking; schedule Provider visits accordingly.
• Participates in Quality Assurance by contacting Provider-identified ill or high risk patients, in a timely manner or as required, to inquire as to patient health status; schedule follow up appointment as appropriate.
• Provides timely Quality Assurance through chart review and contacting newly established patients to inquire as to the satisfaction of the visit experience.
• Documents all patient-related activities appropriately in the medical record.
• Demonstrates competence with patients across all lifecycles.
• Demonstrates positive relationships, effective communication and cultural sensitivity while working and serving a divergent group of people.
• Maintain an up-to-date database of patient records (Access & DSHS MED-IT System) and follow-up requirements necessary for program case management, tracking and regulatory compliance.
• Ensure all program clients with abnormal results receive case management services to overcome potential barriers in receiving care. Contact clients within 5 days of an abnormal screening result and within 2 days of an abnormal diagnostic result.
• Perform screening and determine financial eligibility for program clients.
• Conduct a Comprehensive Needs Assessment/Plan within 30 days of an identified abnormal result.
• Demonstrates ability to handle protected health information (PHI) in a manner consistent with the Health Insurance Portability and Accountability Act of 1966 (HIPAA).
• Participates in the agency’s Compliance Performance Improvement (CPI) Program; identifies and communicates opportunities for potential Quality Improvement initiatives.
• Abide by all safety and infection control policies/ procedures as dictated in the Employee Safety and Infection control Manuals.
• Demonstrate excellent attendance and punctuality.
• Other duties as assigned.

BENEFITS

• Competitive Compensation
• Health, Dental, Vision & Life Insurance
• Paid Vacation & Sick Leave
• Retirement Plans
• Continuous Growth Opportunities
• Basic Life & Accidental Insurance
• Short & Long-Term Disability
• Fun & Energetic, Family-Based Environment

Requirements

QUALIFICATIONS:

Education: High School Diploma and Completion of a LVN program.

Experience: Clinical experience in an outpatient ambulatory clinic or hospital setting.

Other: Experience with care coordination, referral process and medical billing (preferred).