Patient Care Coordinator

Whit FitzGerald Clinic:

The primary purpose of this job position is to perform chronic care management, closing gaps in patient care for health maintenance purposes, and coordination of transition in care between the Whit Family Clinics, the Whit Specialty Clinic and the Whitfield Regional Hospital.

Requirements:

1. Must possess a current LPN or RN license to practice as a Patient Care Coordinator (PCC).


2. Must possess the ability to make independent decisions when necessary and be knowledgeable of medical practices and procedures.


3. Must be able to work harmoniously with other professional and ancillary staff.


4. Must be willing to stay current with new information, procedures, and practices and incorporate them when applicable.


5. Must have patience, tact, a cheerful disposition, with enthusiasm, as well as the willingness to work with patients and family members.

Responsibilities:

Responsibilities will include, but not be exclusively limited to the following: 

1. Chronic Care Coordination:  The Chronic Care Manager duties will administer care management and coordination activities for the patients. The primary source of communication between the Chronic Care Manager and the patient will be via documented telephone conversation. There will be occasion where the PCC will initiate their care or possibly follow up with them while the patient is in the clinic.  The Chronic Care Manager will identify the high acuity patient population who are requiring of these services. The position may involve some individual patient triage only on the chronic care management patients, and only if it is deemed necessary. The Chronic Care Manager will work closely with the Medical Providers to best serve the needs of the patient. This primary patient demographic will be Medicare recipients, but it is not exclusively limited.

2. Closing Gaps in Care:  This will involve identifying patients that are missing certain required medical testing for age-related or medical conditions which should be monitored by a set schedule. This demographic is primarily derived from the individual patient’s insurance company.

3. Transition in Care:  The Patient Care Coordinator will be provided with an automated admission-discharge-transfer notification Sent from the Whitfield Regional Hospital and the Whit Specialty Clinic. The Patient Care Coordinator will use clinical knowledge to answer questions and reassure the patient while scheduling a hospital follow-up appointment within 24 to 72 hours after discharge. The coordinator will convey to the patient this follow up visit reconnects them with their medical provider and lets the patient know that their primary care provider has resumed care. At this follow-up visit, it will allow the patient to address any ongoing symptoms they may be experiencing. The medical provider will review the care plans, medications, and any aftercare services which were developed at the time of the hospital discharge.

Benefits:

• Health


• Dental


• Vision


• Matching Retirement


• Life Insurance


• Flex spending


• Tuition Assistance available


• Free Gym Membership and more