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Pillars Community Health - La Grange, IL

posted 8 days ago

La Grange, IL
Ambulatory Health Care Services

About the position

This is a new position to support our Dental Team. It will work with other Patient Care Coordinators within the Health center. The Care Coordinator is the 'link' to ensure a continuity in coordination of patient care through their collaborative interaction with all the community relationships involved in that care - including but not limited to - the labs, hospitals, patients themselves, and patient's healthcare plan (i.e. Medicaid, Managed Care Plus). Ensures all information is communicated clearly on behalf of the patient and between collaborative partners for the primary benefit, comfort and well-being of the patient.

Responsibilities

  • Assists providers/clinical staff in maintaining compliance with meaningful use standards.
  • Follow-up consistently on transitional care for patients.
  • Ensure appropriate frequency of patient visits to maintain for the team and the patient a proper continuum of care.
  • Promotes clear communication amongst care team and clinicians by ensuring awareness regarding patient care plans.
  • Coordinates continuity of patient care with external healthcare organizations, facilities, and payers including the process of hospital admission and discharge and referrals from the primary care provider to a specialty care provider.
  • Becomes knowledgeable in and keeps updated on Pillars Community Health's payer contracts as they relate to patient access, referrals, pre-authorizations and clinical indicators measures.
  • Manages patient rosters to patient's risk factors and assures prompt access to Pillars Community Health services.
  • Manage potential risks and liabilities within the health center to minimize risk of errors, accidents and other adverse incidents.
  • Pay close attention to EMR system notes and alerts, routing information appropriately to correct team members for quality patient care.
  • Coordinates continuity of patient care with patients and families following hospital admission.
  • Supports patient self-management of disease and behavior modification interventions.
  • Be a voice for strictly adhering to the Pillars Community Health Quality Improvement Plan, and work with the staff to assure compliance.
  • Work closely with the QI Manager to assure HIPAA compliance in the sharing of PHI with collaborative partners on behalf of patient.
  • Participate in training programs that focus on the components of the Quality Program.
  • Report compliance problems and patient data to QI Manager regularly as required.
  • Attends all meetings as required.
  • In compliance with all agency policies.
  • Adheres to OSHA guidelines for a safe work environment.
  • Follows all rules required to comply with confidentiality and HIPAA policies.
  • Complies with all applicable laws, including but not limited to medical records laws, HIPAA, OSHA and the corporate compliance program.
  • Performs other duties as assigned.

Requirements

  • Bachelor's degree in health-science, biology, anatomy & physiology, public health, behavioral science or other similar degree required.
  • Case management experience preferred.
  • Public Health educational focus.
  • Dental Assistant background preferred.
  • FQHC background or experience in outpatient setting highly preferred.
  • Meets company health & immunization/vaccination requirements.
  • Bilingual Spanish/English skills required.
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