TCC Care Coordinator

The Chautauqua Center - Jamestown, NY

Jamestown, NY

About the position

The Care Coordinator will provide coordinated care to patients by developing, monitoring, and evaluating interdisciplinary care.

Responsibilities

• Orients and educates patients and their families by meeting them; explaining the role of the patient care coordinator; initiating the care plan; providing educational information in conjunction with direct care providers related to treatments, procedures, medications, and continuing care requirements.
• Develops interdisciplinary care plan and other case management tools by participating in meetings; coordinating information and care requirements with other care providers; resolving issues that could affect smooth care progression; fostering peer support; providing education to others regarding the case management process.
• Evaluates outcomes of care with the interdisciplinary team by measuring intervention effectiveness with the team; implementing team recommendations.
• Respects patients by recognizing their rights; maintaining confidentiality.
• Maintains quality service by establishing and enforcing organization standards.
• Maintains patient care database by entering new information as it becomes available; verifying findings and reports; backing up data.
• Maintains professional and technical knowledge by attending educational workshops; reviewing professional publications; establishing personal networks; benchmarking state-of-the-art practices; participating in professional societies.
• Assists all patients through the healthcare system by acting as a patient advocate and navigator.
• Complete home visits as needed to further evaluate patient needs and home life circumstances.
• Initiate referrals for services that are assessed as needed.
• Participates in Patient-Centered Medical Home team meetings and quality improvement initiatives.
• Supports patient self-management of disease and behavior modification interventions.
• Contributes to team effort by accomplishing related results as needed.
• Performs other duties as assigned.

Requirements

• Bachelor's Degree in Public Health, Nursing, and Behavioral Sciences preferred or combination of Associates Degree and relevant experience.
• One year ambulatory or public health experience is preferred.
• Excellent interpersonal and communication skills required.
• Leadership and organizational skills essential.
• Computer literate.
• Demonstrate sound judgment, decision-making, and problem-solving skills.
• Knowledge of medical office practices, procedures, and equipment.
• Knowledge of problem-oriented record-keeping.
• Correct English usage, spelling, and grammar.
• Confidence to communicate and outreach to other community healthcare organizations and personnel.
• Knowledge of community resources.

Nice-to-haves

• Self-disciplined, energetic, passionate, innovative.
• Bilingual especially in Spanish is preferred.