Care Coordinator

Care Coordinator

Albany, GA

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• Job Number: 34492

• Location: Phoebe North Campus

• Address:

2000 Palmyra Rd

Albany,

GA

• Postal Code: 31701

• Shift: Days (United States of America)

• Job Type: Full time

Care Coordinator

Location: Albany, GA Job ID: 34492

Job Summary

Assists all patients through the health system by acting as a patient advocate and navigator.

Qualifications

• Bachelor''s Degree in Nursing, Biology, Chemistry, Anatomy and Physiology, Public Health, Behavioral Science, or similar degree (Required)

Work Experience

• 2 - 3 years Clinical Setting (Required)
• 1 - 2 years Patient-Centered Medical Home clinical setting or knowledge of the Patient-Centered Medical Home initiative (Preferred)
• 2 - 3 years Experience in chronic disease management, case management, utilization management, and adult acute care (Preferred)
• 1 - 2 years Experience in Public Speaking (Preferred)
• 1 - 2 years Experience in Electronic Medical Records (Preferred)

Licenses and Certifications

Required Certifications/Licensures: Current License in the state of Georgia in occupant''s area of specialty

Essential Functions

• Assists all patients through the healthcare system by acting as a patient advocate and navigator.
• Evaluates clinical care, utilization of resources, and development of new clinical tools, forms, and procedures.
• Facilitates health and disease patient education, including leading group office visits.
• Supports patient self-management of disease and behavior modification interventions.
• Coordinates continuity of patient care with external healthcare organizations and facilities, including the process hospital admission and discharge and referrals from the primary care provider to a specialty care provider.
• Coordinates continuity of patient care with patients and families following hospital admission, discharge, and ER visits.
• Manages high risk patient care, including management of patients with multiple co-morbidities or high risk for readmission to a hospital setting, including a registry.
• Conducts comprehensive, preventive screenings for patients and/or assists all support staff in daily patient interactions as needed.
• Facilitates patient medication management based upon standing orders and protocols.
• Promotes clear communication amongst a care team and treating clinicians by ensuring awareness regarding patient care plans.
• Participates on a team for data collection, health outcomes reporting, clinical audits, and programmatic evaluation related to the Patient-Centered Medical Home and Medical Neighborhood initiatives.

Additional Duties

• Adheres to the hospital and departmental attendance and punctuality guidelines.
• Performs all job responsibilities in alignment with the core values, mission and vision of the organization.
• Performs other duties as required and completes all job functions as per departmental policies and procedures.
• Maintains current knowledge in present areas of responsibility to include any specialty certification requirements (i.e., self-education, attends ongoing educational programs).
• Attends staff meetings and completes mandatory in-services and requirements and competency evaluations on time.
• Demonstrates competency at all levels in providing care to all patients based on age, sex, weight, and demonstrated needs.
• For non-clinical areas, has attended training and demonstrates usage of age-specific customer service skills.
• Wears protective clothing and equipment as appropriate.

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