Works collaboratively with physicians, staff, and healthcare professionals within the network to provide care coordination across the healthcare continuum. As an integral team member, ensures patients navigate care seamlessly while improving care coordination, quality metrics, and the patient/family experience. Coordinates a wide range of community-based and healthcare support services, addresses care gaps, and assists with system-wide quality and performance improvement initiatives.
Qualifications:
Medical Assistant experience or Licensed Practical Nurse with a current, active license to practice in Arkansas required
Proof of high school diploma or equivalent, or higher education
Successful completion of the Medication Administration Exam
Responsibilities:
Patient Navigation & Outreach: Conduct proactive outreach to schedule preventive care visits, wellness exams, and routine follow-up appointments.
Care Gap Closure: Identify and track outstanding preventive screenings (e.g., mammograms, colonoscopies, diabetic lab work) and coordinate orders/referrals to close clinical quality gaps.
Community Resource Coordination: Connect patients and families with community-based support services, transportation resources, financial assistance, and local healthcare programs.
Pre-Visit & Post-Visit Support: Assist with pre-visit planning by gathering medical records, confirming completed testing, and completing post-visit follow-up calls to ensure patients understand provider care plans.
Provider & Team Collaboration: Work closely with primary care providers, clinic staff, and community agencies to streamline care delivery and remove barriers to care.
Documentation: Accurately document all patient outreach, resource referrals, and care gap activities directly within the EHR.