Care Coordinator

ACHC is a Federally Qualified Health Center and licensed primary care clinic. We provide medical and dental care, with additional specialists in Chiropractic, Internal Medicine, Neurology, Gynecology, Pediatrics, Psychology, Podiatry and Optometry. ACHC Clinics are located across Fresno, Kings and Tulare counties.

SUMMARY

The Care Coordinator works in partnership with patients and providers to promote timely access to needed care, comprehension and continuity of care, and the enhancement of patient well-being. The Care Coordinator addresses gaps in care and promotes timely access to appropriate care, increasing the utilization of preventative care and healthy behaviors to improve the health of the population at risk.

RESPONSIBILITIES

• Monitors Gap in Care reports to assist in getting patients the appropriate appointments and/or interventions.
• Consult and communicate with patients and family members to discuss their health problems.
• Consult and collaborate with other health care providers and specialists to set up patient appointments and treatment plans.
• Care management coordination of non-clinical services such as transportation.
• Attend ongoing training to keep abreast of new developments in health care.
• Treat patients with empathy and respect and conduct oneself in a professional manner.
• Comply with organizational guidelines and health care laws and regulations.
• Document Client services in medical record.
• Initiate outreach as necessary.
• Make outbound calls to patients for wellness checks and scheduling appointments. Log information into the system and document all calls to provider offices. Gather charts and information.
• Plan and execute health events
• Coordinate and manage patient hospital discharge process in a timely manner