Referral Coordinator/ Quality Improvement Specialist - GRANT FUNDED

Navajo Preference Employment Act

In accordance with Navajo Nation and federal law, TCRHCC has implemented an Affirmative Action Plan pursuant to the Navajo Preference in Employment Act. Pursuant to this Plan and corresponding TCRHCC Policy, applicants who meet the necessary qualifications for this position and (1) are enrolled members of the Navajo Nation, Hopi Tribe, or San Juan Southern Paiute Tribe will be given preference in hiring and employment for this position, (2) are legally married to enrolled members of the Navajo Nation, Hopi Tribe, or San Juan Southern Paiute Tribe and meet residency requirements will be given secondary preference, and (3) are enrolled members of other federally-recognized American Indian Tribes will be given tertiary preference.

Overview

POSITION SUMMARY

Incumbent serves as a Referral Coordinator / Quality Improvement Specialist for Tuba City Regional Health Care Corporation (TCRHCC) Community Health Center (CHC). Incumbent is responsible for coordinating care for patients requiring further evaluation. Incumbent is also responsible for facilitation, resource acquisition, and advocacy for options and services to meet the individual or family's comprehensive health needs through communication and available resources to promote quality cost-effective outcomes. Incumbent is also responsible for collecting and reporting CHC program quality measures and outcomes to all appropriate programs and agencies. This is a grant funded position.

Qualifications

NECESSARY QUALIFICATIONS

Education:

High School diploma or GED

Experience:

• Demonstrated knowledge of Program Assistant or similar job functions/roles
• One (1) year of Care Coordination experience or closely related health care field

Certification:

Must have and maintain current Basic Life Support (BLS) certification by the American Heart Association (AHA), if none, obtain within 90 days from date of hire

Other Skills and Abilities:

A record of satisfactory performance in all prior and current employment as evidenced by positive employment references from previous and current employers. All employment references must address and indicate success in each one of the following areas:

• Must have positive working relationship with others
• Possession of high ethical standards and no history of complaints
• Reliable and dependable; reports to work as scheduled without excessive absences
• Effective verbal and written communication skills
• Team management focus promoting a positive and proactive approach to problem resolution
• Must be detail-oriented and excellent organization skills
• Must be computer literate
• Completion of and, above-satisfactory scores on all job interviews, demonstrating to the satisfaction of the interviewees and TCRHCC that the applicant can perform the essential functions of the job
• Successful completion of and positive results from all background and reference checks, including positive employment references from authorized representatives of past and current employers demonstrating to the satisfaction of TCRHCC a record of satisfactory performance and that the applicant can perform the essential functions of the job
• Successful completion of fingerprint clearance requirements, physical examinations, and other screenings indicating that the applicant is qualified to be employed by TCRHCC and demonstrating to the satisfaction of TCRHCC that the applicant can perform the essential functions of the job
• Submission of all required employment-related documents, applications, resumes, references, and other required information free of false, misleading, or incomplete information, as determined by TCRHCC.

MENTAL AND PHYSICAL EFFORT

The physical and mental demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.

Physical:

Work requires prolonged walking, periods of standing, and prolonged sitting, frequent climbing and twisting as well as occasional driving, bending, kneeling, crouching, twisting, maintaining balance, and reaching. Work also requires extensive periods of time working at a personal computer. Must be able to lift, push and pull up to 24lbs frequently and occasionally must be able to list, push and pull over 100lbs. Must have ability of near vision, seeing fine details, hearing normal speech, frequent telephone use, color vision, depth perception, and occasional far vision and hearing overhead pages. Must have ability for prolonged near vision, seeing fine details, hearing normal speech and telephone use, frequent color vision and depth perception and occasional far vision and hearing overhead pages. Will need to be able to use a keyboard for a prolonged amount of time and occasional hand manipulation of simp/firm grasping and fine manipulation.

Mental:

Contacts often require tact and sensitivity as those related to stressful situations such as death, dying and catastrophic illnesses. Must be able to prioritize and use good judgment and coordinate a variety of issues while being frequently interrupted. Must be able to continuously concentrate and work alone, frequently cope with high levels of stress, make decisions under high pressure, manage altercations, handle multiple priorities in stressful situation, demonstrate high degree of patience, adapt to shift work and occasionally cope with anger/fear/hostility of others in a calm way, handle high degree of flexibility and work in areas that are close and crowded.

Environmental:

May occasionally be exposed to infectious diseases, chemical agents, dust, fumes, gases, extremes in temperature or humidity, hazardous or moving equipment, unprotected heights, and loud noises.

Responsibilities

ESSENTIAL FUNCTIONS

• Ensure that referrals are addressed in a timely manner, prioritizing urgent items appropriately.
• Assists Community Health Center (CHC) team in development of performance improvement measures to meet accreditation standards.
• Proactively leads multi-disciplinary team to collect, review and submit required reports.
• Works proactively and collaboratively with the Case Management department, Utilization Review, Public Health Nursing (PHN), Patient Benefit Coordinators, and Purchased Referred Care (PRC).
• Develops and maintains a resource database to ensure timely and accurate information for patient referrals and minimize fragmentation in patient care services.
• Continuously monitor patient referrals to ensure continuity of care, and timely follow up.
• Develops reports, performance improvement projects, assists in establishing policies and procedures and program objectives.
• Provides information for patients and families; facilitates informed choices, consent, and decision-making.
• Maintain ongoing tracking and appropriate documentation on referrals by recording all referrals.
• Identify and utilize cultural, language and community resources. Establish and maintain relationships with identified service providers.
• Establishes a continuous performance and quality improvement effort and monitoring and reporting system. Regularly reports the status of performance and quality improvement efforts and impacts.
• Coordinates the PI/QI Task Force within the CHC and reports performance measures to Performance Improvement Committee (PIC) monthly.
• Increases the performance management and quality improvement capacity of CHC in order to ensure that public health goals are effectively and efficiently met.
• Responsible for electronic health records data entry pertinent to patient service role.
• Proper PPE is worn inside assigned Clinics or Units. NIOSH- approved N95 Masks filtering face piece respirator or higher, if available, Eye or Face shields, Gloves, and Isolation Gowns.
• Complete all donning and doffing tasks in a safe acceptable method and discard of used PPE accordingly. Training well be provided.
• Complete task training for all routine cleaning and decontamination processes for all surfaces contaminated by a communicable disease to ensure a high level of patient, visitor, employee and external customer satisfaction.
• Performs other duties as assigned.