Coordinates with the patient care team to review clinic appointment availability utilization) to ensure that clinic schedules are closely monitored to effectively support the needs of the clinics and makes adjustments as necessary; develop and/or maintain effective and efficient communication with the patient, interdisciplinary coordinated care delivery model teams, VA medical centers, and other agencies (e.g., assist with communications during the inpatient to outpatient discharge; communicate with non-VA medical facilities; prepare correspondence to notify patients of normal lab results; manage a system for follow-up care such as consults, tests, etc; Other assignments at this level include, but are not limited to: processes incoming patient secure messaging and coordinates with care team as appropriate; participates in team huddles and team meetings to manage, plan, problem solve, and follow-up with patient care by sharing information and collaborating with the interdisciplinary team; setting priorities and deadlines, adjusting the flow and sequencing of the work to meet team and patient needs; identifies incomplete encounters and communicates findings to providers; as needed; assists the team to reinforce the plan of care and self-help solutions; enters appropriate information into the electronic record; monitors pre-appointment information and/or requirements to assure readiness for patient visit/procedure; manages patient systems to verify and validate accuracy and resolve issues; evaluates patient information and clinic schedule lists to determine whether the patient requires an immediate appointment. Coordinates with the patient care team to review the clinic utilization by using various reports; Maintains effective and efficient communication with the patient, interdisciplinary team, VA Medical Centers, and other agencies; Communicates with non-VA medical facilities; facilitate/process secure messaging with the patient and team; notify patients of appointments; Manages a tracking system for follow up care such as Return to Clinic Orders, Recall, consults, tests, etc; Sets priorities and deadlines, adjusting the flow and sequencing of the work to meet team and patient needs; Monitors pre-appointment requirements to assure readiness for patient visit/procedure (e.g., X-ray, lab work); Participates and provides input in problem solving on operational issues or procedures in team meetings, performing administrative follow up actions; Participates in and independently follows up on team huddles by sharing information and collaborating with the medical team to assure continuity of care; Educates providers about shared patients (those who receive their care at multiple VAs or those who have care in the community) and bringing to the attention of the provider.