Under the direct supervision of the Quality Improvement Director, the patient care coordinator performs designated clerical duties that assist in patient care in relation to training and in accordance with established policies and procedures.

Essential Functions, Knowledge, Skills and Abilities

·Prepares for daily huddles the day prior to patients scheduled appointment, gathers information from care team (nurse, medical records, referrals) and reports to provider daily of any referrals, lab, radiology, immunizations, etc. needed for patients with chronic conditions that are being tracked.

·Work with care coordination team to utilize internal and external data sources.

·Identify high risk patients through various practice protocols and initiatives.

·Print i2i summaries for established patients identified on day of appointments.

·Identify and link patients with community resources to facilitate referrals and respond to social service’s needs.

·Track and support patients when they obtain services outside the health center (eg: labs).

·Provide relevant self-management support for patients with chronic illness, as identified by clinical teams.

·Work with patients in person and over the phone to remind and review their plan of care and progress towards their goals.

·Collaborate with other members of the care team for care coordination and care management services for high risk patients.

·Asist with data collection and generation of patient registry reports in the i2i system.

·Ensure timely documentation in the NextGen EHR system.

·Responsible for checking and performing daily duties.

·Participates in professional development activities.

·Maintains strictest confidentiality.

·Responsible for knowing policies and procedures related to position.

·Performs in a professional manner and puts forth their best effort.

·Communicates openly and consistently with Supervisor(s) and all staff.

·Assist Clinical Supervisor and/or Director of Clinical Operations with any assignment.

·Maintains a positive and respectful attitude while delivering excellent “customer service”.

·Communicates with fellow employees, management and supervised employees (if any) on a regular basis.

·Self-motivates to perform department tasks as needed.

·Maintains the strictest confidentiality.

·Performs in a professional manner and puts forth their best effort.

·Communicates openly and consistently with Supervisor(s) and all staff.

·Performs related work as required.

·Demonstrates ability to work harmoniously with others to get a job done.

·Attitude promotes positive work environment.

·Respects others co-workers, business partners and patients.

·Resolves issues and conflicts at the onset by going to the source whenever possible.

·Communicates effectively with team members and provides constructive suggestions to improve team performance.

Required Education and Experience

·Minimum Education: High school graduate of GED equivalent required.

·Graduation from an accredited program for Medical Assistants and proof of certification is required.

·Bilingual in English and Spanish is required.

·Current BLS lifesaving support certificate is required.

Preferred Education and Experience

·Two year medical assistant experience in an office or clinic setting is preferred.

Other Duties

1. Maintains a positive and respectful attitude while delivering excellent “customer service”.

2. Have excellent verbal, written and presentation skills.

3. Strong attention to detail.

4. Strong analytical skills.

5. Communicates with fellow employees, management and supervised employees (if any) on a regular basis.

6. Self-motivates to perform department tasks as needed.

7. Maintains the strictest confidentiality.

8. Performs in a professional manner and puts forth their best effort.

9. Communicates openly and consistently with Supervisor(s) and all staff.

10. Performs related work as required.

11. Demonstrates ability to work harmoniously with others to get a job done.

12. Attitude promotes positive work environment.

13. Respects others co-workers, business partners and patients.

14. Resolves issues and conflicts at the onset by going to the source whenever possible.

Communicates effectively with team members and provides constructive suggestions to improve team performance.

Altura Centers for Health retains the right to change or modify job duties at any time. The above job description is not all encompassing. Needs and requirements may vary according to business needs or necessity. Altura Centers for Health is an employer “at-will” and nothing in this document is intended to, nor does, alter the existing “at-will” employment relationship.

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