Patient Care Coordinator

Essential Duties and Responsibilities

• Works under the direction of the QCM.
• Identifies care gaps, needed screenings, and chronic disease management needs.
• Pre-populates orders for preventive services for provider review.
• Supports chronic disease management by ensuring patients are up-to-date on recommended referrals, care plans, and follow-ups.
• Tracks and supports completion of quality measures and care gap closures.
• Maintains accurate tracking logs of patients due for screenings, appointment scheduled, screening completed, and follow-up status.
• Identifies and addresses barriers to care such as transportation, language, scheduling conflicts, and access issues.
• Participates in team phone pool for non-clinical calls; documents all patient interactions in EHR.
• Supports administrative tasks including faxing, scanning, copying, and documentation.
• Submits supplemental screening data through reporting portals to ensure accurate capture of quality measures.
• Participates in quality assurance and performance improvement initiatives.
• Ensures compliance with organizational policies, workflows, and regulatory requirements.
• Aids in complying and reporting quality requirements, regulations, guidelines, and measures to HRSA, NCQA for PCMH, Bureau of Primary Health Care (BPHC), Joint Commission, federal, state, and local agencies.
• Collaborates with the Clinical Leadership Team to implement the Quality Improvement Plan effectively throughout the organization.
• Stays current with clinical initiatives coming from HRSA and CCQA to develop goals to support these initiatives.
• Other duties as assigned by the QCM.

Qualifications

• Minimum of 3 years' experience using Epic in an ambulatory clinic setting.
• Completion of training as Certified Medical Assistant or Certified Nursing Assistant preferred.
• Previous experience in clinic or private provider office setting preferred.
• PREFERRED: NCQA PCMH Content Expert Certification, Certified in Healthcare Compliance (CHC), Epic Certified.
• Strong background regarding HRSA, Ryan White requirements and regulations.
• Basic computer operation skills required. Ability to learn and use the Electronic Health Record quickly, efficiently, and accurately.
• Proficiency in Microsoft Word and Microsoft Excel is required, including the ability to create, edit, maintain, and analyze documents, spreadsheets, and reports accurately and efficiently.