Patient Care Coordinator/CMA (Family Medicine Center)

Patient Care Coordinator

JOB SUMMARY

The Patient Care Coordinator will oversee all patient care programs, including but not limited to Preventive Care, Clinical Quality Validation Forms and other Clinical Quality Initiatives. These activities will include but not be limited to the support of the daily operations of the patient care programs.

ESSENTIAL FUNCTIONS:

• Run reports from computer systems to identify patients that are due Preventive Care visits
• Call patients and schedule Preventive Care visits
• Assist patients and provider during Preventive Care patient visits
• Assist patients in making appointments for referred Preventive Care visits (ophthalmologist, mammogram, behavioral health, etc)
• Keep patient health risk assessment (HRA) form updated and assist patients in completing
• Complete Clinical Quality Validation Forms as needed..
• Update educational material, prevention handouts and assist with distribution of literature for chronic disease states such as Hypertension, Diabetes, Metabolic syndrome etc.
• Be knowledgeable of Medicare Preventive Care covered services included in IPPE and Annual Wellness Exams and keep up frequency schedules.
• Be knowledgeable in Texas Healthy Steps program requirements
• Be knowledgeable of current HEDIS and Clinical Quality measures
• Handle printing, tracking and ensure provider completion of Traditional Medicare Patients annual CCA forms through Signify
• Communicating with patients about their status and condition through emails, phone and face-to-face conversations
• Managing patient accounts with contact information, insurance and financial information in a confidential manner
• Using data to do analytical tasks and charting tasks related to patient information
• Provides availability for questions or assistance
• Responds to requests from other departments in timely, positive and pleasant manner
• Maintains confidentiality for all patient information to assure patients’ rights are protected
• Understands and utilizes the appropriate channels of communications
• Ensuring services comply with state and federal regulatory requirements

WORKING CONDITIONS AND PHYSICAL REQUIREMENTS

• Work performed in Administration Department and Clinic settings.
• Subject to long, irregular hours.
• Must be able to lift 20lbs.
• Regularly required to sit, stand, bend, reach and move about the facility.

KNOWLEDGE, SKILLS, AND ABILITIES

Possesses skills and knowledge in the following areas:

• Computer and word processing skills.
• Deal tactfully with patients, physicians, insurance companies and associates
• Work harmoniously with professional and non-professional personnel
• Demonstrate patience, tact, cheerful disposition and enthusiasm, as well as the willingness to handle difficult situations.
• Ability to exercise sound judgment, ability to plan, be well organized, have excellent oral and written communications skills, work well under pressure, take initiative, be flexible and cooperative.
• Ability to be accurate, timely, and respect confidentiality concerning medical staff and associate records.
• Other duties may be assigned.

EDUCATION AND EXPERIENCE

High school graduate.

Minimum of five (5) years of patient care experience.

Current NRCMA certification required

Experience assisting provider with Medicare Annual Wellness Visits

Knowledge of HEDIS quality measures