Care Coordinator

Who We Are:

Aviva Health is a dynamic and mission-driven federally qualified health center (FQHC). Committed to providing comprehensive and compassionate healthcare services, Aviva Health offers a holistic approach to care, addressing patients' medical, behavioral health, dental, and social service needs. As a vital healthcare resource in the community, Aviva Health fosters a collaborative and supportive work environment where dedicated healthcare professionals have the opportunity to make a meaningful impact on the lives of individuals and families. Join us at Aviva Health and be part of a team that is dedicated to making a difference in the lives of our patients and the community we serve.

Benefits Include:

• Monday - Friday Scheduling
• Paid Holidays
• PTO
• Comprehensive Medical, Dental, and Vision Coverage
• 403(b) Retirement with Employer Match
• Training and professional development opportunities

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POSITION PURPOSE:

Under the general supervision of the Clinical Support Services Manager, the Care Coordinator performs certain case management and clinical duties. Case management duties may include transitions of care, chronic care management, Coumadin management, Alternative Payment Care Model-related (APCM-related) activities, and other case management duties. The Care Coordinator promotes and evaluates the effective utilization of resources using current knowledge and awareness of community resources and assumes a pivotal role within the patient care team to achieve optimal clinical and resource outcomes.

ESSENTIAL FUNCTIONS:

• Serve as a care coordinator for identified patient population needing care management services
• Assist RN Case Managers as needed for Aviva Health’s case management services
• Draw labs per clinic policies and procedures if skills check completed.
• Clinical duties may include taking and recording vital signs, drawing certain labs, and direct care duties as needed and in accordance with established policies and procedures.
• Administrative duties may include generalized care coordination, scheduling medical visits as indicated, and working with care teams to perform comprehensive chart reconciliation and review.
• Assist various departments regarding APCM Care Services That Engage Patients (STEP) and other as-needed functions and duties that relate to the APCM.
• Utilize communication, organizational, and problem-solving skills to implement the care coordination interventions defined by the Primary Care Provider, RN Case Manager, or specialty providers information available to them from the patient’s electronic medical record (EMR).
• Promotes and evaluates the effective utilization of resources using current knowledge and awareness of community resources and assumes a pivotal role with the patient care team to achieve optimal clinical and resource outcomes.
• Applies critical thinking and knowledge in clinically appropriate treatment, evidence-based care and medical necessity criteria for members by providing care coordination, support and education for members through the use of care management tools and resources.
• Utilizes negotiation skills to secure appropriate options and services necessary to meet the member’s benefits and/or healthcare needs.
• Utilizes case management processes in compliance with regulatory and accreditation guidelines and company policies and procedures.
• Assist physicians and nurses as needed in coordination of care services.
• Utilizes electronic medical records to document and track all case management services and referrals.
• Help patient actively and knowledgably participate with their primary care and case management team in healthcare decision making.
• Assist case management team with high level of productivity and accuracy to improve performance metrics and patient outcomes.
• Assist with care coordination between patient and case management team.
• Assist with compliance with HRSA continuity of care regulations.
• Additional duties as needed.

QUALIFICATIONS:

• At least one (1) years’ experience working as part of a care management team managing complex patients, including transitions of care.
• Experience in Care Coordination in Hospital or Clinical setting.
• Previous experience as a Medical Assistant required, CCMA/NCMA preferred.
• Current BLS certification (maintaining current certification is required for continued employment Aviva Health).
• Ability to work independently, detail oriented, organized, work effectively under pressure, and meet deadlines.
• Excellent computer and organizational skills.
• Demonstrated knowledge of office procedures, patient flow, triage and scheduling.
• Ability to communicate effectively with others using the spoken word and writing clearly and concisely. Ability to follow verbal and written directions.
• Ability to accept responsibility and account for his/her actions and deliver upon expectations.
• Knowledge of basic medical terminology.

WORKING CONDITIONS:

Must be able to perform the following physical requirements:

• In-person work during normal clinic hours.
• Remain in a stationary position frequently throughout the day while performing clinical and administrative duties.
• Move or traverse frequently throughout the clinic to perform clinical and administrative duties.
• Frequently operate equipment throughout the day using a computer, clinical and lab equipment.
• Ability to communicate information and ideas clearly and accurately so others will understand; ability to interact with patients and staff clearly.
• Able to move or transport up to 25 pounds while using equipment and providing patient care.
• Work indoors in heat-controlled environment most of the day.
• OSHA Exposure Category – Category #1: Possible job-related exposure to blood and/or body fluids. Requires the appropriate use of personal protective equipment (PPE).

DISCLAIMER:

Employees must be able to perform the essential functions of their position satisfactorily. Aviva Health will make reasonable efforts to accommodate a qualified applicant or employee with a known disability, unless such accommodation creates an undue hardship on the operation of the business. To request a reasonable accommodation, please contact the VP of Human Resources or their designee by email.

Ready to join our team? Apply now and take the next step in your career.

Aviva Health is an Equal Opportunity Employer

We are committed to fostering a diverse and inclusive workplace where all qualified applicants receive consideration for employment without regard to race, color, religion, gender, gender identity, sexual orientation, national origin, age, disability, veteran status, or any other legally protected status.

Aviva Health is a Drug-Free Workplace

To ensure a safe and secure environment for our employees and patients, Aviva Health maintains a drug-free workplace. All employment offers are contingent upon passing a drug screening and a criminal background check. Compliance with these policies is required throughout employment.