Primary Care Coordination Health Tech
Crook County Medical Services District
- Sundance, WY
- $16.39-20.38 per hour
- Permanent
- Full-time
- Detailed review of EMR record to inform initial outreach.
- Monitor patient's ED visits and acute stays, perform post-discharge follow up calls and continuously assess risk of readmissions post-discharge.
- Utilize motivational interviewing to promote patient engagement and empower patients to develop self-management skills.
- Communicate proactively with provider to address patient change in status or obtain any necessary referrals/orders.
- Provide medical documentation in our care management software system.
- Develop and maintain effective professional working relationships with assigned providers and other care management team members.
- Travel to all CCMSD locations.
- Connect the patient to community resources or assist in problem solving due to a lack of patient resources.
- Accepting transfers from the Patient Enrollment team to conduct preliminary health assessments for newly enrolled patients in our network.
- Resolve patients' questions and create an open dialogue to understand needs.
- Assist with medication management, including identifying potential medication concerns, adherence, and coordinating refills.
- Assist in ensuring timely delivery of services to your patients; Home Health, DME, Home Infusion, and other critical needs.
- Personal Care: Assisting patients with personal hygiene, dressing, bathing, and other daily activities.
- Health Monitoring: Checking vital signs, setting up medications, and monitoring patients' well-being.
- Light Housekeeping: Performing basic housekeeping duties like laundry and dishes.
- Transportation: Providing or arranging transportation for patients
- Report to charge Care Coordination RN
- High school diploma or equivalent
- A minimum of two (2) years healthcare experience
- 1-3 years relevant experience in patient navigation Population specific experience is very important.
- Experience with Medicare and Medicaid Payers
- Medical Assistant Certification
- Certified Nursing Aide Certification in Wyoming
- Must be 21 years of age.
- Schedule:
- 40-hour work week
- Monday to Friday with some flexibility
- Remote and on-site
- Knowledge and experience with electronic medical record (EMR) and Care Management technology
- Display a strong customer service, patient-focused
- Ability to be flexible in an ambiguous, dynamic, and growing
- Strong collaboration and conflict resolution skill sets
- Strong decision making and problem-solving
- Effectively engages diverse populations and provides culturally sensitive coaching, education, and assistance.
- Ability to develop, prioritize and accomplish goals/time
- To work remotely, you must have a strong internet connection, quiet space to take calls and a professional (distraction free) environment in which you can remain HIPPA compliant.
- Some expectations of travel depend on patient and facility