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High Intensity Care - Care Coordinator
High Intensity Care - Care CoordinatorMyCare Medical Group • West Palm Beach, FL, US
High Intensity Care - Care Coordinator

High Intensity Care - Care Coordinator

MyCare Medical Group • West Palm Beach, FL, US
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Job Description

Job Description

Job Summary :

At MyCare Medical, we strive to make sure our patients receive the highest quality, most cost-effective care.  We have a dedicated High-Intensity Care (HIC) team supporting our patients, giving them the time that they need to care for each patient and ensure a comfortable and patient-centric experience.  The High Intensity Care - Care Coordinator (CC), under medical supervision, assists the High Intensity Care (HIC) Provider in the delivery of health care services.

Job Responsibilities :

Access to care :

  • HIC Care Coordinator ensures patients are seen at least once per month and as necessary by HIC PCP and team.
  • Outreaches HIC patients to engage them with HIC program based on acuity.
  • Schedules PCP HIC visits and ensure adherence with scheduled appointments.
  • Answers calls and messages from HIC patients during business hours using dedicated cell phone and office phone.
  • Adheres to the process for adding a HIC visit during the day for urgent symptoms, destabilization, and transitions of care.
  • Coordinates virtual visit capabilities when available and clinically appropriate, and when patients can use technology.

DURING THE HIC VISIT :

  • Obtains patient vitals, and assist Provider with minor procedures, injections (therapeutic / immunization), phlebotomy, collects appropriate consents prior and during visit.
  • Educates patients on “Call us first”.
  • Captures quality care gaps, screenings, and recommended care for primary, secondary, and tertiary preventions should be addressed and closed on all patients.
  • Assist in obtaining Advanced Care Planning and DNR documents.
  • Other tasks as assigned.
  • BETWEEN HIC VISITS :

  • Coordination of care between HIC visits.
  • Coordination of labs, DME, home health, home infusion, dialysis program, HEDIS measures, and referrals and supports hospice referrals.
  • Coordinate integrated collaborative, embedded behavioral health and SDOH (TBD) (use current Health Plans BH / SDOH when available).
  • Retrieve every specialty consult note. Referral must be approved by the HIC PCP in coordination with assigned PCP (if / as needed).
  • Assist HIC Provider in communicating with hospitalist / SNF team when patient is referred to ED, admitted to the hospital / SNF, and discharge from ED / Hospital, SNF.
  • Assist / coordinate HIC APP (TBD) to visits HIC patients at home as indicated by HIC provider.
  • Participate with HIC team in regularly schedules huddles / case conferences to review all / some patients at least once a week.
  • Verify patient eligibility and appointment confirmation before every HIC appointment.
  • Do wellness check in calls with patients every week.
  • Assist to dispatch MyCare at Home as needed.
  • Assist in obtaining hospital records and scheduling transition of care management visits.
  • Job Qualifications :

  • Medical Assistant Certificate issued by an accredited institution OR
  • One (1) year of experience working in a health care setting that includes direct patient contact OR

  • A combination of training, education, and experience that is equivalent to one of the employment standards listed above and provides the required knowledge and abilities.
  • Bilingual in English / Spanish preferred but not required
  • Electronic Medical Record (EMR) experience, eCW
  • A strong grasp of medical terminology, preferably with geriatric patients; Basic arithmetic.
  • Experience in collecting blood samples for 1-year, geriatric population preferred.
  • Experience in accurate and efficient taking of vitals in a primary care setting for 1 year.
  • Able to speak and communicate clearly, empathetically, and effectively over the phone, in writing and in-person.
  • CPR and Basic Life support certification, preferred.
  • Ability to respond effectively and collaboratively to unexpected situations.
  • Self driven and able to multi-task within a busy office setting.
  • BENEFITS

  • Comprehensive benefits package, including Health, Vision, Dental, and Life insurances
  • FSA and Life Assistance Program (EAP)

  • 401(k) Retirement Plan
  • Health Advocacy, Travel Assistance, and My Secure Advantage
  • PTO Accrual and Holidays
  • #ZIP

    #INDNP

    #LI-SW1

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