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Patient Health Coordinator
HarmonyCares. Assist with care coordination efforts and needs for a caseload of paneled patients .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in care coordination, patient advocacy, and effective communication within healthcare settings. Proficient in utilizing EMR systems and adhering to HIPAA regulations while managing patient interactions and care plans.
Highest-signal resume keywords
Care CoordinationPatient AdvocacyEMR Software ProficiencyInterpersonal CommunicationCritical Thinking
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
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Hard Skills
Care CoordinationBasic Medical TerminologyPatient AssessmentProblem SolvingDocumentation in EHRReferral ProcessingPrior Authorization HandlingSocial Determinants of HealthQuality ImprovementCustomer Service
Soft Skills
Interpersonal CommunicationActive ListeningTime ManagementFlexibilitySelf-Direction
Tools & Technologies
EMR SoftwareCall Center TechnologyMicrosoft Office SuiteAthena (EHR)
Certifications & Qualifications
Active LPN/LVN LicenseCommunity Health Worker Certification
Industry Keywords
MedicareMedicaidHealthcare ExperiencePatient ExperienceHIPAA Compliance
About the role
Key responsibilities & impact- Assist with care coordination efforts and needs for a caseload of paneled patients
- Collaborate with cross-functional teams to solve problems and achieve objectives
- Act as liaison between providers and patients by coordinating in-market activities, relaying messages, processing referrals and faxes, and handling prior authorizations
- Monitor and evaluate the effectiveness of interventions and treatments and recommend care-plan adjustments with the integrated care team
- Advocate for patients during High-Risk Huddles and provide assessments and recommendations
- Conduct outreach to patients discharged from hospitals or emergency rooms to collect information and close care gaps
- Identify, document, and resolve problems, goals, and interventions in care plans
- Communicate clinical information and instructions to patients, caregivers, facilities, and others on behalf of providers
- Participate in collaborative care-team activities to achieve quality and patient-experience outcomes
- Identify and ensure closure of Social Determinant of Health barriers
- Proactively monitor patient care through outreach and scheduled checkpoints
- Document calls and patient interactions promptly in the EHR according to clinical documentation guidelines and applicable regulations
- Communicate compassionately and professionally with patients, families, care teams, and external entities
- Identify, acknowledge, escalate, and address patient complaints, grievances, and concerns
- Comply with HIPAA and applicable state and federal laws
Requirements
What you’ll need- High school diploma/GED
- 2+ years of care coordination or healthcare experience
- Familiarity with Medicare, Medicare Advantage and Medicaid insurances and programs
- Well-organized, detail-oriented, and able to multi-task in a demanding and constantly changing environment
- Strong interpersonal communication skills and active listening skills
- Flexibility in addressing changing community needs and program environment
- Ability to think critically and make sound judgments
- Strong time management skills
- Strong commitment to patient advocacy
- Self-directed with excellent problem-solving skills
- Knowledge of basic medical terminology
- Ability to work independently and as part of a team
- Proficiency with EMR software/application, call center technology, and Microsoft Office Suite
- Experience in a community work or healthcare environment
- Knowledge of basic principles, practices and techniques in primary healthcare
- Active LPN/LVN license in the state where patients are located, Foreign Nursing Grad, Foreign Medical Grad, or Community Health Worker certification (preferred)
- Experience in Athena (EHR) (preferred)
- 2+ years of experience delivering exceptional customer service (preferred)
- 2+ years of experience in a position that involved critical thinking (preferred)
- Adherence to all state and federal laws, including HIPAA
Benefits
Comp & perks- Health, Dental, Vision, Disability & Life Insurance
- 401K Retirement Plan (with company match)
- Tuition, Professional License and Certification Reimbursement
- Paid Time Off, Holidays and Volunteer Time
- Paid Orientation and Training
- Day Time Hours (no holidays/weekends)
- Manageable rosters and visits per day compared to a traditional practice environment