Full Time or Part Time Care Coordinator
Full-Time or Part-Time Position for a Care Coordinator at our Innovative, PCMH Primary Care Health Center Located in Pensacola, FL
Come work with Healthstat in the delightful, water wonderland of Pensacola, Florida. A beautiful, coastal community in the panhandle of Florida with white sand beaches and an abundance of culture, arts, museums, sports, concerts and award-winning schools.
Background: Healthstat, in collaboration with Blue Cross and Blue Shield of Florida and its Florida Blue Retail Centers, is deploying an innovative primary care clinic model to create a unique experience and provide advanced primary care, wellness, and chronic care services to Blue Cross and Blue Shield members ages 12 and above. The center focuses on outstanding patient experience, care coordination, and outcomes. This clinic will also provide a laboratory draw station and limited, pre-packaged pharmacy dispensing of generic medications.
The model is the only primary care clinic of its kind within the Blue Cross and Blue Shield family.
Position Description:
- A Healthcare Center Care Coordinator working in Healthstat health centers will work with patients in reaching personal health improvement goals. They must be able to quickly assimilate to the patient’s culture, environment and goals. Relationships based on trust, an understanding of the patient’s health benefits program and the local health care community is required. Strong collaborative skills are necessary in order to make the best use of all resources available to patient;
- A Healthcare Center Care Coordinator will engage patients in personal health improvement, provide care coordination services, and act as a resource and advocate for patient health care needs. The Healthcare Center Care Coordinator must understand the health impact that can be made by managing chronic conditions and providing patients unencumbered access to care;
- A Healthcare Center Care Coordinator will foster an environment of collaboration and teamwork that promotes an outstanding patient experience. Strong collaborative skills are necessary in order to make the best use of all resources available to patient;
- A Healthcare Center Care Coordinator will manage, deliver, and develop care coordination services for the center’s patients;
- A Healthcare Center Care Coordinator generally spends approximately 80% of the time directly handling clinically related tasks and the remaining 20% of the time handling administrative and patient benefit-related services.
Primary Responsibilities:
- Work with the clinical team as a resource on care management of the center’s patients. This including:
- Plan pre-visit workflow to ensure care completion prior to visit;
- Coordinate care with hospital, ER, consulting physicians, and community resources;
- Utilize and further develop workflows to ensure smooth transitions of patients treated at other facilities, providers, or community resources;
- Perform follow-up and coordination with extended care teams (specialists, ancillary care, etc.);
- Provide an after visit summary review with patients whenever appropriate;
- Actively involve patient family in planning patient's care;
- Educate patients about self-management tasks;
- Actively assist in the overall management of chronic care patients by performing the following:
- Provide follow-up contact with patients as indicated to ensure compliance with prescribed care plan;
- Telephonically advising per established protocols;
- Perform pre-visit planning to ensure that necessary documentation and pre-visit tasks are completed prior to visit whenever possible;
- Assist patient with meeting short- and long-term goals for the patient and family/significant others as directed by a care plan;
- Assess barriers to not meeting treatment goals and advise patient care team of impacts to care plan;
- Provide direct chronic disease education to patients;
- Document patient problems and care coordination needs of the patient and family/significant others;
- Identify the need to involve other disciplines in the patient's care;
- Interface with BCBSF disease management programs;
- Support patient benefit questions and be familiar with BCBSFL tools available to assist patients;
- Understand cost impacts able to guide patients to cost quality points of care;
- Actively utilize the use of electronic medical records in capturing and utilizing clinical data;
- Work collaboratively with Clinical team and Healthstat Corporate to set goals and objectives for the clinic, including expansion of services;
- Meet regularly with clinic staff to ensure care coordination, referral management, and clinical workflow processes are operating efficiently;
- Participate in patient care Quality Assurance programs;
- Efficiently satisfactorily carry out other duties as assigned or required.
Qualifications, Education, and Experience:
· Unrestricted Registered Nursing license to practice in the state of Florida;
· Minimum of three (3) years experience as a licensed, registered nurse, prefer experience in outpatient primary care; also prefer experience with care coordination and care management;
· Experience with patient-centered care models is preferred;
· CPR certification;
· Clinical and practice skill sets and responsibilities include:
- Demonstrates excellent leadership and communication skills both with the primary care office staff and patients. The successful candidate is able to utilize and incorporate in the practice setting electronic tools including EMR, e-prescribing, patient registries, and electronic data relating to quality and patient outcomes. The candidate must be able to provide clinical care using a whole team approach centered on patient needs and incorporating individual preferences in the delivery and approach to care. An interest in treating chronic illness is a plus;
- Exhibits strong interpersonal and clinical skills to work within a primary care center with a variety of licensed clinical (Physicians, Nurse Practitioners, Medical Assistants, and other RN’s), non-clinical staff, patients and their families. The Nurse Practitioner may be expected to communicate and build relationships with external clinical consultants, provide oversight for referrals to clinical care, care management programs, and for the overall clinical experience of patients treated in the primary care office;
- Possesses a high degree of confidentiality, discretion, and professionalism.
Consistently demonstrate professionalism in communications and relationships with patients, clients, co-workers, Healthstat corporate leadership and support staff, employers, prospects, vendors, and carriers.
Essential Physical Demands:
· Ability to sit at desk in office location;
· Ability to use a personal computer;
· Ability to clearly and effectively communicate by speech and to hear clearly in person and by telephone;
· Ability to travel to and from client and vendor sites as required;
· Ability to travel commercially by common carrier as required;
· Ability to occasionally lift/carry up to 20 (twenty) pounds for short distances.
Essential Environmental Demands
· Ability to work in climate-controlled office environment
· Ability to work in field environments from time to time
· Ability to conduct client and prospective client meetings if requested
· Ability to effectively and efficiently conduct medical team meetings