Ambulatory care coordinator job description

The Ambulatory Nurse Care Coordinator reflects the mission, vision, and values of NM, adheres to the organization's Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards.

The Ambulatory Nurse Care Coordinator is responsible for providing patient care support services and ensuring high quality of care through education and robust care management coordination services. The Ambulatory Nurse Care Coordinator functions as a liaison between the patient, physician, and clinical support staff and helps the patient understand their medical conditions and health responsibilities.
Responsibilities:

Serves as a patient advocate in an ambulatory setting and assists in navigating across various care settings.

Addresses the care coordination needs for high and moderate health risk patients as well as assistance with low risk or new patients.

Reviews patient records,registries, reports or other encounter or claims data to identify patients who may require care coordination.

Assesses, documents and addresses clinical, psychosocial, or financial barriers to effective patient care.

Consults with multidisciplinary team as appropriate to develop, implement and evaluate care for patients and families specific to the area of expertise.

Provides effective triage care using in-depth clinical knowledge and skills in area of expertise.

Provides educational support to patient and family members around medical processes, procedures, treatments, medications, and management of health and wellness.

Ensures timely continuity of care by proactively outreaching to patients post-discharge, managing referrals, facilitating transitions of care, and coordinating community resources. Collaborates across the continuum with patients care team members.

Manages high risk patient cases in order to minimize readmission rates and help reduce the cost of care. Assists in facilitating care coordination for the patient across the care continuum, ensuring that the patient is receiving the highest level of quality care in each setting.

Develops care plan that addresses patients overall health, including health goals with a plan that is in line with patients choices and values. Informs patients regarding access to general preventative care practices. Support patient activation of care plan.

Reviews and maintains patient health information including medical records and other pertinent information that informs provider and care team members about patients health and progress of care outcomes.

Monitors quality of care, as well as patient and physician satisfaction, through follow-up discussions and assessments. Participates in continuous quality, performance, and improvement initiatives to ensure the improvement of care coordination.

Provide after regular business hours on-call support for urgent care coordination issues.

Performs other related duties as directed or required.

Wound Care Coordinator(2216245) Description Wound Care Coordinator - Full-time - In Patient setting - Great Benefits start day 1
More success for patients and professionals
The Wound Care Coordinator directs, organizes, and develops all wound care services in accordance with applicable federal, state, regulatory, and company standards to ensure the delivery of quality patient care is rendered at all times, and that the Plan of Care and physician orders are followed with regard to wound care treatments. This position functions independently, demonstrates above average communication skills, personal integrity, and works effectively with patients, family members, physicians, staff, and outside agencies as required. The position leads hospital wound education efforts, as well as educates patients and family members on wounds and wound care topics. While this position does not specifically supervise clinical staff, as the leader of the wound care program in the hospital this person does direct clinical team on wound care treatment. This position requires continuous updating of education and treatment techniques in the delivery of wound care.

Job Code: 101162

Qualifications License or Certification:
- RN, Physical Therapist, or Occupational Therapist required for acute rehab hospitals
- RN required for long term acute care hospitals
- CPR certification required
Education, Training and Years of Experience:
- Continuous updating of wound care knowledge through seminars and professional organizations is required
- Minimum One Year experience in wound care
Machines, Equipment Used:
- General office equipment such as telephone, copy machine, fax machine, calculator, computer.
Physical Requirements:
- Good visual acuity and ability to communicate.
- Ability to lift, lower, push, pull, and retrieve objects weighing a minimum of 30 pounds, which includes participating in patient mobility activities.
Compliance:
- Adheres to the company's Standards of Business Conduct.
- Maintains current licensure and/or certifications, if applicable.
Skills and Abilities:
- Ability to speak, read, write, and communicate effectively.
- Ability to coordinate, analyze, observe, make decisions, and meet deadlines in a detail-oriented manner.
- Ability to work independently without supervision.
Environmental Conditions:
- Indoor, temperature controlled, smoke-free environment. Occasional outdoor exposure.
- Exposure or potential exposure to blood and body fluids may be required.
- Handicapped accessible.
- May work under stressful circumstances at times.
Proficiency or Productivity Standards:
- Meets established attendance standards.
- Adheres to hospital/department dress code including wearing ID badge.
- May be required to work weekdays and/or weekends, evenings and or night shifts if needed to meet deadlines.
- May be required to work on religious and/or legal holidays on scheduled days/shifts.
- Will be required to work as necessary during disaster situations, i.e., before, during or after a disaster.
- May be required to stay after workday to assist after a disaster situation until relief arrives.
- May be required to perform other duties as assigned by supervisor. Primary Location: California-Modesto-ModestoJob: NursingEmployee Status: Regular

You could be the one who changes everything for our 26 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility.
• Outreaches unable to reach (UTR) members on a quarterly basis.

• Outreaches opt out members on a quarterly basis.

• Engages case managers to complete clinical assessments and reassignment.

• Collaborates with members, family members, case managers, community based organizations and other care coordination support members to assist with non-clinical resource needs, interventions and other aspects of coordinated care

• Performs tasks necessary to promote member compliance such as verifying appointments and monitoring inpatient census.

• Checks-in on the member regularly to monitor and document progress.

• Initiates authorization requests for output or input services.

• Identifies members without a primary care physician and refers them to member services.

• Updates and maintains database with accurate member information such as assessments and authorizations

• Answers phone queues and faxes within established standards.

• Produces and mails routine case management letters and program educational material.

• Provides mentoring and guidance to newer team members on systems, benefits, s and other policies and procedures.

Job Title: Pediatrics Care Coordinator
Position Summary: Pediatrics Care Coordinator is a non-licensed health professional that helps to manage a member's care. They assist the Care Manager to coordinate Members care and connect them with health care providers, and monitor their progress.

Education: High School required with 2+ years of experience in a managed care setting or physician's office. Thorough knowledge of customer service, utilization review in a managed care environment and operation of office equipment such as a personal computer. Knowledge of medical terminology.

Our Comprehensive Benefits Package: Flexible work solutions including remote options, hybrid work schedules and dress flexibility, Competitive pay, Paid time off including holidays, Health insurance coverage for you and your dependents, 401(k) and stock purchase plans, Tuition reimbursement and best-in-class training and development.

Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

**TITLE:** Pediatric Care Coordinator

**LOCATION:** Various, Maine

**REQNUMBER:** 1366382