Ambulatory Care Coordinator jobs at ProMedica Toledo Hospital

JOIN TEAM TRILOGY: At Trilogy, you'll experience a caring, supportive community that values each team member. We prioritize meaningful relationships, genuine teamwork, and continuous growth. With the stability of long-term care, competitive pay, and exceptional benefits, Trilogy offers a work environment where you're supported, appreciated, and empowered to thrive in your career. If you're ready to join a team committed to your success, Trilogy is where you belong and thrive! WHAT WE'RE LOOKING FOR: The MDS Coordinator (LPN, RN) is responsible for overseeing the resident assessment and care planning process and ensuring compliance with federal and state regulations related to resident assessments, quality of care and Medicare/Medicaid reimbursement. Key Responsibilities Conduct and complete the Minimum Data Set (MDS) assessment to evaluate residents' physical, psychological and functional status, including the implementation of Care Area Assessments (CAA)s and triggers. Evaluate each resident's condition and pertinent medical data to determine any need for special assessment activities or a need to amend the admission assessment. Prepare and electronically transmit timely reports to the national Medicare and Medicaid databases. Develop a written plan of care (preliminary and comprehensive) for each resident that identifies the problems/needs of the resident and the goals to be accomplished for each problem/need identified. Provide information to residents/families on Medicare/Medicaid and other financial assistance programs available to the residents. Ensure that MDS notes are informative and descriptive of the services provided and of the residents' response to the service. Assist with completing the care plan portion of the residents' discharge plan. Evaluate and implement recommendations from established committees as they pertain to the assessment and/or care plan functions of the health campus. Qualifications Must have and maintain a current, valid state LPN or RN license Three (3) to five (5) years' experience working in the MDS or assessment role in a senior residential care, healthcare, senior living industry or long-term care environment, preferred Current, valid CPR certification required Compensation will be determined based on the relevant license or certification held, as well as the candidate's years of experience. WHERE YOU'LL WORK : Location: US-OH-Findlay LET'S TALK ABOUT BENEFITS: Our comprehensive Thrive benefits program focuses on your well-being, offering support for personal wellness, financial stability, career growth, and meaningful connections. This list includes some of the key benefits, though additional options are available. Medical, Dental, Vision Coverage - Includes free Virtual Doctor Visits, with coverage starting in your first 30 days. Get Paid Weekly + Quarterly Increases - Enjoy weekly pay and regular quarterly wage increases. Spending & Retirement Accounts - HSA with company match, Dependent Care, LSA, and 401(k) with company match. PTO + Paid Parental Leave - Paid time off and fully paid parental leave for new parents. Inclusive Care - No-cost LGBTQIA+ support and gender-affirming care coordination. Tuition & Student Loan Assistance - Financial support for education, certifications, and student loan repayment. GET IN TOUCH: Andrea APPLY NOW: Since our founding in 1997, Trilogy has been dedicated to making long-term care better for our residents and more rewarding for our team members. We're proud to be recognized as one of Fortune's Best Places to Work in Aging Services, a certified Great Place to Work, and one of Glassdoor's Top 100 Best Companies to Work. At Trilogy, we embrace who you are, help you achieve your full potential, and make working hard feel fulfilling. As an equal opportunity employer, we are committed to diversity and inclusion, and we prohibit discrimination and harassment based on race, color, sex, religion, sexual orientation, national origin, disability, genetic information, pregnancy, or any other protected characteristic as outlined by federal, state, or local laws. NOTICE TO ALL APPLICANTS (WI, IN, OH, MI & KY): for this type of employment, state law requires a criminal record check as a condition of employment.

Intake Coordinator (CAC)- RN/ Social Work- Behavioral Health Horizon Health is seeking a Clinical Assessment Coordinator for our unit at Johnson Memorial Hospital in Franklin, IN. The Clinical Assessment Coordinator, in conjunction with the unit's Program Director may coordinate the referral development and pre-admission patient assessment process and provide clinical assessments for potential clients. Responsibilities: In coordination with the Program Director, develops, implements, coordinates, and evaluates clinical admission, referrals, and/or discharge processes. Conducts on and off site patient assessments, including appropriate test administration, interpretation and recommendations Responds to intake calls and completes admission paperwork Participates in the development of treatment plans in coordination with the treatment team Coordinates treatment with physicians and other health and social agencies Facilitates groups, family and individual sessions and completes all necessary documentation Coordinates and participates as a direct liaison with appropriate interested parties and physicians through the patient referral inquiry, admission, treatment, and discharge process Reviews newly admitted patient accounts for eligibility and authorization daily Maintains schedule for filing court paperwork and hearings Addresses issues in a timely manner including crisis and higher level of care referrals. Other Duties as Assigned Benefit Highlights for full-time positions: Competitive Compensation Excellent Medical, Dental, Vision, and Prescription Drug Plan 401(K) with company match and discounted stock plan Long and Short-term Disability Flexible Spending Accounts; Healthcare Savings Account Life Insurance Career development opportunities within the company Tuition Assistance Rewarding work environment - Enjoy going to work every day! Who we are & where you can make a difference: Quality care is our passion; improving lives is our reward. Horizon Health, a subsidiary of Universal Health Services, is a leading behavioral services management company. Horizon Health Behavioral Health Services has been leading the way in partnering with hospitals to manage their behavioral health programs for over 40 years. With an unparalleled breadth of services, Horizon Health has singular expertise in behavioral health conditions and comprehensive care settings. Whether it involves the planning, development and implementation of a new behavioral health service line, or the successful management of an existing behavioral health service, Horizon Health has extensive expertise in successfully addressing concerns unique to hospital-based programs. About Universal Health Services: One of the nation's largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (NYSE: UHS) has built an impressive record of achievement and performance, growing since its inception into a Fortune 500 corporation. Headquartered in King of Prussia, PA, UHS has 99,000 employees. Through its subsidiaries, UHS operates 28 acute care hospitals, 331 behavioral health facilities, 60 outpatient and other facilities in 39 U.S. States, Washington, D.C., Puerto Rico and the United Kingdom. For more information about the position, contact Courtney Eble, Healthcare recruiter, at ******************************* Requirements: Bachelor's degree in Nursing or Masters degree in social work or counseling. Active IN or multi-state RN license, OR LSW, LCSW, LMHC required 3 years of experience in healthcare required Behavioral health experience required EEO Statement All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws. We believe that diversity and inclusion among our teammates is critical to our success.

/ RESPONSIBILITIES The Care Coordinator is responsible for coordinating and streamlining the care of patients referred to the Interventional Cardiology Clinic. In this role, you will work closely with multidisciplinary teams, triage referred patients, facilitate timely and appropriate provider scheduling, and ensure continuity of care across outpatient and inpatient settings. The coordinator also serves as a liaison between referring providers, the interventional team, and patients, while supporting program growth through outreach and data management. EDUCATION/EXPERIENCE Graduation from an accredited school of nursing with current RN licensure in the State of Texas, BSN preferred. Three years recent, full-time hospital experience preferred. Work experience in cardiovascular or interventional cardiology nursing preferred. Strong knowledge of cardiac procedures, terminology, and clinical workflow. Familiarity with catheterization lab operations, cardiovascular imaging, and post-procedure. Prior experience with patient navigation or care coordination in a cardiology setting preferred. Proficiency in Epic or other major EHR systems preferred. LICENSURE/CERTIFICATION Current license from the Board of Nurse Examiners of the State of Texas to practice as a registered nurse is required. National certification in related field is preferred. Case Manager Certification (CCM or ANCC) is highly desirable.

Precision, Compassion, Results-Join the Team That Delivers Set your sights on a career with NewYork-Presbyterian Queens and play an integral role in our goal to provide the highest level of complex and innovative surgical care, education for the next generation of surgeons as well as groundbreaking quality enhancements and clinical research. Our Surgical Outcomes Coordinators utilize a uniquely collaborative healthcare model, interfacing with the entire surgical team, including nurses and anesthesia staff to assist with oversight and maintenance of the surgical quality platforms within the Department of Surgery. Surgical Outcomes Coordinator | Per Diem Transform your career as a Surgical Outcomes Coordinator and work closely with widely renowned clinical leaders. Utilize your clinical expertise and your keen eye for detail in analyzing, identifying, and recommending opportunities for improvement based upon the noted patterns and trends. Abstract designated surgical cases within the American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) and Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP) to help make tomorrow better for countless individuals. Move into the next phase of your career with this dynamic opportunity. Participate in the peer review process, resident education and research. Be a part of an all-embracing culture of teamwork , collaboration and innovation . Enjoy flexible scheduling, strong nurse-physician partnership, and opportunities for professional advancement, ours is a destination workplace for talented Quality Improvement Specialists. Preferred Criteria Prior NSQIP and/or CDI experience Required Criteria Bachelor's degree NYS licensed Nurse Practitioner, Registered Nurse, or Physician Assistant Certification/recertification as SCR through ACS NSQIP. Certification/recertification as SCR through MBSAQIP 5 years of recent hospital experience and/or verifiable Documentation Improvement experience #LI-MM1 Join a healthcare system where employee engagement is at an all-time high. Here we foster a culture of respect, belonging, and inclusion. Enjoy comprehensive and competitive benefits that support you and your family in every aspect of life. Start your life-changing journey today. Please note that all roles require on-site presence (variable by role). Therefore, all employees should live within a commutable distance to NYP. NYP will not reimburse for travel expenses . __________________ 2024 “Great Place To Work Certified” 2024 “America's Best Large Employers” - Forbes 2024 “Best Places to Work in IT” - Computerworld 2023 “Best Employers for Women” - Forbes 2023 “Workplace Well-being Platinum Winner” - Aetna 2023 “America's Best-In-State Employers” - Forbes “Silver HCM Excellence Award for Learning & Development” - Brandon Hall Group NewYork-Presbyterian Hospital is an equal opportunity employer. Salary Range: $81.00/Hourly It all begins with you. Our amazing compensation packages start with competitive base pay and include recognition for your experience, education, and licensure. Then we add our amazing benefits, countless opportunities for personal and professional growth and a dynamic environment that embraces every person. Join our team and discover where amazing works.

/RESPONSIBILITIES Under general supervision, the Clinical Transplant Coordinator II develops and uses advanced clinical management, consultation, education and research to promote quality care for the specific transplant patient populations. Provides growth in a clinical knowledge through research based practice with peers. Supports and maintains the University Health System's policies, protocols, values and guest relations. EDUCATION/EXPERIENCE Graduation from an accredited school of nursing with an RN and five (5) years nursing experience required. One year of transplant or end stage organ failure nursing experience may be substituted for two (2) of the five (5) required years of general nursing experience. Bachelors Degree in Nursing required or must be attained with in three years of date of hire. Knowledge of transplant, health care trends, community and regional resources. An ability to establish cooperative working relationships with diverse groups and individuals, medical staff and other health care disciplines and understanding of the consultative process. LICENSURE Current RN licensure in the State of Texas required. Certification as a Clinical Transplant Coordinator required or obtained within six months of hire. Current American Heart Association, Basic Cardiac Life Support Healthcare Provider certification required. Will attain CITI research certification with in six months of date of hire.

Senior Coordinator for Case Management, Mount Carmel East The Senior Case Management extender would work under the direction of the RN Care Managers, Utilization Review Care Manager and the Social Workers. This position functions with his/her peers and other care providers for problem solving and facilitating in-patient and post hospitalization care. And coordinate, oversee records and transmit information pertinent to the resource management of patients. Minimum Requirements: * Associate's Degree or High School Diploma and equivalent relevant experience required. Bachelor's degree preferred. * Medical assistant or Licensed Practical Nurse (LPN) highly preferred. * 5-7 years of customer service, medical assistance or secretarial experience preferred. Prior experience in a medical setting required * Ability to organize and utilize work hours effectively and with minimal supervision * Medical terminology preferred Essential Responsibilities * Enter authorization notes in Cerner-from insurance calls, faxes and authorizations in HealthQuest * Communicate information received from payers to utilization review nurse. * Transmit continued stay reviews and track authorizations * Verify attendance at pain clinic/Suboxone/Methadone clinic and complete HENS/PASSR * Scheduling PCP/follow up appointments * Faxing and phoning agencies and facilities to assist with discharge referrals and continuity of care * Assist with delivery of charity items-clothing/DME/meal cards, etc. and complete transportation application and arrange transportation as needed for patients at discharge Position Highlights and Benefits: Competitive compensation and benefits packages including medical, dental, and vision with coverage starting on day one. Retirement savings account with employer match starting on day one. Generous paid time off programs. Employee recognition programs. Tuition/professional development reimbursement starting on day one. RN to BSN tuition 100% paid at Mount Carmel's College of Nursing. Relocation assistance (geographic and position restrictions apply). Employee Referral Rewards program. Mount Carmel offers DailyPay - if you're hired as an eligible colleague, you'll be able to see how much you've made every day and transfer your money any time before payday. You deserve to get paid every day! Opportunity to join Diversity, Equity, and Inclusion Colleague Resource Groups. Ministry/Facility Information: Mount Carmel, a member of Trinity Health, has been a transforming healing presence in Central Ohio for over 135 years. Mount Carmel serves over 1.3 million patients each year at our five hospitals, free-standing emergency centers, outpatient facilities, surgery centers, urgent care centers, primary care and specialty care physician offices, community outreach sites and homes across the region. Mount Carmel College of Nursing offers one of Ohio's largest undergraduate, graduate, and doctor of nursing programs. If you're seeking a rewarding career where your purpose, passion, and desire to make a difference come alive, we invite you to consider joining our team. Here, care is provided by all of us For All of You! Mount Carmel and all its affiliates are proud to be equal opportunity employers. We do not discriminate on the basis of race, gender, religion, physical disability or any other classification protected under local, state or federal law. Our Commitment Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. 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 any other status protected by federal, state, or local law.

***This role is for the shift Mon/Tues/Wed (8:30am-5:00pm or 12:30pm-9:00pm) and Thurs/Fri 12:30pm-9:00pm PST*** Welcome to Pine Park Health! About Us Pine Park Health is a value-based primary care practice that is redesigning how residents of senior living communities get or stay healthy and lead a life they love. We're on a mission to dramatically improve healthcare for seniors by building a new model of care that's designed around everyone involved - patients, families, community staff members, providers, and payers. We've started by providing regular prevention and screening, care for chronic conditions, lab work, and diagnostic testing to patients in their apartments. We visit each community frequently to see patients and collaborate on patient health needs with staff. We also make it easier for patients to get care urgently with same-day or next-day care, helping them avoid unnecessary trips to the ER or hospital. Over 185 communities across Arizona, California, and Nevada work with Pine Park Health today and we're growing quickly to expand our reach and impact. Investors include First Round Capital, Google's AI fund, Canvas Ventures, Foundation Capital, Y Combinator, and Susa. If you're a determined and mission-oriented person who is looking to build the future of healthcare for seniors, join us! The Opportunity The Primary Care Coordinator serves as the central point of contact for our primary care geriatric care team, managing 500-600 patients alongside nurses and Primary Care Providers. The role focuses on coordinating patient care, maintaining relationships with senior living facilities, and ensuring excellent healthcare delivery through effective communication and documentation. ***This role is for the shift Mon/Tues/Wed (8:30am-5:00pm or 12:30pm-9:00pm) and Thurs/Fri 12:30pm-9:00pm PST*** Key Responsibilities: - Serve as primary contact for patients, families, and providers - Schedule and coordinate medical appointments - Manage patient documentation and EMR updates - Process urgent care calls and STAT tasks - Participate in mandatory after-hours shift rotation - Handle communications via phone, email, text, and fax - Coordinate with community partners and specialty providers - Facilitate new patient onboarding Key Evaluation Metrics: Success will be measured in the following focus areas: Inbound Phone Calls: -Answer 95% of inbound calls within 60 seconds and expect ~30 inbound calls / day -Aim for an average wait time of less than 30 seconds -Ensure caller wait times do not exceed 2 minutes Task Completion: -Messages and Clinical Emails: Address 95% within 2 hours -Complete routine tasks within 7 days; STAT tasks completed within 24 hours -Proactively contact all newly enrolled patients within 24 hours to schedule a welcome visit -Complete 100% of visit reminder calls each day and expect to make ~20 reminder calls / day Voicemails: -Close/resolve all urgent voicemails within 1 hour -Return non-urgent voicemails within 1 business day -Ensure after-hours voicemails are addressed within first 2 hours of next business day Patient Care Management: -Ensure accurate logging of all patient encounters for chronic care management -Log 6 hours per day of care coordination using our custom logging software -Assist with improvement projects related to quality and efficiency -Achieve a patient satisfaction survey score of 8.5/10 or higher Requirements: - Shift hours M-F 12:30am-9:00pm PST - High School Diploma (some college preferred) - Basic understanding of Primary Care Operations - Medical Assistant Certification preferred - Reliable internet and HIPAA-compliant workspace - Comfort with healthcare technology platforms - Ability to thrive in a fast-paced, changing environment - Attendance is critical in this role to ensure quality patient care - Must be able to work ~5 on call overnights and/or weekends - Ongoing Regulatory Requirement: Must not be on any exclusion or debarment from participation in Federal Health Care Programs at any time and must remain in good standing with government regulators such as the OIG, CMS, etc. Benefits Designed For You and Yours Stock Option Plan Paid Parental Leave Medical, Vision, and Dental Insurance 401K Retirement Plan Mileage and Cell Phone Reimbursement Annual Wellness Allowance Professional and Personal Development Annual Allowance FSA and Dependent Care FSA 10 Paid Holidays Paid Time Off Paid Sick days Physical Requirements: - Ability to remain seated for extended periods - High proficiency with computers and mobile devices This is not necessarily an all-inclusive list of job-related responsibilities, duties, skills, efforts, requirements, or working conditions. While this is intended to be an accurate reflection of the current job, the Company reserves the right to revise the job or to require that other or different tasks be performed as assigned. All job requirements are subject to possible revision to reflect changes in the position requirements or to reasonably accommodate individuals with disabilities. This job description in no way states or implies that these are the only duties to which will be required in this position, employees may be required to follow other job-related duties as requested by their supervisor/manager (within guidelines and compliance with Federal and State Laws). Continued employment remains on an “at-will” basis.

Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most: the chronically ill and frail. It takes an entire team of passionate and caring people, united in our mission to put the senior first. We have built a team of talented and experienced people who are passionate about transforming the lives of the seniors we serve. In this fast-growing company, you will find ample room for growth and innovation alongside the Alignment Health community. Working at Alignment Health provides an opportunity to do work that really matters, not only changing lives but saving them. Together. Alignment Health is seeking a remote care coordinator to join the case management team for a long-term temporary engagement (with medical benefits.) The Care Coordinator works in collaboration with the RN Case Manager as part of the interdisciplinary team. The Care Coordinator supports members with closing care gaps and addressing care coordination needs as directed by the RN Case Manager. As part of the Case Management team is responsible for the health care management and coordination of care for members with complex and chronic care needs. The Care Coordinator is responsible for CM Coordinator functions for the members enrolled in Case Management. Please note: Alignment Health is continuing to expand so there is a possibility the position could extend and / or convert based on budget, business need, and individual performance. Schedule: Monday - Friday, 8:00 AM - 5:00 PM Pacific Time GENERAL DUTIES / RESPONSIBILITIES: 1. Reaches out to members telephonically to assist with referrals, authorizations, HHC, DME needs, medication refills, make provider appointments and follow ups, etc 2. Creates cases, tasks, and completes documentation in the Case Management module for all Hospital and SNF discharges 3. Complies with tasks assigned by nurse and, as appropriate and documents accordingly 4. Works as a team with the Case Manager to engage and manage a panel of members 5. Manages new alerts and updates Case Manager of changes in condition, admission, discharge, or new diagnosis 6. Establishes relationships with members, earns their trust and acts as patient advocate 7. Escalates concerns to nurse if members appear to be non-compliant or there appears to be a change in condition 8. Assists with outreach activities to members in all levels of Case Management Programs 9. Assists with maintaining and updating member's records 10. Assists with mailing or faxing correspondence to members, PCP's, and/or Specialists 11. Requests and uploads medical records from PCP's, Specialists, Hospitals, etc., as needed 12. Meets specific deadlines (responds to various workloads by assigning task priorities according to department policies, standards and needs) 13. Maintains confidentiality of information between and among health care professionals 14. Other duties as assigned by CM Supervisor, Manager or Director of Care Management Job Requirements: Experience: • Required: Minimum 1 year experience working in Health Care such as Health Plan, Medical office, IPA, MSO. Minimum 1 year experience assisting members/patients with authorizations, scheduling appointments, identification of resources, etc. • Preferred: Education: • Required: High School Diploma or GED. Bachelor's degree or four years additional experience in lieu of education. • Preferred: MBA Training: • Required: • Preferred: Medical Assistant training, Medical Terminology training. Specialized Skills: • Required: Ability to read and interpret documents such as safety rules, operating and maintenance instructions and procedure manuals. Ability to write routine reports and correspondence. Communicates effectively using good customer relations skills. Ability to communicate positively, professionally and effectively with others; provide leadership, teach and collaborate with others. Problem-Solving Skills: Effective problem solving, organizational and time management skills and ability to work in a fast-paced environment. Knowledge of Managed Care Plans Knowledge of Medi-Cal Basic Computer Skills, 25 WPM (Microsoft Outlook, excel, word) Mathematical Skills: Ability to add and subtract two digit numbers and to multiply and divide with 10's and 100's. Ability to perform these operations using units of American money and weight measurement, volume, and distance. Reasoning Skills: Ability to apply common sense understanding to carry out detailed but uninvolved written or oral instructions. Ability to deal with problems involving a few concrete variables in standardized situations. • Preferred: Bilingual (English/Spanish), Licensure: • Required: None • Preferred: Medical Assistant Certificate, Medical Terminology Certificate Essential Physical Functions: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 1. While performing the duties of this job, the employee is regularly required to talk or hear. The employee regularly is required to stand, walk, sit, use hand to finger, handle or feel objects, tools, or controls; and reach with hands and arms. 2. The employee frequently lifts and/or moves up to 10 pounds. Specific vision abilities required by this job include close vision and the ability to adjust focus. Work Environment The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Essential Physical Functions: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to talk or hear. The employee regularly is required to stand, walk, sit, use hand to finger, handle or feel objects, tools, or controls; and reach with hands and arms. The employee frequently lifts and/or moves up to 10 pounds. Specific vision abilities required by this job include close vision and the ability to adjust focus. Pay Range: $41,472.00 - $62,208.00 Pay range may be based on a number of factors including market location, education, responsibilities, experience, etc. Alignment Health is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, age, protected veteran status, gender identity, or sexual orientation. *DISCLAIMER: Please beware of recruitment phishing scams affecting Alignment Health and other employers where individuals receive fraudulent employment-related offers in exchange for money or other sensitive personal information. Please be advised that Alignment Health and its subsidiaries will never ask you for a credit card, send you a check, or ask you for any type of payment as part of consideration for employment with our company. If you feel that you have been the victim of a scam such as this, please report the incident to the Federal Trade Commission at ******************************* If you would like to verify the legitimacy of an email sent by or on behalf of Alignment Health's talent acquisition team, please email ******************.

Grow Healthy If you are as passionate about helping those in need as you are about growing your career, consider AltaMed. At AltaMed, your passion for helping others isn't just welcomed - it's nurtured, celebrated, and promoted, allowing you to grow while making a meaningful difference. We don't just serve our communities; we are an integral part of them. By raising the expectations of what a community clinic can deliver, we demonstrate our belief that quality care is for everyone. Our commitment to providing exceptional care, despite any challenges, goes beyond just a job; it's a calling that drives us forward every day. Job Overview This position has primary responsibility for gathering relevant information for the identified member population during assessment, care planning, interdisciplinary care team meetings, and transitions of care. This position performs troubleshooting when problem situations arise and takes independent action to resolve complex issues. Minimum Requirements * High School Diploma or equivalent required. * Medical assistant Certification preferred. * Prior experience working in a clinic/health care call center. * Minimum 3 years of experience working in a healthcare environment. Knowledge of prior authorization and case management regulations governing Medi-Cal, Commercial, Medicare, CCS, and other government and commercial programs. * Experience in a managed health care environment, preferably IPA, HMO, or Health Plan, preferred. * Experience working with an ethnically diverse population, preferred. Compensation $25.00 - $29.32 hourly Compensation Disclaimer Actual salary offers are considered by various factors, including budget, experience, skills, education, licensure and certifications, and other business considerations. The range is subject to change. AltaMed is committed to ensuring a fair and competitive compensation package that reflects the candidate's value and the role's strategic importance within the organization. This role may also qualify for discretionary bonuses or incentives. Benefits & Career Development * Medical, Dental and Vision insurance * 403(b) Retirement savings plans with employer matching contributions * Flexible Spending Accounts * Commuter Flexible Spending * Career Advancement & Development opportunities * Paid Time Off & Holidays * Paid CME Days * Malpractice insurance and tail coverage * Tuition Reimbursement Program * Corporate Employee Discounts * Employee Referral Bonus Program * Pet Care Insurance Job Advertisement & Application Compliance Statement AltaMed Health Services Corp. will consider qualified applicants with criminal history pursuant to the California Fair Chance Act and City of Los Angeles Fair Chance Ordinance for Employers. You do not need to disclose your criminal history or participate in a background check until a conditional job offer is made to you. After making a conditional offer and running a background check, if AltaMed Health Service Corp. is concerned about a conviction directly related to the job, you will be given a chance to explain the circumstances surrounding the conviction, provide mitigating evidence, or challenge the accuracy of the background report.

At Habitat Health, we envision a world where older adults experience an independent and joyful aging journey in the comfort of their homes, enabled by access to comprehensive health care. Habitat Health provides personalized, coordinated clinical and social care as well as health plan coverage through the Program of All-Inclusive Care for the Elderly (“PACE”) in collaboration with our leading healthcare partners, including Kaiser Permanente. Habitat Health offers a fully integrated experience that brings more good days and a sense of belonging to participants and their caregivers. We build engaged, fulfilled care teams to deliver personalized care in our centers and in the home. And we support our partners with scalable solutions to meet the health care needs and costs of aging populations. Habitat Health is growing, and we're looking for new team members who wish to join our mission of redefining aging in place. To learn more, visit ****************************** Role Scope: We are looking for a Home Care Coordinator to ensure that personal and clinical home care needs are delivered to help our participants thrive. The Home Care Coordinator participates in the interdisciplinary team's assessment of needs and approval of services for each participant and activates internal and external resources to address those needs in the home setting. Core Responsibilities & Expectations for the Role Help create a suite of home services that keeps Participants safe in their home, a team culture that cares and creates joy, and an environment where all participants and team members belong. Continue to raise the bar. Constructively seek and share feedback and help us implement changes in order to improve clinical outcomes and experience for participants. Exhibit and honor Habitat's values. Handle and coordinate incoming calls related to participants, physicians, and agency services regarding physician orders, participant questions, and referrals Communicate with participants via telephone, and provide effective communication with nursing therapy, aides, social services, and physicians, regarding changes in participant/staff schedule, test results, etc. In collaboration with Home Care Services staff, track and monitor home care and hour scheduling In coordination with the growth team, help evaluate whether prospective participants' home care needs can be met via the program Assist with staffing/scheduling activities, soliciting, and input from managers Participate in end-of-life care, coordination, and support Performs related duties as assigned. Required Qualifications: Three (3) years of relevant professional experience such as home care, primary care, experience with an elderly population Bachelor's Degree in a related field (e.g. nursing, gerontology, healthcare management) Minimum of three (3) years of case management in a clinical or home setting with a frail or elderly population, or home care administration experience. Proof of valid CA driver's license, personal transportation, good driving record and auto insurance as required by State law. (if applicable). Preferred Qualifications: Healthcare/clinical Licensure (e.g. LVN, RN, SW) Bilingual: Spanish/Mandarin/Cantonese preferred. A state issued driver's license, personal transportation, and auto insurance as required by law. Location: Sacramento, CA (Onsite) Compensation: We take into account an individual's qualifications, skillset, and experience in determining final salary. This role is eligible for medical/dental/vision insurance, short and long-term disability, life insurance, flexible spending accounts, 401(k) savings, paid time off, and company-paid holidays. The expected salary range for this position is $29-$42 hourly. The actual offer will be at the company's sole discretion and determined by relevant business considerations, including the final candidate's qualifications, years of experience, skillset, and geographic location. Vaccination Policy, including COVID-19 At Habitat Health, we aim to provide safe and high-quality care to our participants. To achieve this, please note that we have vaccination policies to keep both our team members and participants safe. For covid and flu, we require either proof of vaccination or declination form and required masking while in participant locations as a safe and essential requirement of this role. Requests for reasonable accommodation due to an applicant's disability or sincerely held religious beliefs will be considered and may be granted based upon review. We also require that team members adhere to all infection control, PPE standards and vaccination requirements related to specific roles and locations as a condition of employment Our Commitment to Diversity, Equity, and Inclusion: Habitat Health is an Equal Opportunity employer and committed to creating a diverse and inclusive workplace. Habitat Health applicants are considered solely based on their qualifications, without regard to race, color, religion, creed, sex, gender (including pregnancy, childbirth, breastfeeding or related medical conditions), gender identity, gender expression, sexual orientation, marital status, military or veteran status, age, national origin, ancestry, citizenship, physical or mental disability, medical condition, genetic information or characteristics (or those of a family member), or other status protected by applicable law. Habitat Health is committed to the full inclusion of all qualified individuals. In keeping with our commitment, Habitat Health will take steps to provide people with disabilities and sincerely held religious beliefs with reasonable accommodations in accordance with applicable law. Accordingly, if you require a reasonable accommodation to fully participate in the job application or interview process, to perform the essential functions of the position, and/or to receive all other benefits and privileges of employment, please contact us at *************************. E-Verify Participation Notice This employer participates in E-Verify and will provide the federal government with your Form I-9 information to confirm that you are authorized to work in the U.S. If E-Verify cannot confirm that you are authorized to work, this employer is required to give you written instructions and an opportunity to contact Department of Homeland Security (DHS) or Social Security Administration (SSA) so you can begin to resolve the issue before the employer can take any action against you, including terminating your employment. Employers can only use E-Verify once you have accepted a job offer and completed the Form I-9. Beware of Scams and Fraud Please ensure your application is being submitted through a Habitat Health sponsored site only. Our emails will come from @habitathealth.com email addresses. If you feel that you have been the victim of a scam such as this, please report the incident to the Federal Trade Commission by selecting the ‘Rip-offs and Imposter Scams' option: *******************************

Gastro Health is seeking a Full-Time Care Coordinator to join our team! Gastro Health is a great place to work and advance in your career. You'll find a collaborative team of coworkers and providers, as well as consistent hours. This role offers: A great work/life balance No weekends or evenings - Monday thru Friday Paid holidays and paid time off Rapidly growing team with opportunities for advancement Competitive compensation Benefits package Duties you will be responsible for: Serve as the liaison or coordinator for the patients medical care Streamline all patient-physician communications to ensure patient satisfaction Provide medical literature and clinical preparation instructions to patients Assist patients with questions and/or concerns regarding procedures Schedule all procedures to be performed by the physician Review the physicians schedule for maximum scheduling efficiency Schedule all diagnostic tests, procedures and follow-up appointments Obtains all authorizations for procedures and tests Schedule follow-up appointments including recalls Check-out patients at the end of their visit and provide next step instructions Request medical records from doctors and hospitals Returns patient calls promptly and professionally Call-in new prescriptions and refills and obtain authorization if necessary Obtain lab results including stat requests Complete tasks from Electronic Medical Record Reviews open orders every three days and works accordingly Sends history and physical forms to outpatient facility Other duties as assigned Minimum Requirements: High school diploma or GED equivalent Medical terminology knowledge We offer a comprehensive benefits package to our eligible employees: Medical Dental Vision Spending Accounts Life / AD&D Disability Accident Critical Illness Hospital Indemnity Legal Identity Theft Pet 401(k) retirement plan with Non-Elective Safe Harbor employer contribution for eligible employees Discretionary profit-sharing with employer contributions of 0% - 4% for eligible employees Additionally, Gastro Health participates in a program called Tickets at Work that provides discounts on concerts, travel, movies, and more. Interested in learning more? Click here to learn more about the location. Gastro Health is the one of the largest gastroenterology multi-specialty groups in the United States, with over 130+ locations throughout the country. Our team is composed of the finest gastroenterologists, pediatric gastroenterologists, colorectal surgeons, and allied health professionals. We are always looking for individuals that share our mission to provide outstanding medical care and an exceptional healthcare experience. We offer a comprehensive benefits package to our eligible employees. Gastro Health is proud to be an Equal Opportunity Employer. We do not discriminate based on race, color, gender, disability, protected veteran, military status, religion, age, creed, national origin, gender identity, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We thank you for your interest in joining our growing Gastro Health team!

Please Note!!! Although you are submitting an employment application and resume for this job on Indeed or Zip Recruiter, you will still need to put in an employment application and resume at NEON. Please visit our website at **************************************************** General Duties The Patient Centered Medical Home (PCMH) Care Coordinator will be responsible for faciliating care coordination services for NEON patients who need wellness and preventive care. The PCMH Care Coordinator will assist with the management of the computerized data repository (Population Health Analytics), including generating population health data reports and patient profiles, utilizing data for population health management, and addressing gaps in service and care. Works closely with care teams to maximize patient follow through with care plans. As a collaborating member of the health care team, provides pre-visit and follow-up direction and support to the patient, family, and health care providers. Participates in PCMH and quality improvement initiatives. Empowers patient self-management of their care and promotes Patient Centered Medical Home Model of Care. Education High School Diploma or GED is required. Bachelor's degree in Health or Social Sciences, Business, Health Care Administration, Public Health or Health Education is preferred, or related work experience. Minimum Qualifications Excellent verbal and written communication skills as well as good listening skills: Knowledge of health disparities and chronic disease management treatment resources; Strong organizational skills, attention to detail and timely documentation required; Proven critical thinking and problem solving skills; Knowledge of Ohio Medicaid Managed Plans; 1-2 years at a hospital, outpatient clinic or insurance plan, preferably including navigating specialty referral process. Technical Skills Demonstrated knowledge and proficient in the use of Microsoft Office and Outlook. Ability to become proficient in the use of NextGen software.

The Patient Centered Medical Home (PCMH) Care Coordinator will be responsible for faciliating care coordination services for NEON patients who need wellness and preventive care. The PCMH Care Coordinator will assist with the management of the computerized data repository (Population Health Analytics), including generating population health data reports and patient profiles, utilizing data for population health management, and addressing gaps in service and care. Works closely with care teams to maximize patient follow through with care plans. As a collaborating member of the health care team, provides pre-visit and follow-up direction and support to the patient, family, and health care providers. Participates in PCMH and quality improvement initiatives. Empowers patient self-management of their care and promotes Patient Centered Medical Home Model of Care. Education High School Diploma or GED is required. Bachelor's degree in Health or Social Sciences, Business, Health Care Administration, Public Health or Health Education is preferred, or related work experience. Minimum Qualifications Excellent verbal and written communication skills as well as good listening skills: Knowledge of health disparities and chronic disease management treatment resources; Strong organizational skills, attention to detail and timely documentation required; Proven critical thinking and problem solving skills; Knowledge of Ohio Medicaid Managed Plans; 1-2 years at a hospital, outpatient clinic or insurance plan, preferably including navigating specialty referral process. Technical Skills Demonstrated knowledge and proficient in the use of Microsoft Office and Outlook. Ability to become proficient in the use of NextGen software.

Title: Home Delivered Meals Coordinator Department: Nutrition and Senior Centers FLSA Status: Non-Exempt Reports To: Home Delivered Meals and Transportation Program Manager Summary: Acts as the site in charge of the Home Delivered Meals (HDM) Distribution Center and oversees the day-to-day operations of the HDM Program. Essential Functions: 1. Coordinates and supervises the day-to-day operations of the Home Delivered Meals Program and home-delivered groceries and ensures compliance with food safety regulations and policies. 2. Supervises consumer assessments, surveys, and referrals. Updates client data and status in CA Get Care. 3. Ensures the employee roster is prepared for efficient meal deliveries. 4. Provides quality services to new and existing clients and makes referrals to other departments and agencies. 5. Supervises and evaluates staff and provides counseling and guidance as needed. 6. Issues orders to caterers/vendors for hot meals, frozen meals, milk, and fruits. 7. Maintains a filing system, service records, and client records and collects data to prepare reports. 8. Represents the agency/department to attend meetings/audits and events of other community organizations. 9. Intakes new clients according to the priority in the CA Get Care waiting list to fill the openings in routes. 10. Prepares HDM outreach strategies and outreach materials for the target population. 11. Ensures hot meals and supplies are delivered to congregate meal sites on time. 12. Submits invoices and gasoline receipts to head office for payment processing. 13. Holds regular staff meetings and in-service training. 14. Develops resources to support program operation and recommend operational improvements. 15. Supports agency/department fundraising and activities. 16. Performs other duties as assigned. Qualifications: 1. Bachelor's degree in Business Administration, Psychology, or Human Services related field; and two years of supervisory and program operation experience. 2. One year of experience working with older adults and adults with disabilities. 3. Good interpersonal, communication, and organizational skills. 4. Must be bilingual in English and Chinese. 5. Proficient in MS Office and the Internet. 6. Must have and maintain a valid CA driver's license and automobile insurance as specified in Self-Help's policies. Self-Help for the Elderly is an Equal Employment Opportunity/Affirmation Action Employer and we welcome diversity in the workplace. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, age, national origin, sexual orientation, disability, protected veteran status or any other characteristics protected by law. We participate in E-Verify. Qualified applicants with criminal history will be considered for employment in accordance with the San Francisco Fair Chance Ordinance. We may provide reasonable accommodations to applicants with disabilities. If you need a reasonable accommodation for any part of the application or hiring process, please call ************** for special assistance.

North County Serenity House, A Program of HealthRIGHT 360 was founded in 1966 to provide substance use disorder services in the community. North County Serenity House provides a gender-responsive and trauma-informed environment, using evidence-based and best practices that recognize and account for the role that trauma frequently plays in substance use and criminal histories of women. For clients with co-occurring mental illness, we provide integrated substance use and mental health services which treat both conditions as primary. Our residential facility serves up to 120 women (with capacity for up to 20 children under 5 years of age) seeking recovery from substance use disorders. Criminal Justice Care Coordinators are responsible for assessing participant strengths in relation to their criminal justice needs and concerns. Responsible for supporting health and recovery in a structured, safe and culturally sensitive setting. In conjunction with participant and the treatment team, the Criminal Justice Care Coordinator assists participants in completing treatment plan goals through individual counseling that includes, but not limited to, substance abuse recovery skills, strategies for coping with trauma, parenting interventions, family relationship skill building, enhancement of educational skills, health awareness, vocational development, treatment planning and ongoing assessments, etc. based on participant need. Criminal Justice Care Coordinators assist participant's in navigating systems of care while maintaining communication and compliance will legal stakeholders within a supportive treatment environment. Key Responsibilities Facilitates individual case management sessions with each caseload participant who is involved with probation, parole or other legal systems and Keeps consistent contact with probation and parole officers. Proactively links participants to both internal and external resources based on their treatment needs and follows up on the progress/status. Facilitates case conferences which include all parties involved in participant's case as needed. Provides advocacy and support for participants within and without the milieu. Facilitates group sessions as assigned. Performs crisis intervention and communicates with treatment team as unforeseen situations arise. Documents participant updates, incidents, changes in legal status in the facility log daily. Attends required trainings and meetings. Maintains accurate records by entering documentation into various electronic systems for all participants in accordance with guidelines established by HealthRIGHT 360, HIPAA, 42CFR, Drug Medi-Cal and funder standards to satisfy internal and external evaluating requirements. Collaborates with each caseload participant and other available internal and external resources to develop/maintain treatment plans, transition plans, progress notes and appropriate updates in support of the health and recovery needs of the participant. Properly documents all individual and group counseling sessions and completes the discharge paperwork/process and required agency assessments in timely manner. And, other duties as assigned. Education and Knowledge, Skills and Abilities Required: Registration with Drug and Alcohol Certification recognized by Department of Health Care Services (DHCS). High School diploma or equivalent. First Aid Certified within 30 days of employment. CPR Certified within 30 days of employment. A valid California driver's license. Culturally competent and able to work with a diverse population. Strong proficiency with Microsoft Office applications, specifically Word Outlook and internet applications. Experience working successfully with issues of substance abuse, mental health, criminal background, and other potential barriers to economic self sufficiency. Ability to enter data into various electronic systems while maintaining the integrity and accuracy of the data. Professionalism, punctuality, flexibility and reliability are imperative. Excellent verbal, written, and interpersonal skills. Integrity to handle sensitive information in a confidential manner. Action oriented. Strong problem-solving skills. Excellent organization skills and ability to multitask and juggle multiple priorities. Outstanding ability to follow-through with tasks. Ability to work cooperatively and effectively as part of interdisciplinary team and independently assume responsibility. Strong initiative and enthusiasm and willingness to pitch in whenever needed. Able to communicate well at all levels of the organization including working with organization leadership and high-level representatives of partner organizations. Able to work within a frequently changing project scope while maintaining overall direction and structured priorities. Desired: Drug and Alcohol Certification recognized by Department of Health Care Services (DHCS). Bachelor's Degree in related field. Experience with Drug Medi-Cal Organized Delivery System. Experience with ASAM Diagnostic Assessment. Knowledge of gender-responsive, trauma informed and co-occurring treatment. Knowledge of Clinical documentation (treatment plans, progress notes etc.). Experience working with criminal justice population. Bilingual English/Spanish. In compliance with the California Department of Public Health's mandate, all employees must be able to provide proof of COVID-19 vaccination. Medical and religious exemptions are available. Tag: IND100.

Who We Are: SAC Health empowers our patients and their families to live vibrant and healthy lives through culturally responsive, exceptional care. Patient-centered, whole-person care. Our unique, full scope, team-based approach is what makes SAC Health the provider of choice for patients. Top-Tier Patient Satisfaction Scores | Largest Teaching Health Center FQHC | 11 Locations offering 44 Specialties | NCQA Patient-Centered Medical Home Level 3 Certified Multi-Site Approved for NHSC & NCLRP loan forgiveness programs - NHSC/Nurse Corps/STAR/Pediatric Specialty | HPSA Scores: Primary: 17 | Dental: 25 | Mental: 20 What We Are Looking For POP Health, Care Coordinator manages cases regarding utilization review, discharge planning, and patient services coordination. Collaborates with insurers, managed care organizations, referral providers, patients, and families to assist in developing case management guidelines. Schedule: 5 days per week, 8 hours per day, Monday - Friday 7:30- 4:00pm | Location: Brier Clinic, San Bernardino, CA ESSENTIAL FUNCTIONS AND DELIVERABLES Performs daily screenings using EMR-generated appointment reports and vitals for patients. Alert the provider of the need to place an order for an appropriate screening exam. Performs care coordination to ensure completion of provider-ordered screening exams. Uses relationship-based strategies to engage patients in care. Ensures that screening results are received timely and entered into the electronic medical record (EMR). Actively monitors results to ensure appropriate follow-up and diagnostic studies are ordered and completed, as appropriate. Assists patients to follow through on their care plan wellness goals, using both phone and in-person contact. Uses established care guidelines to implement provider-directed reminders and recalls in the EMR. Utilizes EMR-generated appointment reports to capture missed appointments. Assists in the coordination of appointments and referrals for physical and behavioral health appointments. Performs abstractions of historical screening results into the EMR system. Identifies internal and external challenges related to patient and staff cooperation. Recommends improvements to processes as appropriate. Meets with the Manage Care Team continually, holding documented meetings to review issues and progress. Serves as a liaison between patient and provider to ensure proper communication is had. Facilitates and ensures recommendations are communicated across the health care team. Works with patients to identify health/wellness goals and incorporates these goals into shared care plans. Maintains accurate and up-to-date tracking system for screening management. Monitors and reports productivity statistics, program status, challenges, updates, and developments to the Managed Care Team. Other duties as outlined in the official job description. QUALIFICATIONS: Education: High School Diploma or GED required. Graduation from a Certified Medical Assistant Program is required. Associate degree preferred, or equivalent work experience in a medical/mental health setting preferred. Licensure/Certification: Medical Assistant Diploma/Certificate is required. Valid California driver's license, and auto insurance is required. As a requirement of this position, you must receive EPIC certification for the module you have been hired into. Experience: 2+ years as a Medical Assistant in Care Management or Population Health setting or related experience is required. Essential Technical/Motor Skills: Must be proficient in MS Office Suite (Word, Excel, PowerPoint, Outlook). Must be able to use widely support internet browsers. Must have the ability to use variations of electronic health records and other various databases. Interpersonal Skills: Must have excellent communications skills both orally and in writing. Must possess the ability to communicate with and relate to a diverse group of people including patients, community, and other staff. Must have strong conflict and problem resolutions skills. Essential Mental Abilities: Must be flexible to perform a variety of tasks. Must be well organized and a self-starter. Must have strong analytical and problem-solving skills. Work Eligibility: Must be legally authorized to work in the United States on a full-time basis. Must not now or in the future require sponsorship for employment visas. EEO: SAC Health is committed to fostering a diverse, equitable and inclusive work environment and is committed to being an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status. Full Benefits Package Industry Leading PTO Accrual (accrued per pay period) | Sick Leave | Paid Holidays | Paid Jury Duty, Bereavement | SAC Health Covers approximately 85% of Team Member health premium costs (may vary w/benefit plan selection) | Retirement - up to 8% employer contribution | Continuing Education and Learning Benefits | Annual Mission Trip and much more! Learn More About the Work We Do: SAC Health's Mission: SAC Health's mission is to reflect the healing ministry & love of Jesus Christ through healthcare, education & partnerships that empower our communities to flourish. SAC Health's Core Values: Quality Healthcare - Teamwork - Wholeness -Integrity - Compassion - Excellence - Humble Service - Respect

Who We Are: SAC Health empowers our patients and their families to live vibrant and healthy lives through culturally responsive, exceptional care. Patient-centered, whole-person care. Our unique, full scope, team-based approach is what makes SAC Health the provider of choice for patients. Top-Tier Patient Satisfaction Scores | Largest Teaching Health Center FQHC | 11 Locations offering 44 Specialties | NCQA Patient-Centered Medical Home Level 3 Certified Multi-Site Approved for NHSC & NCLRP loan forgiveness programs - NHSC/Nurse Corps/STAR/Pediatric Specialty | HPSA Scores: Primary: 17 | Dental: 25 | Mental: 20 What We Are Looking For POP Health, Care Coordinator manages cases regarding utilization review, discharge planning, and patient services coordination. Collaborates with insurers, managed care organizations, referral providers, patients, and families to assist in developing case management guidelines. Schedule: 5 days per week, 8 hours per day, Monday - Friday 7:30- 4:00pm | Location: Brier Clinic, San Bernardino, CA ESSENTIAL FUNCTIONS AND DELIVERABLES * Performs daily screenings using EMR-generated appointment reports and vitals for patients. * Alert the provider of the need to place an order for an appropriate screening exam. * Performs care coordination to ensure completion of provider-ordered screening exams. Uses relationship-based strategies to engage patients in care. * Ensures that screening results are received timely and entered into the electronic medical record (EMR). * Actively monitors results to ensure appropriate follow-up and diagnostic studies are ordered and completed, as appropriate. Assists patients to follow through on their care plan wellness goals, using both phone and in-person contact. * Uses established care guidelines to implement provider-directed reminders and recalls in the EMR. * Utilizes EMR-generated appointment reports to capture missed appointments. Assists in the coordination of appointments and referrals for physical and behavioral health appointments. * Performs abstractions of historical screening results into the EMR system. * Identifies internal and external challenges related to patient and staff cooperation. * Recommends improvements to processes as appropriate. * Meets with the Manage Care Team continually, holding documented meetings to review issues and progress. * Serves as a liaison between patient and provider to ensure proper communication is had. * Facilitates and ensures recommendations are communicated across the health care team. Works with patients to identify health/wellness goals and incorporates these goals into shared care plans. * Maintains accurate and up-to-date tracking system for screening management. * Monitors and reports productivity statistics, program status, challenges, updates, and developments to the Managed Care Team. * Other duties as outlined in the official job description. QUALIFICATIONS: * Education: High School Diploma or GED required. Graduation from a Certified Medical Assistant Program is required. Associate degree preferred, or equivalent work experience in a medical/mental health setting preferred. * Licensure/Certification: Medical Assistant Diploma/Certificate is required. Valid California driver's license, and auto insurance is required. As a requirement of this position, you must receive EPIC certification for the module you have been hired into. * Experience: 2+ years as a Medical Assistant in Care Management or Population Health setting or related experience is required. * Essential Technical/Motor Skills: Must be proficient in MS Office Suite (Word, Excel, PowerPoint, Outlook). Must be able to use widely support internet browsers. Must have the ability to use variations of electronic health records and other various databases. * Interpersonal Skills: Must have excellent communications skills both orally and in writing. Must possess the ability to communicate with and relate to a diverse group of people including patients, community, and other staff. Must have strong conflict and problem resolutions skills. * Essential Mental Abilities: Must be flexible to perform a variety of tasks. Must be well organized and a self-starter. Must have strong analytical and problem-solving skills. * Work Eligibility: Must be legally authorized to work in the United States on a full-time basis. Must not now or in the future require sponsorship for employment visas. EEO: SAC Health is committed to fostering a diverse, equitable and inclusive work environment and is committed to being an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status. Full Benefits Package Industry Leading PTO Accrual (accrued per pay period) | Sick Leave | Paid Holidays | Paid Jury Duty, Bereavement | SAC Health Covers approximately 85% of Team Member health premium costs (may vary w/benefit plan selection) | Retirement - up to 8% employer contribution | Continuing Education and Learning Benefits | Annual Mission Trip and much more! Learn More About the Work We Do: SAC Health's Mission: SAC Health's mission is to reflect the healing ministry & love of Jesus Christ through healthcare, education & partnerships that empower our communities to flourish. SAC Health's Core Values: Quality Healthcare - Teamwork - Wholeness -Integrity - Compassion - Excellence - Humble Service - Respect

Job DescriptionClinica Sierra Vista is excited to be one of the largest Federally Qualified Health Centers in the Nation! We're honored to serve the men and women of the fields. We also offer care and support to the inner city, the rural and isolated, those of low, moderate, and fixed incomes, and families from an array of cultural backgrounds who speak several languages. We don't inquire about immigration status because we simply don't need to know. If you come to us, we will treat you like any other patient. As we grow our team, we are looking for individuals who believe the patient is always #1. Why work for us? Competitive pay which matches your abilities and experience Health coverage for you and your family Generous number of vacation days per year A robust wellness plan and health club discounts Continuing education assistance to grow and further your talents 403(B) plan with company matching Intrigued? We'd love to hear from you! Please review the job details below and then click “apply.” We're looking for someone to join our team as a Care Coordinator-ECM who: The Care Coordinator will report to the Practice Manager. Care Coordination allows primary care physicians to use dedicated time to direct proactive care for their patients, uses staff support to conduct outreach, and leverages new panel-based information technology tools. Essential Functions: Meet with all new patients to explain the ECM program, its benefits, and available resources. Complete the New Enrollment Assessment for all new members Serve as the main contact for members, maintaining active engagement and ensuring monthly encounters. Ensure follow-ups for all referrals, including both medical and community-based services. Maintain and update care plans based on members' social determinants of health. Assist members with social determinant needs by connecting them with community resources (e.g., housing, food assistance, transportation). Complete and maintain accurate documentation, including assessment flowsheets and goal progression updates. Track patient status changes (e.g., transfers, disenrollments, deaths) and update records accordingly. Update goal progression for members enrolled in the ECM program. Provide regular updates to case managers regarding assigned member's progress. Participate in Interdisciplinary Care Team (ICT) meetings to support patient-centered care planning. Resolves unassigned patients by reviewing appointment history (and possibly the clinical record) to determine appropriate assignment. You'll be successful with the following qualifications: Education: Medical Assistant certification or program completion preferred. Computer proficiency: Excel, Word, Outlook, PDF, Electronic Health Records, etc. Bilingual (Spanish/English) preferred. Maintain excellent internal and external customer service at all times. Maintain the highest degree of confidentiality possible when performing the functions of this department. Possess the tact necessary to deal effectively with patients, providers, and employees, while maintaining confidentiality. Must be able to work independently, handling high volume and multiple tasks. Must be reliable with attendance. Must be highly organized and detail oriented. Possess knowledge of modern office equipment, systems and procedures. Ability to multi-task and work efficiently in a potentially stressful environment. Ability to apply common sense understanding when carrying out detailed written or oral instructions. Must have excellent verbal and written communication skills. Ability to effectively present information and respond to questions from internal and external customers. Must have a pleasant, professional attitude toward patients, providers, co-workers and superiors. Teamwork skills a must. Must adhere to Clinica Sierra Vista's employee health/immunization requirements or provide a valid exemption request for subsequent approval. Clinica Sierra Vista values human rights, goodwill, respect, inclusivity, equality, and recognizes that the organization derives its strength from a rich diversity of thoughts, ideas, and contributions. As leaders in healthcare industry, we aspire to be an employer of choice by promoting an organizational culture that reflects these core values. We seek to attract, develop, and retain a talented and dedicated workforce where people of diverse races, genders, religions, cultures, political affiliations and lifestyles thrive. Our goal is to create a welcoming and inclusive environment that empowers our employees to provide the highest level of service to our community of residents and businesses; they're counting on us. Clinica Sierra Vista is an equal opportunity employer and strives to attract qualified applicants from all walks of life without regard to race, color, ethnicity, religion, national origin, age, sex, sexual orientation, gender identity, gender expression, marital status, ancestry, physical disability, mental disability, medical condition, genetic information, military and veteran status, or any other status protected under federal, state and/or local law. We aim to create an environment that celebrates and embraces the diversity of our workforce. We welcome you to join our team!

Job Description Clinica Sierra Vista is excited to be one of the largest Federally Qualified Health Centers in the Nation! We're honored to serve the men and women of the fields. We also offer care and support to the inner city, the rural and isolated, those of low, moderate, and fixed incomes, and families from an array of cultural backgrounds who speak several languages. We don't inquire about immigration status because we simply don't need to know. If you come to us, we will treat you like any other patient. As we grow our team, we are looking for individuals who believe the patient is always #1. Why work for us? Competitive pay which matches your abilities and experience Health coverage for you and your family Generous number of vacation days per year A robust wellness plan and health club discounts Continuing education assistance to grow and further your talents 403(B) plan with company matching Intrigued? We'd love to hear from you! Please review the job details below and then click “apply.” We're looking for someone to join our team as a Care Coordinator-ECM who: The Care Coordinator will report to the Practice Manager. Care Coordination allows primary care physicians to use dedicated time to direct proactive care for their patients, uses staff support to conduct outreach, and leverages new panel-based information technology tools. Essential Functions: Meet with all new patients, explaining PCP's, Patient Portal and all aspects to accessing care. Assign patients to provider panels ensuring balance. Receives monthly panel report and reviews PCP assignments. Determines continuity percentages for each provider - assure that majority of visits with PCP Resolves unassigned patients by reviewing appointment history (and possibly the clinical record) to determine appropriate assignment. Collaborates with appropriate site. communication with outside provider to ensure continuity. Proactively engage priority patients to promote availability of expanded access clinic and reduce unnecessary Emergency Room utilization. Run, manage and analyze standard CSV reports. Oversee and analyze data from assigned panels in regard to CSV-priority conditions. This includes the running of reports within the CSV computer structure, Excel etc. Responsible for clinic-wide compliance with CSV, PCMH, CMS, Meaningful Use and California Department of Public Health (CDPH) requirements. Clinic-wide required to meet or show consistent improvement on CSV clinical quality goals. You'll be successful with the following qualifications: Education: Medical Assistant certification or program completion preferred. Computer proficiency: Excel, Word, Outlook, PDF, Electronic Health Records, etc. Bilingual (Spanish-English) preferred. Maintain excellent internal and external customer service at all times. Maintain the highest degree of confidentiality possible when performing the functions of this department. Possess the tact necessary to deal effectively with patients, providers, and employees, while maintaining confidentiality. Must be able to work independently, handling high volume and multiple tasks. Must be reliable with attendance. Must be highly organized and detail oriented. Possess knowledge of modern office equipment, systems and procedures. Ability to multi-task and work efficiently in a potentially stressful environment. Ability to apply common sense understanding when carrying out detailed written or oral instructions. Must have excellent verbal and written communication skills. Ability to effectively present information and respond to questions from internal and external customers. Must have a pleasant, professional attitude toward patients, providers, co-workers and superiors. Teamwork skills a must. Must adhere to Clinica Sierra Vista's employee health/immunization requirements or provide a valid exemption request for subsequent approval. Clinica Sierra Vista values human rights, goodwill, respect, inclusivity, equality, and recognizes that the organization derives its strength from a rich diversity of thoughts, ideas, and contributions. As leaders in healthcare industry, we aspire to be an employer of choice by promoting an organizational culture that reflects these core values. We seek to attract, develop, and retain a talented and dedicated workforce where people of diverse races, genders, religions, cultures, political affiliations and lifestyles thrive. Our goal is to create a welcoming and inclusive environment that empowers our employees to provide the highest level of service to our community of residents and businesses; they're counting on us. Clinica Sierra Vista is an equal opportunity employer and strives to attract qualified applicants from all walks of life without regard to race, color, ethnicity, religion, national origin, age, sex, sexual orientation, gender identity, gender expression, marital status, ancestry, physical disability, mental disability, medical condition, genetic information, military and veteran status, or any other status protected under federal, state and/or local law. We aim to create an environment that celebrates and embraces the diversity of our workforce. We welcome you to join our team!