Member Care Coordinator

Job Description

Job Description

About Piedmont Health Services

Piedmont Health Services, Inc. (PHS) is a 501(c)(3) nonprofit and Federally Qualified Health Center (FQHC) in North Carolina. Dedicated to delivering top-tier, accessible, and inclusive primary healthcare, PHS has proudly served for 55 years and remains the largest community health center in central NC. Operating 11 Community Health Centers, two PACE (Program of All-Inclusive Care for the Elderly) SeniorCare facilities, and 2 Mobile Health Units, PHS extends its services to residents across many counties, including Alamance, Caswell, Chatham, Orange, and Lee.

What's an FQHC?

Federally Qualified Health Centers (FQHC) are community-based healthcare providers that receive funds from the Health Resources and Services Administration (HRSA) Health Center Program to provide primary care services in under-served areas.

Job Title – Member Care Coordinator

Department – Population Health

Reports to – Compliance and Quality Officer

Benefits -

• Medical, Dental, Vision, Life Insurance (Short & Long Term Disability)
• 403(b) Plan
• Paid Holidays
• CME (Continuing Medical Education)

About Position: The Member Care Coordinator provides care coordination and case management services to patients at Piedmont Health Services, including social determinants of health needs, identification and linkage to resources, care coordination, chronic disease management, financial assistance, healthcare coordination, and outreach to patients. This role works in collaboration with the Care Management team to support the multi-disciplinary approach of patient care by closing care gaps, reducing hospitalizations, readmissions, and emergency department utilizations. The Member Care Coordinator ensures excellence in patient care to achieve optimal clinical outcomes through a seamless model of access and care. Patient base is sub-optimal users of healthcare and/or management of chronic diseases, and individuals with identified social determinants of health barriers. This position will assess any barriers to proper utilization, helps determine best steps to follow treatment recommendations, and provides resource/benefit education on self-care to patients. The Member Care Coordinator will assist the team in managing transitions of care for patients following acute care encounters and is responsible to improve patients’ health outcomes.

Work Location: 221 N Graham Hopedale Rd, Burlington, NC 27217

Schedule: Monday through Friday, 8:00am to 5:00pm

Job Duties –

• Receives and documents all referrals from various sources into the Care Management documentation platform.
• Documents all contacts and interventions within the patients' charts in the electronic medical record.
• Identifies social determinants of health opportunities and ensures linkage to resources.
• Refers patients and families to appropriate community agencies or facilities, acts as liaison to these organizations, and is an advocate for patients.
• Assists with outreach, engagement, and coordination of interventions for Transition of Care for patients.
• Assists with coordination of placement for different levels of care for patients.
• Assists with coordination of specialty and primary care appointments to include scheduling and confirmation of appointments.
• Obtains and uploads documents into the care management database.
• Assists with care gap assessments and closures.
• Provides outreach to help patients manage chronic health conditions. Assists with the plan of care.
• Provides assessments and screenings for health concerns.
• Assists patients with care coordination and healthcare system navigation.
• Engages in interdisciplinary team meetings to discuss patients plan of care.
• Provides culturally appropriate health education and information.
• Ensures linkage to registries and waiting lists are completed for any community resources.
• Submits supplemental data to health plans to provide documentation of gap closure.
• Schedules medical appointments and transportation.
• Collaborates with the care team to address barriers and creates efficient processes.
• Ensures urgent issues are shared with care team.
• Participates in all assigned meetings.
• Adheres to privacy and security policies to ensure patient and company data is properly safeguarded. Follows company policies and HIPAA regulations.
• Meets productivity and role expectations, and addresses requests in a timely manner.

Qualifications –

• High school diploma or equivalent, required.
• Bachelor’s degree in social work, healthcare administration, human services, public health or related field, preferred.
• 2 years of experience in a healthcare organization, required.
• 1 – 2 years of case management, social work, or relevant work experience, preferred.
• Bilingual (Spanish Speaking), preferred.
• Maintains a valid driver’s license with auto liability insurance.

Immunizations: Be medically cleared for communicable diseases and have all immunizations up-to-date prior to beginning employment.

Pay Range: $20.48/Hourly - $27.52/Hourly

EEO Statement

Piedmont Health Services, Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to sex, sex stereotyping, pregnancy (including pregnancy, childbirth, and medical conditions related to pregnancy, childbirth, or breastfeeding), race, color, religion, ancestry or national origin, age, disability status, medical condition, marital status, sexual orientation, gender, gender identity, gender expression, transgender status, protected military or veteran status, citizenship status, genetic information, or any other characteristic protected by federal, state, or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.