Care Coordinator II - DME Coordinator

The Care Coordinator II (CCII) plays a crucial role in supporting, managing, and coordinating a patient's care plan. The CCII acts as a liaison between the patient or caregiver, primary care team, and external partners to ensure seamless communication and timely access to care. Primary responsibilities include working in tandem with the primary care team to coordinate healthcare services. The CCII assures continuity of care is maintained and optimized for the patient and their care team’s well-being. NOTE: This position will focus on primary care DME.

Estimated Hiring Range:

$28.81 - $35.22

Bonus Target:

Bonus - SIP Target, 5% Annual

Essential Responsibilities

Patient Communication

Actively support an assigned panel of patients by providing timely complex care coordination for patients with physical and behavioral health care needs.
Escalate concerns to primary care team according to protocols.
De-escalate high stress situations and complaints received and forwards to primary care team/leadership as appropriate.
Coordinate referrals for supportive services, labs, diagnostics or other coordination of care needs as requested by the primary care team based on insurance, location, patient preference, and order type.
Schedule patient visits for assigned panel of patients based on urgency, geographic location, appointment type, provider availability and frequency of visit standards.

Clinical Support

Authorize prescription refills for non-controlled drugs if approved by clinician.
Provide pharmacy support including verbal orders, when appropriate, to expedite or clarify medication fulfillment.
Provide primary care coordination support to assigned panel of patients with physical and behavioral health care coordination needs.
Responsible for meeting with DME vendors to maintain relationships and problem solve.
Manage DME orders, ensuring charting and all documentation requirements are met.
Support providers and patients with DME appeal process and follow up to make sure DME is delivered.

Documentation and Other Duties

Compile and document all patient interactions and support activities in an appropriate and timely fashion to maintain patient's medical record.
Participate in quality and organizational process improvement activities and teams when requested.
Take initiative in proactively assisting teammates when work volumes are high or back up is needed.

Experience and/or Education Required

Minimum 4 years’ experience in a healthcare setting, including experience with medical records system.

Knowledge, Skills and Abilities Required

Advanced knowledge of basic healthcare language, including medical and/or behavioral health terminology, basic patient care and community resources.
Demonstrate advanced knowledge of barriers to care such as language, cultural factors, transportation, ability to self-manage and psychosocial issues and bring those to the attention for the care team.
Knowledge of HIPAA privacy rules and regulations.
Advanced knowledge of basic conflict management and de-escalation techniques.

Working Conditions

Work Environment(s): Indoor/Office, Telephonic

Hazards: May include, but not limited to, physical and ergonomic hazards.

Benefits

We offer a strong Total Rewards Program. This includes competitive pay, bonus opportunity, and a comprehensive benefits package.

Equal Opportunity Employer

Housecall Providers is an equal opportunity employer.