Overview

This position works as a member of a care team to coordinate patient care and support patients and families in self-management, self-efficacy, and behavior change. Care team members are expected to assess and manage the health needs of the patient population and to communicate effectively with all patients, especially vulnerable populations.

Location: 1101 Camino La Costa, Austin, Texas, 78752

Compensation: $32.00 - $41.00 per hour based on experience and qualifications

Responsibilities

• Patient Care Coordination
• Review, prioritize, manage, and act upon Epic In-Basket messages, tasks, and patient communications.
• Coordinate patient care activities for high-risk and complex patient populations as part of the care management team.
• Perform patient assessments and nursing interventions within scope of practice.
• Conduct telephone and walk-in triage using approved evidence-based nursing protocols and national standards.
• Collaborate with providers and interdisciplinary team members to identify patient and family needs and develop individualized plans of care.
• Provide patient education and counseling regarding disease management, medications, preventive health, health promotion, and provider-directed treatment plans.
• Maintain full compliance with all applicable federal, state, local, and organizational regulations governing Class D Pharmacy operations.

Team Collaboration and Resource Management

• Collaborate effectively with providers, medical assistants, referral coordinators, pharmacists, social workers, behavioral health staff, and other healthcare team members.
• Appropriately delegate, coordinate, and refer services to extended care team members to maximize patient flow, operational efficiency, and provider productivity.

Quality Improvement and Clinical Operations

• Participate in quality improvement initiatives, performance improvement projects, regulatory readiness activities, and population health programs.
• Identify opportunities to improve workflows, patient care processes, operational efficiency, and patient outcomes.
• Attend required departmental, organizational, and interdisciplinary meetings.
• Support and adhere to organizational policies, procedures, and operational decisions.
• Maintain effective communication with clinical staff, operational departments, leadership, and external partners.
• Ensure compliance with HIPAA and all patient confidentiality requirements.

Qualifications

Education:

Graduate of an accredited School of Nursing

Experience:

Two to three years of related experience or training. Ambulatory care, primary care, community health, or outpatient clinic experience is strongly preferred. Experience with electronic medical records (EMR), preferably Epic, is helpful.

Knowledge, Skills, and Abilities:

• Knowledge of patient assessment and evaluation.
• Knowledge of telephone and ambulatory care triage principles and protocols.
• Knowledge of methods for charting and maintaining accurate medical records.
• Understanding of basic concepts of patient education.
• Understanding the theory and practice of nursing and the managed care model.
• Ability to apply standards of professionalism in interactions with patients, peers, and supervisors, case management, referral tracking, and report tracking.
• Ability to identify problems and to formulate effective solutions based on facts.
• Ability to prioritize tasks and adapt to rapidly changing clinical demands.
• Ability to establish and maintain effective working relationships with diverse patient populations and healthcare professionals.
• Ability to work independently with minimal supervision while maintaining accountability.
• Ability to identify problems, analyze relevant information, and develop effective solutions.
• Bilingual English/Spanish preferred.

Certificate/License:

Current professional license to practice in the State of Texas.

Our Benefits Include:

• 18 PTO days per year & 11 paid holidays
• Major Medical Health Insurance Coverage. Most employees experience $0 in out-of-pocket medical expenses.
• Dental & Vision
• Flexible Spending Accounts
• Employer-paid Life Insurance
• Employer-paid Short-Term and Long-Term Disability
• Annual Training
• 403(b) with 5% employer matching

People’s Community Clinic is committed to equal employment opportunity regardless of race, color, national origin, religion, gender, sexual orientation, age, language, disability, pregnancy, gender identity, or sex stereotyping.