SGMF-Health Care Coordinator

POSITION SUMMARY: The Health Care Coordinator (HCC) is responsible for the intake process and care coordination for patients referred to the Care Management Program within Sutter Gould Medical Foundation known as Sutter Compass Connect (SCC). He/she works collaboratively with the RN Case Manager (RNCM) to coordinate patient care activities telephonically after office visits to insure that interventions/ plans are completed. Interventions will be outlined in a care plan. The Health Care Coordinator provides routine follow-up and monitoring, escalation of acute symptoms to the RNCM, referrals to relevant educational opportunities, and provides information and resources designed to maintain function, prevent illness and promote wellness in concordance with the patients' goals.

MINIMUM POSITION REQUIREMENTS:

Education:

Medical Assistant certification or AS degree in healthcare related field. A combination of healthcare experience and education may be substituted.

BA/BS preferred

Experience:

Previous experience working in a medical or social service setting, preferably with a geriatric population

Knowledge:

Knowledge of basic medical terminology

Knowledge of available health care and appropriate community resources appropriate for the Medicare Risk population.

Knowledge of individual and family development over the life span and the influence of cultural and spiritual values in health care.

General knowledge of illnesses, current treatments and their physical and psychosocial effects on the individual.

Knowledge of applicable laws and regulations, government and insurance benefits.

Special Skills/Equipment:

Effective oral and written communication.

Excellent interpersonal skills and time management skills, ability to work effectively in a fast paced environment with rapidly shifting priorities and competing demands.

Ability to identify and refer medically complex cases to the Case Manager/Social Worker

Ability to identify and monitor trends, client service needs and gaps in service.

Ability to identify and refer quality and risk management concerns per stop light tools.

Ability to research, link, and refer to community resources and alternate services for clients with limited insurance benefits or personal resources.

Ability to work independently with minimum direction.

Ability to exercise discretion and make independent judgments, seeking review when decisions represent significant departure from established guidelines.

Ability to communicate in Spanish is helpful, but not required.

PC skills, word processing and data base programs.