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Care Coordinator, RN

Company: Physician Health Partners
Location: Colorado Springs
Posted on: August 4, 2022

Job Description:

Are you looking to work for a company that has been recognized for over a decade as a Top Place to Work? Apply today to become a part of a company that continues to commit to putting our employees first.Position Summary: The Care Coordinator supports Colorado Community Health Alliance (CCHA) initiatives by serving as a link between Health First Colorado members, community support services, health systems, and providers to help members navigate through the medical home system of care to optimize member health outcomes. Care Coordinators focus on patient self-management and increase knowledge of patient's disease process by providing coaching, health education, home visits, follow-up and support services as well as communicate patient information and care treatment plans back to primary care medical providers.This position is a hybrid role working 40 hours a week, Monday - Friday Essential Functions:Liaises and advocate for Health First Colorado members between referring providers, specialty physicians, referral care coordinators or other relevant staff and community resources to include care conferences and member updates to their care team.Communicates with providers to get supporting documentation needed to complete service coordination plan.Completes comprehensive assessments to identify needs and barriers to the member's ability to manage their medical conditions and treatment plans and participates with the member, caregivers, the primary care medical provider and health care team in developing a comprehensive care plan to overcome identified needs barriers.Meets case workload and documentation requirements as outlined by department standards.Fulfills requirements necessary to maintain licensure. Conferences, publications, etc. to stay current on new treatments and trends.Develops strong telephonic and in-person relationships with Health First Colorado members that include assessing for care coordination needs, providing health education, case coordination for Health First Colorado patients and their caregivers with complex medical and psychosocial issues, developing a joint care plan, providing member referrals to medical and non-medical resources and educating on the health care system.Develops and maintains a good working relationship with assigned primary care medical practices, healthcare teams, patients, families, and Hospitals.Identifies potential program candidates by using available utilization data , hospital census data, physician referrals and referrals from other sources and provide comprehensive nurse care coordination to include identifying and overcoming medical, psych-social, community, cultural religious and financial barriersWorks closely with health partner team to timely meet the care coordination needs of Health First Colorado members to include keeping up to date on current Health First Colorado, CCHA and community programs resources.Maintain confidentiality and ensure compliance with HIPAA regulations. Knowledge, Skills, and Abilities:Motivational InterviewingTeamwork skillsIndependent problem-solving skillsSelf-motivated and self-managedExcellent verbal and written communication skillsTime management skillsStrong computer skills, including Microsoft Outlook, Microsoft Word, and Microsoft Excel SpreadsheetsKnowledge of Care Transitions Coaching/Transitions of Care model (preferred)Bilingual; fluent in English and Spanish (preferred) Qualifications:RN with valid license in good standing. (Required Licensure or Certification for this position must be maintained by the employee as defined by the company policies and procedures)3-5 years of Case Management experience or a combination of relevant experience with at least 2 years' experience in home health care, discharge planning, department of social services, or community settingsPrevious experience with Health First Colorado (preferred) About Physician Health Partners:PHP is an integrated team of physicians and health care professionals committed to supporting effective patient care throughout the health care continuum. Founded in 1996 as a management services organization, PHP believes physicians and other providers have the capability and responsibility to drive high quality, cost-effective health care for patients. PHP collaborates with more than 300 primary care providers, both physicians and midlevel providers, and hundreds of specialists who share the goal of providing the right care, at the right time and in the right setting. We strive to support and enhance the primary care physician's role in coordinating care for patients. We provide innovative tools and programs to help drive quality outcomes and more cost-effective health care to their patients.We have two locations in Downtown Denver and Colorado Springs but serve over 500,000 members throughout the state of Colorado. Benefits:PHP believes that our employees are our biggest assets, so we offer a robust benefits package that includes:Company paid 90%+ for Medical, Dental, and Vision insurancePaid Time Off and 2-week paid FMLA401(k) matchingShort-Term & Long-Term Disability coverageEmployee DiscountsRewards and recognition programWellness reward programs If you are interested in working for an innovative and collaborative workplace in the healthcare market, apply now!COVID 19 Vaccination: Employees will be required to show proof of being fully vaccinated to COVID-19 within 30 days of hire. Reasonable accommodations may be considered on a case-by-case basis for certain exemptions in accordance with applicable law. Applicants should be aware, though, that for external-facing roles, particularly those involving close contact with vulnerable individuals, accommodations that involve not being vaccinated against COVID-19 may not be deemed reasonable. The Company will engage in the interactive process on an individualized basis in light of each particular role. PI187550084

Keywords: Physician Health Partners, Colorado Springs , Care Coordinator, RN, Healthcare , Colorado Springs, Colorado

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