Description:

• FLSA Status – Non-Exempt
• EEO Category – Administrative Support Workers

Our Mission: To improve lives by providing comprehensive, high-quality healthcare to every person in every community that we serve.

Our Vision: CCHN will maintain its position as the leading community health center in the state and become a model for all other healthcare organizations to follow.

At CompleteCare we are patients serving patients. We know what it’s like to be on the other side of the desk, so we are driven by the common purpose to continually exceed expectations at every turn.

CompleteCare employees are a particularly dedicated group of individuals who are good at what they do and want to use their skills to help people. Working for the community requires diligence and efficiency, but more than anything else, CompleteCare knows that kindness is the best way to truly make a difference.

Primary Role:

Focus on the management of high comorbidity/high risk patients with chronic diseases.

Reports to Population Health Manager.

Quality Standards:

• Professionalism
• Positivity
• Productivity
• Promptness
• Kindness

Essential Job Duties:

• Complete initial and routine assessments for the purpose of identifying patient care needs
• Initiate care planning and implementation of a comprehensive care plan and addresses medical
• Assist patient with follow up for preventive health and screening tests
• Engage members routinely telephonically and in-person via home/facility visits to coordinate services, community resources, and provide health education
• Provide education and assist with follow up appointments how to access appropriate care
• Identify early risk factors and targeted condition management interventions as necessary
• Create, review and revise Care Plans with a focus on health education and improving health outcomes
• Advocate for patient needs and services and provide assistance to members in navigating the healthcare system
• Patient care coordinators are liaisons between patients and the healthcare system
• Ensure that patients receive the care they need and that they understand their medical condition, medications, and other instructions
• Focus on reducing hospital admissions through coordinated care and effective discharge planning with other team members
• Collaborate with the member's PCP and other care team members to deliver and coordinate quality care and services
• Ensure completion of required touch points and care coordination activities and document all activities within the member clinical record and/or population-based software

Requirements:

Qualifications:

• HS Diploma or equivalent
• LPN License with 2 years abulatory care experience OR RN license – unrestricted
• BSN preferred
• Proficient with Microsoft Office
• Proficient with electronic health records

Other skills/qualifications:

• Ability to multi-task in a fast-paced environment
• Excellent communication skills
• Able to work as a team player as well as independently
• Detail oriented
• Problem solving skills
• Flexible

CompleteCare offers full-time and part-time employees a variety of generous benefits, including but not limited to:

• Comprehensive medical, dental, and vision insurance
• Paid time off (vacation, sick leave, and holidays)
• 401(k) retirement plan with employer matching
• Incentive program
• Life and disability insurance
• Continuing education and professional development opportunities
• Flexible Spending Accounts (FSA)
• Tuition reimbursement
• Reimbursement for licensure and certifications
• Reimbursement for CPR
• Discounted services
• Employee recognition programs
• Health Reimbursement Arrangement (HRA) via Ameriflex (covers most out-of-pocket expenses)
• Pension plan
• Cancer insurance policies
• Employee-paid life insurance — 2x annual salary, up to $150K (CCHN-paid benefit)
• AAA membership (discounted rates)
• BJ’s Wholesale Club membership (discounted rates)
• Direct deposit
• Childcare reimbursement program
• Intersite travel reimbursement

The above job description is not to be construed as a complete listing of the assignments that may be given to any employee, nor are such assignments restricted to those precisely listed in the description.

EOE