The Patient Care Coordinator supports patients, families, and physicians to promote timely access to needed care and ensure continuity of care. S/he will provide a broad range of services to patients and their families under the direction and supervision of the Quality Manager. The Patient Care Coordinator will assist patients in identifying and obtaining available services, resources, and benefits. The Patient Care Coordinator is responsible for supporting care management efforts for all patients with recent hospital episodes. The Clinical Quality Data Coordinator will serve as a facilitator and catalyst for improving the clinical and operational performance using the Patient Centered Medical Home (PCMH) model of care within the practice. Clinical duties may include recording/updating medical record documentation and medical histories. Preparing patients for appointments and follow-up.
Contributes to care management and care redesign of population health efforts
Process daily Hospital Discharges from targeted hospitals
Perform patient outreach daily to schedule hospital follow-up appointments
Perform alternative contact methods for patients unable to be reached by phone
Review patient hospital discharge documents and track communication outcomes in excel
Assist RN Care Managers in monitoring patient care plans
Provide community resources to patients that have social determinant needs
Improve patient experience including patient safety and quality of care provided
Yearly Care Management Continuous Education courses required
Qualifications and Education
High School Graduate or GED
Medical Assistant Certificate preferred
Must complete Care Management Courses with Michigan Care Management Resource Center within 2 months of hire
Minimum two years’ experience in a healthcare setting
Ability to read and comprehend patient medical charts and medical terminology
At Silver Pine Medical Group, our mission is to deliver comprehensive patient centered care to cover the entire lifespan from pediatric care to Geriatric care. We accomplish this by working together as a multi-disciplinary team that embodies our values. We strive to treat each patient as a member of our own family, and treat our employees in the same manner. We live our mission, to deliver best in class services to our patients and partners. Our culture strives for high performance, and our success is the result of our working together as a team.
Deliver comprehensive, patient focused care that enables patients to live the best life possible.