This is a Temporary Fulltime position. $25.00-$28.00/HriThis position functions within the SEARHC primary care and is responsible for coordinating the delivery of appropriate and timely care for patients, promoting quality and cost-effective health care outcomes.This position will work with at risk populations and those with chronic disease(s) by providing comprehensive care coordination in clinical and home-based settings within the existing local network of clinical, home and community based services.This position functions within the SEARHC primary care and is responsible for coordinating the delivery of appropriate and timely care for patients, promoting quality and cost-effective health care outcomes.This position will work with at risk populations and those with chronic disease(s) by providing comprehensive care coordination in clinical and home-based settings within the existing local network of clinical, home and community based services.Must utilize sound knowledge and judgement in determining patient referrals, outreach and coordination of care to maintain patient safety and service quality.i Decisions must be made with weighted consideration and awareness of the impact that they have on patient care and outcomes.Must possess the ability to work autonomously to implement interventions, assess frameworks, and identify solutions at an individual, community and system level.i Will seek supervisor support when indicated and/or necessary.iResponsibilities:Assists the care team in coordinating safe, timely, effective, efficient, equitable, patient-centered care. Assess self-management skills of patients and caregivers and encourage wellness and autonomy through support, training and coordination of community and/or referred services. Communicate regularly with patients and caregivers regarding Plan of Care (POC).Supports care coordination within and outside of the SEARHC health system to ensure a consistent, effective, supportive system of care. Track and maintain case management/coordination data. Monitor patient progress and track outcomes using SEARHC standards of performance and care.Acts as a communication portal between patients and their care team. Communicates lab results to patients and performs point of care testing and coaching when relevant, generates patient letters and completes relevant forms as needed.Advocate for patient and patient caregivers at service-delivery level, empower patient decision-making and self-care, and address patient needs in a timely manner.Collaborate with the medical providers and interdisciplinary team members to establish plan of care to maximize patient healthcare outcomes. Coordinate, and track patient referrals within SEARHC and outside facilities, including initiating, tracking and completing prior authorizations.Participate in departmental and clinical improvement efforts, maintain a clean and safe working environment for self, staff, and patients, and maintain compliance with annual competencies.Identify community resources, foster partnerships, and utilize resources effectivelPerforms other duties as assigned, including special projects deemed necessary to provide comprehensive health services.Qualifications:Education:Associateis degree or 2 years of college in social work, social services, healthcare administration, business administration or related field. 4 years of relevant healthcare experience may be exchanged for a degree or collage course work.Experience:Minimum 2 years healthcare experience.Knowledge, Skills and Abilities:Knowledge of:Available services at SEARHC, other tribal health organizations in Alaska and community.The clinical process and the ability to apply this knowledge in the working environment.Customer service principles.Safety and infection control principles.Skills in:Assessment, anticipation of needs, and data collection.The use of equipment such as computers and medical equipment.Oral and written communications.Ability to:Able to multi-taskAbility
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