Job Details

ABOUT LLCHC

Lower Lights Christian Health Center (LLCHC) transforms the overall health of Central Ohio, serving one individual at a time. We are focused on whole-person wellness, available to ALL in Central Ohio who need it, regardless of ability to pay! We served over 15,000 patients - with 40% being uninsured - and totaled 50,000+ medical encounters!

Operating out of seven locations, we offer medical care (primary care, dental, vision, OB/GYN, telehealth), behavioral health care, 340B pharmacy, nutritional assistance programs, and more. Working hours are Monday - Friday with occasional Saturday morning coverage.

JOB SUMMARY

This member will be a part of the Quality Health care team that will assist in coordinating the management of special populations of patients at LLCHC.

DUTIES

RESPONSIBILITY 1. Team Based Care Coordination

1. Work in collaboration with multidisciplinary provider team to provide innovative and evidence-based care.
2. Assist in the care coordination of chronic care patients as requested by the Quality Manager, Value Based Care Management Director, or CHIEF QUALITY OFFICER.
3. Carefully coordinate aspects of the patient's care working with Referral coordinators Care managers, Social Workers etc., on referrals to specialists, Post ER/ hospitalizations follow up ancillary testing, and other enabling services tracking.
4. Responsible for responding to patient calls promptly, including telephone advice per protocol, handle urgent calls and emergent calls, escalating to Quality Manager or Value Based Care Management Director as needed.
5. Assist with triage of urgent concerns that occur over the phone escalating to Quality Manager or Value Based Care Management Director when needed.
6. Documents all interactions with patient in the EHR.
7. Report on self-management tasks and abnormal findings relayed to them by the patient to the appropriate Physician team and/or other members of the Care Team.
8. Educates patients about in self-management tasks per Protocol, or as directed by Quality Manager or Value Based Care Management Director.
9. Delivers patient self-management educational resources used by the Practice Providers.

RESPONSIBILITY 2. Population Health Care Coordination

1. Anticipate the needs of the patients seeing that necessary documentation is completed or requested before patient visit.
2. Responsible for working with patient and patient's care team to implement an individualized treatment care plan - including follow-up, labs, and care coordination.
3. Use of technology to assist with all aspects of care coordination, electronic medical record documentation, documentation prompts.
4. Participates in the process of engaging the various sets of individuals when opportunities such as chronic disease management, wellness promotion, disease prevention, practice population management program are available by using EHR a reporting to determine which patients are overdue for care, services, testing, and/or screening as required by the Quality Manager, Value Based Care Management Director or Chief Quality Officer
5. Participates in the preventive care reminder program for the practice's patients, ensuring that patients receive reminders of the need for preventive or disease management screening and testing, including point of care reminders, as required by the Quality Manager, Value Based Care Management Director or Chief Quality Officer
6. Assists the Physician care teams in ensuring a smooth transition of care for patients treated in a facility (inpatient or emergency department), by a specialty physician (partialists), or by another health care provider.
7. Assists patient care teams with pre-visit preparation (obtaining medical records, hospital discharge summaries, advising patients to bring meds with them).
8. In addition, participating in appointment scheduling per protocols, referral, and diagnostic test tracking.

RESPONSIBILITY 3. Administrative Tasks

1. Aids in developing a community resource list of services available to patients and maintains collegial relationships with community resource agencies used most frequently.
2. Refers patients to other entities for education and support (Social Worker, Care Manager etc.) as directed by Quality Manager, Value Based Care Management Director or Chief Quality Officer
3. Assist patient with information and resources for medical supplies within the Organization when necessary.

BENEFITS AND PERKS

• Health benefits including medical, vision, dental, life, disability
• Generous Paid Time Off
• 10 Paid Holidays
• Student loan forgiveness opportunities
• Employee Assistance Program (EAP) with access to various consultants
• 3% match toward retirement fund
• And more!

LIVING OUR VALUES

You are mission-oriented and passionate about living out your purpose. You play an active role in responding to the needs of the community and organization. You work well alongside your teammates and use your time and resources effectively. You challenge yourself to grow personally and professionally. You embrace diversity and enjoy providing your customers with excellent treatment and compassion.

REQUIRED QUALIFICATIONS

• Post High School Education/ Certification in relating fields.
• Certification/ Training as Medical Assistant is preferred.
• Experience utilizing various Microsoft Office products is required.
• Experience in provision of Primary Care population is preferred.
• Experience in the Medical field, clinic or office experience preferred.
• Ability to multitask, meet deadlines, handle high volume of patients and families who are often sick or under duress.