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Position Details

Department: Phx Children's Care Network
Category: Administrative Support
Location: Phoenix
Posting #: 420297
Date Posted: 10/25/2018
Employee Type: Regular

Position Summary

Care coordination is the deliberate organization of patient care activities to facilitate the appropriate delivery of health care services. This position works under the direction of a licensed health care professional and performs a variety of administrative duties in order help pediatric patients and families receive efficient, effective and customer-service focused navigation of the healthcare system. May be cross-trained on Care Management Resource Coordinator duties to provide coverage support to the Phoenix Children's Hospital inpatient care management team.

PCH Values

  • Family-Centered care that focuses on the need of the child first and values the family as an important member of the care team
  • Excellence in clinical care, service and communication
  • Collaborative within our institution and with others who share our mission and goals
  • Leadership that set the standard for pediatric health care today and innovations of the future
  • Accountability to our patients, community and each other for providing the best in the most cost-effective way.

Position Duties

  1. Care Management Support
    • a) Verifies insurance eligibility as needed and performs. validation checks to ensure accurate contact information
    • b) Verifies demographic information for the purposes of coordinating communication.
    • c) Provides initial outreach to care management candidates, completes general sections of the Health Risk Assessment (HRA), and schedules time with the family for completion of HRA with the RN Care Manager.
    • f) Coordinates and schedules interdisciplinary care team conferences.
    • g) Serves as main point of contact for patients/families enrolled in care management services.
    • h) Under the direction of the RN Care Manager and/or Social Worker, tracks implementation of the care plan and goal completion.
    • i) Executes administrative portions of the care plan under the direction of the RN Case Manager and/or Social Worker. Activities may include, but are not limited to:
    • Sending patient education or resources
    • Sending primary care provider (PCP)/patient letters and medication lists
    • Arranging durable medical equipment (DME)
    • Arranging transportation
    • Assisting with appointment scheduling and follow up on prescription fills/refills
    • j) Logs all encounters with and about patients in the care management system.
    • k) Escalates barriers to implementing the care plan to the RN Case Manager and/or Social Worker.
  2. Provider Network and Population Support
    • a) Performs outbound calls on behalf of network practices to assist patients in obtaining necessary services to close gaps in care.
    • b) Promotes in-network facilities and providers.
    • c) When requested by families, facilitates three-way call to payers to re-assign PCP assigned to the patient.
  3. Customer Service
    • a) Communicates clearly in both written and verbal communications with all internal and external customers.
    • b) Provides excellent service routinely in interactions with all internal and external customers.
    • c) Responds to email within 24 hours or one business day.
  4. Education
    • Participates in a variety of educational programs to maintain current skills and competency levels
  5. Performs miscellaneous job related duties as requested.

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Position Qualifications

Please review the following qualifications and specify whether you meet each of the requirements listed.
Do you meet this requirement?
Education
1. High School diploma or equivalent. Required
2. Associates or Bachelors in a related field. Preferred
Do you meet this requirement?
Experience
1. Two or more years of experience in health care as a nursing student, medical assistant, care coordinator, health unit coordinator, patient care technician, or related field. Required
2. Experience with medical terminology. Preferred
Do you meet this requirement?
Certifications/Licenses/Registries
1. Current BLS certification for Healthcare Provider from the American Heart Association. Preferred
Do you meet this requirement?
Special Skills
1. Must function well in a team environment. Required
2. Excellent communication skills: verbal, written, and interpersonal. Required
3. Effective critical thinking skills, decision-making skills, and problem solving skills with demonstration of creativity in problem solving. Required
4. Computer competency skills such as experience with Excel, Word, and Electronic Medical Records. Required
5. Bilingual (Spanish). Preferred
Physical Requirements & Occupational Exposure/Risk Potential
1. Physical Requirement - Climbing Occasionally
2. Physical Requirement - Feeling (sensing textures and temperatures) Occasionally
3. Physical Requirement - Fine Motor Skills (pinching, gripping, etc) Constantly
4. Physical Requirement - Hearing Constantly
5. Physical Requirement - Pushing/pulling Occasionally
6. Physical Requirement - Reaching Occasionally
7. Physical Requirement - Sitting Constantly
8. Physical Requirement - Standing Frequently
9. Physical Requirement - Stooping/crouching/kneeling/crawling Occasionally
10. Physical Requirement - Talking Constantly
11. Physical Requirement - Walking Frequently
12. Physical Requirement - Near Vision Frequently
13. Physical Requirement - Far Vision Occasionally
14. Physical Requirement - Color Discrimination Occasionally
15. Physical Requirement - Use of keyboard, mouse and/or computer equipment Constantly
16. Physical Requirement - Lift up to 35 pounds without assistance Occasionally
17. Occupational Exposure/Risk Potential - Inside office environment Applicable
18. Occupational Exposure/Risk Potential - Airborne communicable diseases Applicable
internal/external
I have reviewed the qualifications, physical requirements and occupational exposure/risk potential for this position and wish to apply