The Care Coordinator represents and supports the Department of Pediatrics, Doernbecher Children’s Hospital (DCH), Ambulatory Care Services, and Oregon Health & Science University (OHSU) and it’s faculty and staff by providing excellent customer service and problem-solving skills. The role of the Care Coordinator is to provide support to the Adolescent Health Team (providers, residents, social workers, nurses, medical assistants, and schedulers) through the coordination of health maintenance care for our various patients including panel patients and those with complex and chronic health care needs and psychosocial issues. The Care Coordinator will coordinate care and ensure compliance with appointments through regular patient outreach via phone and will assist with panel management, data collection and will work with providers to ensure proper reporting and analysis. The Care Coordinator will also provide a full range of Medical Assistant duties and support as part of the medical care team as needed due to clinic demand. The Care Coordinator is a true team player who is flexible and helps when and where he/she is needed. This position functions within the Medical Assistant scope of boundaries as defined by OHSU. The Care Coordinator must demonstrate strong written and verbal communication with efficiency and diplomacy. Service excellence, kindness, and compassion to all customers, including patients and other OHSU team members is an absolute requirement. Participates in ongoing professional development and competency assessment and participates in ongoing quality assurance and quality improvement initiatives. Performs requirements for staff members as outlined in OHSU Core Competencies, policies and procedures.

KEY RESPONSIBILITIES:  Essential functions indicate those key responsibilities that meet one or more of the following descriptors: (1) the position exists to perform the function, (2) the number of employees available to perform the function is limited, (3) the function is so highly specialized that the person is hired for his/her expertise or ability to perform the function.  The percentage of duties must equal 100%.

Patient Management

• • Issues patient safety alerts to care team, along with lists of affected patients, for such events as drug recalls, warnings, or other potential safety issues.
  • Scrubs (reviews and manages) patient charts the day prior to a visit to evaluate which health services are needed by each scheduled patient within the clinic. Updates Health Maintenance when necessary to ensure it properly reflects what health services patients are due for.
  • Performs daily outreach via cold calls, MyChart messages, and/or sending letters to schedule appointments or coordinate health services.
  • Uses report writing programs, such as Reporting Workbench, through Epic and other software to identify patient’s for preventative health maintenance needs (i.e. immunization schedules, well child checks, etc.).

 

 

Care Coordination

• • Supports entire care team by helping patients and families with questions regarding referrals and tests, or pending tests for clinician signature.
  • Keeps a referral log of patient communication to ensure loop closure in care gaps from specialty referrals.
  • Follows up on empaneled patients that have recently discharged from the Emergency Department (ED) or Inpatient (IP) services. Outreaches to patient via phone calls and documents in a telephone encounter steps taken. Identify next steps needed (i.e. route to RN triage, schedule a follow up visit, etc.).
  • Responsible for pre-visit planning including obtaining medical records, proactively obtaining medical records, proactively scheduling appointments, and updating health maintenance needs daily.
  • Assumes a lead role in proactive outreach to patients related to individual health maintenance needs and overall panel management.

 

Communication

• • Coordinates process improvement cycles and implementation of new clinical workflows.
  • Routinely participates, both inside and outside of clinic, in meetings related to: quality improvement, care management, resident projects, and multidisciplinary patient conferences.
  • Responds timely to voicemails, EMR messages and e-mail messages based on patient and care priorities.

 

Documentation/Data Management

• • Document legibly, concisely and completely to ensure that others can accurately assess the status of patients’ progress by reviewing that documentation.
  •   Monitors department tracking tools and provides care team with real-time updates as appropriate.               

• Must be able to perform the essential functions of the position with or without accommodation.
• Assists clinic with projects related to the Patient-Centered Primary Care Home (PCPCH) program aiding the coordination of patient-centered and effective care.

 

Benefits:

• Two raises per year – One at anniversary date and one across the board annual increase
• Healthcare Options - Covered 100% for full-time employees and 88% for dependents, and $25K of term life insurance provided at no cost to the employee
• Two separate above market pension plans to choose from
• Vacation- up to 200 hours per year depending on length of service
• Sick Leave- up to 96 hours per year
• 8 paid holidays per year
• Substantial Tri-met and C-Tran discounts
• Additional Programs including: Tuition Reimbursement and Employee Assistance Program (EAP)

Oregon Health & Science University values a diverse and culturally competent workforce. We are proud of our commitment to being an equal opportunity, affirmative action organization that does not discriminate against applicants on the basis of any protected class status, including disability status and protected veteran status. Individuals with diverse backgrounds and those who promote diversity and a culture of inclusion are encouraged to apply. To request reasonable accommodation contact the Affirmative Action and Equal Opportunity Department at 503-494-5148 or aaeo@ohsu.edu.


As an organization devoted to the health and well-being of people in Oregon and beyond, OHSU requires its employees to be fully vaccinated against COVID-19.