CTO Care Coordinator

General Summary of Position

Primary Duties and Responsibilities

• Contributes to the achievement of established department goals and objectives and adheres to department policies procedures quality standards and safety standards. Complies with governmental and accreditation regulations.
• Builds and maintains relationships with Lead Care Manager(s) interdisciplinary care team and community resource partners.
• Ensures daily telephonic patient communication to help to close gaps in care and provide up-to-date healthcare information helping to facilitate the members understanding of his/her health status using available reports including quality m page and HIE CRISP to ensure relevant medical history/encounter are accessible in EMR.
• Facilitates ongoing communication by participating in huddles hosting regular conference calls in-person meetings or coordinating regular email updates to ensure alignment of activity discuss new developments and exchange information.
• Enters data into power forms and maintains timely and accurate documentation in the EMR MedConnect.
• Processes telephone inquiries and communicates knowledge of policies and procedures. Projects a positive image on the telephone to internal/external customers. Represents the best of MedStar Accountable Care at all time and to all customers.
• Runs monthly reports compiles data for reporting and identifies members with gaps in care.
• Provides support in coordinating and managing referrals of care for program participants to support program goals.
• Provides support to Lead Care Managers as needed.
• Provides support for the Patient Family Advisory Meetings by contacting patients sending invitation letters initiating reminder calls arranging transportation etc.
• Participates in multidisciplinary quality and service improvement teams as appropriate. Participates in meetings serves on committees and represents the department and hospital/facility in community outreach efforts as appropriate.
• Performs other duties as assigned.

Minimal Qualifications

• Education
• High School Diploma or GED required

Experience

Licenses and Certifications

Knowledge Skills and Abilities

• Effective verbal and written communication skills.
• Excellent interpersonal and customer service skills especially serving geriatric patients.
• Strong community engagement and facilitation skills.
• Advanced project management skills.
• Flexibility and the ability to work autonomously as well as take direction as needed.
• Cultural competency.
• Proficient computer skills along with experience using Microsoft applications-Word Excel etc. and familiarity with entering data in an electronic medical record (EMR).