Care Coordinator - Family Practice

Care Coordinator - Family Practice Family Medical Centers - 3.5 Frankfort, KY Job Details Full-time 17 hours ago Benefits Disability insurance Health insurance Dental insurance 401(k) Paid time off Vision insurance Qualifications CPR Certification BLS Certification Full Job Description Family Practice Care Coordinator Cumberland Family Medical Center (CFMC) operates a Federally Qualified Health Center (FQHC) offering a wide range of health and social services at multiple sites throughout Kentucky. We seek employees who support our mission and who actively contribute to our service-driven environment by enhancing the patient experience and improve productivity. CFMC offers compassionate care, uncompromising service and clinical excellence. We offer a collaborative environment with excellent benefits, wage/salary commensurate with experience and relevant work experience.

Job Duties:

Medicare Annual Wellness Visit Monitor schedule and daily huddle for eligible Medicare patients and convert to annual wellness visit Contact patients via phone or letter regularly to schedule appointments for visit Perform wellness visit per Medicare guidelines using IMS template Assist patient with community resources as needed Accountable Care Organization (ACO) Manage patient worklists and huddles by utilizing software reporting programs Complete Transitional Care Management (TCM) calls for patients within 48 hours of discharge Chronic Disease Education Provide disease education and management upon provider request Utilize reporting system to generate huddle reports daily to share with clinical staff Monitor UDS metrics and provide feedback to clinic staff Chronic Care Management (CCM) Generate report of Medicare patients eligible for CCM Contact patient to offer CCM services and document consent Utilize templates to document CCM services Other duties as assigned by clinic provider with approval from Director of Quality Improvement.

Qualifications:

Associate's degree in nursing or higher Valid LPN or RN license CPR certification Experience in medical office setting preferred Maintenance of required continuing education courses

Schedule Requirements:

Full-time position, 5 days per week, 100% clinic-based, in person work required. Work schedules are set at the discretion of CFMC and may be adjusted at any time based on the operational needs of the organization.

Compensation:

Negotiable based on experience

Benefits:

Health, Vision, Dental, Life, STD, LTD, 401K, PTO, and Holidays