Village Clinical Support Coordinator Location Fairbanks, AK, US Organization Name Health Services Job Summary Job Summary:

The Village Clinical Support Coordinator provides care coordination services to patients residing in villages within the TCC region. The incumbent will function as a member of a multidisciplinary care team, ensuring well-coordinated closed-loop care. The scope of the position and all associated duties are inclusive of all beneficiaries of TCC Health Services (IHS, HRSA and VA). The Village Clinical Support Coordinator will use both clinical and administrative skills along with a deep understanding of the TCC system to facilitate care delivery to village-based patients. Job incumbent will have extensive travel to villages to support providers including but not limited to; health screening, medical procedures, CLIA waived lab procedures, clinical management functions, and supply maintenance. Develop, maintain, and implement evidence-based up-to-date practices to ensure the highest standard of care in the provision of services. Adhere to the TCC Ch'eghwtsen' model of service and guiding principle which requires providing timely and effective service along with the ability to interact with others in a way that inspires trust and demonstrates respect, compassion and empathy.

Essential Functions Essential Functions:

This list is

ILLUSTRATIVE

ONLY and is not a comprehensive listing of all functions and tasks performed by incumbents. Incumbent(s) may not be required to perform all duties listed and may be required to perform additional, position-specific duties .

Representative Duties:

Under the general supervision of the CHAP Training Center Medical Director (or designee), job incumbent will: 1. Care Coordination a. Ensure closed-loop care with timely follow-up on provider plan of care. b. Assist patients with navigating, to include travel, referrals, Purchased-Referred Care, Medicaid, etc. c. Patient referral management. d. Utilizing population health data and chart review, identify patients with outstanding preventive and chronic care needs. e. Assist with patient scheduling, chart preparation, and follow-up of village field trips. f. Effectively communicate with patients, care team members, and other departments to facilitate timely information exchange. Collaborate with other members of the healthcare team, both within TCC and outside of TCC. g. Utilize the electronic health record for documentation. h. Participate in quality improvement initiatives and contribute to the continuous improvement of healthcare delivery to village-based patients. i. Must be able to work independently and escalate needs outside of their scope. 2. Direct Clinical Care a. Accompany licensed clinical providers on assigned village travel. Project approximately two to three village visits (three to five days each) quarterly. b. Village site visit preparation depending on village assemble items: pharmaceuticals vaccines, POC supplies, instruments for per provider preference. c. Perform initial patient intake to include obtaining a basic set of vital signs, brief history, performs screening questions in accordance to clinic policy and documents in the EHR. Patient visits may be in-person during village visits or by telehealth. d. Prepare exam rooms/supplies and assist clinicians during patient visit. Perform procedures as trained and within appropriate scope of practice (for example, tympanography, audiometry, spirometry, medication administration, perform EKG, vision screen, and dressing change, perform x-rays). e. Stock exam rooms, manage clinic supply inventory. Operate and maintain medical equipment in clinics during visits. f. Perform basic laboratory functions to include POC testing, specimen collection, processing, handling/shipping, quality control, and resulting [in EHR] g. Provide and document patient education as directed including rationale for medication administration, explanation of medications and procedures, test results, disease prevention and education on lifestyle changes. 3.

Telehealth visits:

a. Coordinate patient visit with village clinic and or assist patient with mitigating a location in home that best supports the visit b. Ensure technology is working prior to visit for an efficient encounter. 4. For all patients treated in person or telehealth: a. Intake for registration and referral for enabling services. b. Reminder calls for scheduled patients c. Assist Village Nurse Navigator to review charts and identify patient needs prior to travel/visit. d. Provide and document patient education including rationale for medication administration, medication side effects, explanation of medications and procedures, prescription usage and directions, test results, disease prevention and education on lifestyle changes. e. Prepare follow up needs report and coordinate with Village Nurse Navigator for patient care referrals.

Other Responsibilities :

1. Facilitate efforts to support TCC initiatives; AAAHC accreditation, population health, Patient Centered Medical Home, HRSA/grant compliance, Baldrige, quality improvement studies. 2. Performs other job-related duties as assigned.

Cultural Safety and Humility Commitment:

In accordance with Tanana Chiefs Conference's commitment to cultural humility and cultural sensitivity, job incumbent will: 1. Uphold and enact principles of cultural sensitivity and relevance across all job activities, honoring the values, traditions, and practices of the communities served. 2. Continually participate in cultural humility and safety training to deepen understanding and support of the unique health concerns and perspectives of village residents. 3. Ensure respectful and efficient communication by using language services and culturally tailored materials in interactions with patients and community members. 4. Integrate respect for local customs into healthcare practices and decision-making to ensure culturally consistent care. 5. Recognize impacts of historic and inter-generational trauma that affect patient ability to access care. 6. Practice trauma-informed care.

Minimum Qualifications Minimum Qualifications:

1. High School Diploma or GED equivalent. 2. Certified as a Medical Assistant 3. BLS certification, or obtain within thirty (30) days of hire 4. Experience in care coordination preferred. 5. Experience working in Rural Alaska or providing medical care to Alaska Natives preferred. 6. Familiarity with medical technology. 7. Must maintain strict confidentiality. 8. Must pass background check pursuant to Federal Indian Child Protection and Family Violence Prevention Act requirements and State of Alaska background check.

Knowledge, Skills and Abilities :

1. Demonstrated phlebotomy skills. 2. Proficiency with typing, using Office computer (MS Office Suite) and clinical computer applications (electronic health record). 3. Strong verbal, written, organizational, and interpersonal skills for managing workflow and maintaining patient satisfaction. 4. Highly organized with ability to balance multiple competing requests. 5. Strong multi-tasking and problem-solving capabilities. 6. Able to make independent judgements and refer to licensed staff as necessary. 7. Demonstrated time management. 8. Must be dependable, prompt, motivated, and able to work under minimal supervision.

Matrix Supervision:

The Village Care Coordinator operates within a matrix supervision structure: 1.

Operational Supervision:

Reports to the CHAP Training Center Medical Director (or designee) for day-to-day operations, including care coordination activities and village travel. 2.

Maintenance of Certification:

Support from CAIHC Clinical Support Manager (or designee) for medical assistant-specific competencies and professional development to maintain certification.

Supervision Responsibilities :

This position has no supervisory responsibilities.

Supervision Physical demands:

Position is mostly sedentary with extended periods sitting at desk/computer. Position requires recurring bending, stooping, kneeling, crawling, climbing and balancing. Job incumbent must be able to lift and carry up to fifty pounds in support of equipment and supplies. Incumbent must be able to work efficiently in a busy and sometimes stressful environment.

Work environment:

Work is performed in a clinic responsible for treating patients with a wide variety of medical problems. The employee may be exposed to communicable disease during performance of duties.

Summation Summation:

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Certified Medical Assistant II - Village Clinical Support Coordinator