Quality Care Coordinator (Flagstaff) - North Country HealthCare AZ : Job Details

North Country HealthCare is transforming healthcare for rural Arizona as a Primary Care, Federally Qualified Teaching Health Center. We provide Family Medicine, Pediatrics, Obstetrics/Gynecology, Dental, Physical Therapy, and Behavioral Health services to the under-served population throughout northern Arizona. We believe in practicing integrative care in an inclusive culture. We treat some of the most vulnerable rural populations in the United States while supporting North Country's mission. We are proud of our Family Medicine Physician Residency, our medical education programs, and our passionate team.

Description The Quality Care Coordinator is a key integrated care team member who promotes the mission and vision of North Country HealthCare to provide affordable, accessible, quality primary care in an atmosphere of dignity and respect. This role is vital in supporting patients to achieve their health goals through patient-centered care planning, care coordination, and community resource utilization. The ideal candidate will demonstrate a commitment to patient-centered care, have excellent organizational skills, work well in teams, and be able to adapt to the evolving needs of high-risk populations.

Duties

• Responsible organizing, coordinating, and linking services for empaneled patients focusing on those at risk for admission to the hospital, uncontrolled chronic conditions, and/or poor health outcomes.
• Utilize motivational interviewing and other techniques to develop a patient centered care plan and self-management goals, guided by provider and care team recommendations to promote the best possible health outcomes.
• Utilize standardized educational materials to support health promotion, disease understanding, and self-management. Identify patients who may benefit from additional teaching and connect with appropriate care team members (i.e. Pharmacy, Clinical Support RN) or external resources as needed.
• Contribute to a patient's health literacy by linking them to information and services to aid in health-related decisions and actions for themselves.
• Identify patients who have been hospitalized via the Health Information Exchange (HIE), and outreach to facilitate a safe and effective discharge and transition back to the primary care provider. All clinical questions or concerns are shared with the appropriate care team member.
• Collaborate with community partners and specialty care providers across the continuum of care to provide optimal care coordination services and access to care for patients locally and regionally. Maintain a current list of community agencies and resources for integrated team members to reference.
• Actively participate with the clinical integrated care team to support, engage, and follow-up with the patient with provider-guided treatment goals.
• Document all encounters in the patient chart within the Electronic Health Record and ensure all clinical questions or concerns are shared with the appropriate care team member.
• Continually look for ways to improve process within the clinic or care management/coordination team by participating in continuous quality improvement projects to maintain the highest quality of care and patient safety.

Requirements

• Bachelor's degree in related field or equivalent experience
• 2 Years related experience and/or training, or equivalent combination of education and experience
• Basic Life Support required upon hire
• Community Health Worker Core Competency Certification/Training required within 180 days

Compensation Starting at $21.63/hr+ DOE

Benefits North Country HealthCare is proud to offer a full range of benefits to our full and part time employees beginning day one, including:

• Medical insurance for as little as $5 per paycheck.
• Dental and Vision insurance.
• Critical Illness, Accident, and Hospital Stay supplemental coverage.
• Employer-paid life insurance, disability, and Employee Assistance Program.
• 401k with a 4% employer match.
• Up to $5,250 towards student loan repayment or educational tuition reimbursement annually, professional development support, and internal career growth opportunities
• Additionally, employees earn up to seven weeks of paid time off annually, with accrual beginning on day one.

We are focused on building a diverse and inclusive workforce. If you're excited about this role, but do not meet 100% of the qualifications listed above, we encourage you to apply.

North Country HealthCare is a VEVRAA Federal Contractor and an Equal Opportunity Employer. We consider applicants for employment without regard to race, color, religion, sex, orientation, national origin, age, disability, genetics or any other basis forbidden under federal, state, or local law.

North Country HealthCare is committed to providing reasonable accommodations for qualified individuals with disabilities and disabled veterans in our job application procedures. If you need assistance or an accommodation due to a disability, you may contact us at [email protected]. Please do not send resumes to this email address.