SUMMARY

Montage Medical Group’s Collaborative Care Services (CCS) department supports patients and care teams in navigating the complex healthcare system with compassion, kindness, and reliability. We are trusted in our knowledge and follow through. We meet our patients where they are and advocate for their needs. Our team consists of Registered Nurse Care Managers, Licensed Vocational Nurse (LVN) Clinical Care Coordinators, Social Workers, Pharmacy Technicians and Care Coordinators.

The Care Coordinator is responsible for supporting defined patient populations in reaching optimal health. This includes but is not limited to proactively outreaching to patients to coordinate preventive care and disease management (i.e. diabetes and hypertension). Additionally, the Care Coordinator promotes “working at the top of license” by supporting our licensed team members (RN’s, LVN’s, and LCSW’s) in completing tasks that do not require a license to complete. Our Care Coordinators are the glue that brings all elements of a patient’s care together.

ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned.

• Telephonically contacts patients who are due for preventive screenings.
• Telephonically contacts patients to coordinate chronic disease follow up and testing.
• Schedules appointments.
• Follows standardized protocols to place orders for due or overdue testing.
• Provides follow up contact with patients as indicate to ensure adherence to provider recommendations and treatment plans (i.e. medications, imaging, lab testing, specialist visits).
• Connects patients to community resources to address social determinants of health.
• Collaborates with internal and external care team members in coordinating patient care throughout the healthcare continuum.
• Adhere to administrative and assigned practice standards regarding confidentiality.
• Attend and participate in team meetings.
• Adhere to the attendance and punctuality policy.

EDUCATION: High school diploma or general education degree (“GED”); and at least three months (preferably six months) related experience (e.g., health care setting, customer service, etc.) and/or training; or equivalent combination of education and experience.

EXPERIENCE: Experience and/or knowledge of general healthcare practices, office workflows and medical terminology. Experience with electronic medical record documentation.

PREFERRED: Bilingual English/Spanish. Knowledge of Monterey County community resources.

KNOWLEDGE: The jobholder must demonstrate current competencies applicable to the job position.

SKILLS AND ABILITIES:

• Ability to appropriately interact with patients, families, staff and others.
• Strong interpersonal skills to handle sensitive situations and confidential information.

• Must respond sympathetically and maturely to patient needs.
• Detail oriented and well organized.

• Skill in health information management by appropriately charting patient data.

• Strong computer skills with strong capabilities in MS Office Suite i.e. Outlook, Word, Power Point and Excel
• Ability to function effectively in a fluid, dynamic, and rapidly changing environment.
• Ability to articulate clearly and concisely both verbally and in writing.
• Ability to self-direct in keeping with departmental and organizational priorities.
• Ability to work autonomously and be directly accountable for assignments.

• Ability to work effectively as a team member with physicians and other staff.
• Ability to apply attention to detail and accuracy.