Health Care Coordinator - Care Transformation and Innovation (CTI) - Southwestern Health Resources (SWHR) at Southwestern Health Resources CIN in Pittston, Pennsylvania

Job Description:

Health Care Coordinator

Care Transformation & Innovation (CTI)

Southwestern Health Resources, a national leader in population health, is looking for a qualified Health Care Coordinator to join our Care Transformation & Innovation (CTI) team.

If you're looking for a rewarding career at a patient-centered organization with work-life balance and comprehensive benefits, we want to hear from you.

Position Highlights

Work location: Southwestern Health Resources Headquarters, 1603 Lyndon B. Johnson Freeway, Farmers Branch, TX 75234.

Work environment: Care Transformation & Innovation (CTI).

Please note: The Health Care Coordinator will be an employee of Southwestern Health Resources (SWHR). SWHR is a clinically integrated network formed by Texas Health Resources (THR) and University of Texas Southwestern Medical Center (UTSW).

Work hours:

• Full-time, 40 hours per week.
• Monday - Friday, Day shift.
• This is a telework position, however, may require occasional onsite workdays based on department business needs.
• In-person attendance required at department meetings, trainings and/or other department authorized activities, at the above-mentioned address or other locations as directed by the department management.
• Require travel (approximately 5%) within the Dallas/Fort Worth Metroplex and surrounding areas, to a point of care or business location, based on department business needs.

Southwestern Health Resources (SWHR) is a patient-centered clinically integrated network of 29 hospital locations and more than 5,500 physicians and other clinicians. Formed by Texas Health Resources and University of Texas Southwestern Medical Center, two of the region's leading healthcare systems, SWHR delivers nationally preeminent, highest-quality care in 16 counties across North Texas.

The SWHR Network includes physicians from University of Texas Southwestern Medical Center and Texas Health Resources, as well as more than 2500 independent community Primary and Specialty Care Physicians. In partnership, our team implements physician-driven, value-based care strategies to coordinate care for more than 700,000 patients, across 16 counties in North Texas, resulting in lower costs and high-quality care.

In 2020, the Centers for Medicare & Medicaid Services (CMS) released the annual financial and quality results. Based on the report, SWHR is one of the nation's leading Next Generation Accountable Care Organizations (ACO), having saved nearly $120 million since joining the program in 2017.

SWHR is the parent organization of Care N' Care Insurance Co., a leading regional Medicare Advantage health plan organization that serves approximately 17,000 patients in North Texas.

Education

• High School Diploma or equivalent required.
• Associate's Degree in Health Care, Business, Communications, related field, or the equivalency highly preferred.

Experience

• Require 1 year experience in a Medical Office, Accountable Care Organization (ACO), Health Plan or Provider Office.

Skills & Abilities

• Professional demeanor, and strong customer service mindset.
• Commitment to the mission of care coordination.
• Good communication and interpersonal skills and ability to speak concisely to clients using good grammar.
• Organized with confidential client material, appointment tracking, and caseloads.
• Ability to build relationships with different types of people, including clients, organization members, and members of the health care team.
• Strong understanding of cultural competency with the target population.
• Computer literacy necessary.
• Must be able to problem-solve, make decisions, interpret data, organize and analyze workflow, write a plan and use basic math skills.

Position Responsibilities

Health Care Coordinator provides assistance for cases requiring additional non-clinical follow up and case coordination, including, but not limited to: dentification of acute care setting utilization, transitions to post-acute settings, data entry, maintaining files, referral support, scheduling appointments, producing and sending patient communications and/or education materials, researching and answering plan benefits and claims questions, In-network referrals, obtaining information contained in EMR systems. Works under the supervision of the licensed Care Manager and/or physician to ensure patient adherence to care plan as well as helps identify care gaps. Works with interdisciplinary team and bring task updates to daily huddles for care managers. Work directly with members, vendors, and providers to ensure superior coordination of care. Builds and maintains positive working relationships with direct and indirect customers. Maintain documentation of all client encounters and complete reporting requirements according to organization standards, including timely and accurate documentation. Track client information, schedules, files, and forms in a confidential manner. Initiate outreach and missed appointment procedures, as necessary.

Position Functions

• Provides assistance for cases requiring additional non-clinical follow up and case coordination, including, but not limited to: identification of acute care setting utilization, transitions to post-acute settings, data entry, maintaining files, referral support, scheduling appointments, producing and sending patient communications and/or education materials, researching and answering plan benefits and claims questions, In-network referrals, obtaining information contained in EMR systems.
• Works under the supervision of the licensed Care Manager and/or physician to ensure patient adherence to care plan as well as helps identify care gaps. Works with interdisciplinary team and bring task updates to daily huddles for care managers.
• Work directly with members, vendors, and providers to ensure superior coordination of care. Builds and maintains positive working relationships with direct and indirect customers.
• Maintain documentation of all client encounters and complete reporting requirements according to organization standards, including timely and accurate documentation.
• Track client information, schedules, files, and forms in a confidential manner
• Initiate outreach and missed appointment procedures, as necessary.

Why Southwestern Health Resources

As a Southwestern Health Resources employee, you'll enjoy, comprehensive benefits, including a 401(k) with match; paid time off; competitive health insurance choices; healthcare and dependent care spending account options; wellness programs to keep you and your family healthy; tuition reimbursement; a student loan repayment program; and more.

Additional perks of being an SWHR employee:

• Gain a sense of accomplishment by contributing to a teamwork environment.
• Positively impact patients' quality of life.
• Receive excellent mentorship, comprehensive training and dedicated clinical and administrative leadership resources.
• Enjoy opportunities for growth.

Explore Southwestern Health Resources Careers for more information and to search all career opportunities.

Our Recruitment team invites you to contact us with any questions at recruitment@texashealth.org

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