Quality Care Coordinator - Liberty_Resources

About Us:

Liberty Resources is a dynamic human services agency and a great place to work! Working for Liberty Resources means you’ll have access to great career opportunities, benefits and a supportive atmosphere. Our employees have passion around our values of excellence, integrity, diversity, self-determination, service, innovation and fiscal responsibility. Our rapid growth is providing exciting opportunities in all areas of our organization.  

Position Summary:

The Quality Care Coordinator works in collaboration and continuous partnership with “high-risk” patients, their family/caregiver(s), providers, and community resources in a team approach to improve health outcomes.

Essential Functions:

• Create and promote adherence to a care plan, developed in coordination with the patient, primary care provider, and family/caregiver(s).
• Monitor adherence to care plans, evaluate effectiveness, monitor patient progress in a timely manner, and facilitate changes, as needed.

• Assists as needed with the collection of Quality of Care monitoring
• Completes necessary documentation including assessment, progress notes, and care plans as applicable and in accordance with program and agency standards. 

Job Responsibilities:

• Assess patient’s unmet health and social needs using standardized tools, and pre-visit planning, to facilitate patient access to appropriate medical and specialty providers.
• Increase continuity of care by managing relationships with care team providers, including, but not limited to, transitions of care, and referrals.
• Educate and connect patients to relevant community resources, with the goal of enhancing patient health and well-being, increasing patient satisfaction, and reducing health care costs.
• Serve as the contact point and informational resource for patients, care team, family/caregiver(s), payers, and community resources.
• Create ongoing processes for patient and family/caregiver(s) to determine and request the level of care coordination supports they need, and desire, at any point of care.
• Conduct patient engagement activities to promote timely access to appropriate care; including care associated with chronic conditions, such as Diabetes, increase use of preventive care services, reduce emergency room utilization, and hospital readmissions.
• Document all care plans, engagement efforts and successful contacts in Liberty’s designated electronic health record.
• Maintains effective professional relationships with other service providers and community organizations in the interest of clients’ and program goals in accordance with the Agency Policies and procedures. 
• Performs other duties, responsibilities and related tasks as assigned. 

Qualifications:

• Bachelor’s degree in related field or Associates and one (1) year experience or more. 
• Experience with NextGen electronic health record, preferred.
• Knowledge of quality care measures, including HEDIS and CMS.
• Local knowledge about, and connections, to community services and health care providers
• Must have a valid New York State driver’s license and access to reliable transportation.  
• Demonstrates the values of diversity, equity and belonging; foster an inclusive environment that facilitates diversity.
• Ability to work collaboratively with a multidisciplinary team
• Excellent communication skills
• Strong organizational, engagement, and interpersonal skills.
• Ability to utilize critical thinking and problem-solving skills.

Pay Range: $23/hour to $25/hour.

Liberty Resources is committed to creating a diverse inclusive environment and is proud to be an equal opportunity employer. Liberty Resources offers equal employment opportunities to all persons without regard to race, color, ethnicity, religion, sex, sexual orientation, national origin, age, marital status, physical or mental disability, parental status, housing status, source of income or military status, in accordance with applicable federal, state and local EEO laws.

Welcome to Wholehearted Health!