The Care Coordinator is responsible for recruiting participants who are at risk for developing pre-diabetes identified from partnering clinics, making quarterly home visits, identifying providers of services or family-based resources, encouraging utilization of age appropriate preventative medical care and attendance at scheduled medical visits, monitoring clinical and intervention services authorized for patient care, and conducting program specific education classes to promote healthier lifestyles among program participants.
BA or BS degree in biology, chemistry, nursing, public health or similar area
3 years of related experience
Computer proficiency, including Microsoft Office and a basic knowledge of clinical information systems.
Must be self-disciplined, a team player, highly organized and have well-developed oral and written communication skills.
Recruit program participants and complete quarterly home visits for caseload.
Assist all program participants by acting as a patient advocate and navigator.
Facilitate health and disease patient education, lead healthy living education and exercise classes
Use electronic medical records (EMRs) and patient registry tools to track patient health care status; analyzes and updates disease registries
Assess patient health needs; identify patients who would benefit from specific health interventions, solicit and monitor patient participation, and coordinate continued patient care.
Other duties as Assigned.
Team Member Competencies
Resourcefulness: Using drive, decision making, perseverance, resilience, and energy to accomplish a goal; figuring out how to get over, around, or through barriers to success.
Individual Accountability: Effectively managing one’s time and resources to ensure that work is completed efficiently.
Focus on Results: Accomplishing tasks by considering all areas involved, no matter how small; showing concern for all aspects of the job; accurately checking processes and tasks; being watchful over a period of time.
Builds Trust: Interacting with others in a way that gives them confidence in one’s intentions and those of the organization.
Applied Learning: Assimilating and applying new job-related information in a timely manner.
Basic Communication: Clearly conveying information and ideas both orally and written.
Basic Technology Usage: Shows efficient and correct use of technology and systems related to position function.
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