The purpose of this position is to have a Care Coordinator that is responsible to assist the patient, their families and provider across all aspects of their health care continuum. The care Coordinator is the liaison between the patient and the provider with an optimum goal of meeting the patient's individualized needs, ultimately improving quality of life which will result in positive patient outcomes through communication, education and coordination.

Essential Duties:

Promotes and reinforces the Patient Centered Care Model.Promotes timely access to all aspects of care.Reduce emergency room utilization, hospital admissions as well as readmissions.Promote adherence to care plans developed in coordination with the patient, Primary Care provider and family.Provides excellent customer service.Implements care coordination and planning techniques.Assist patients in navigating through the healthcare continuum.Schedules appointments to ensure the patient is getting follow up with primary care provider and all specialists.If patient requires referral to other services, the Care Coordinator will assure that authorization and referrals are completed.Coordinate appointments with other services/practices and advises patient accordingly.Obtain lab results, diagnostic studies for ancillary services; consult notes and other medical information in preparation for patient’s upcoming appointment.Uses risk stratification tools to identify gaps in treatmentDocument in EHR all encounters with patient and family.Promotes education and provides guidance to patient as directed by the Primary care provider.Empower and educate patients to promote self-management and shared decision-making.Assist patient in accessing transportation to health center, insurance matters, durable medical equipment, prescriptions, etc.Works collaboratively with providers and other care team members to ensure the delivery of quality of care to patients to help bring about best outcomes.Complete Medication Reconciliation.Communicates with a wide variety of people from a diverse socio-economic and ethnic background.Establishes and maintains effective working relationships with all team members.Engage with patients and caregivers to create an environment of collaborative care team.Other duties as assigned within the scope of responsibilities and requirements of position.Follow up with patient as needed to ensure they understand their agreed upon goals; ie making all scheduled appointments, education classesPerforms other duties as assigned.

Required Qualifications:

Req High school or equivalentReq Specialized/technical training Graduate of an accredited License Practice Nurse program or Medical Assistant Diploma/Certificate from an accredited programReq 1 year Experience in the medical field (preferably as a MA or LPN in a clinic setting).Req Organization/time management skills.Req Excellent communication skills both oral and written.Req Must be comfortable with computers and medical terminology.Req Knowledge of HIPPA compliance and various health insurance types.

Preferred Qualifications:

Required Licenses/Certifications:

Req Basic Life Support (BLS) Healthcare Provider from American Heart AssociationReq Fire Life Safety Training (LA City) If no card upon hire, one must be obtained within 30 days of hire and maintained by renewal before expiration date. (Required within LA City only)Req License Practice Nurse *If LPN, must have: Current and Unrestricted LPN NV License (If Medical Assistant in lieu of LPN:: Must have Medical Assistant Diploma/Certificate from an accredited program)
The hourly rate range for this position is $19.0 - $29.77. When extending an offer of employment, the University of Southern California considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate’s work experience, education/training, key skills, internal peer equity, federal, state, and local laws, contractual stipulations, grant funding, as well as external market and organizational considerations.