Care Coordinator - Non Clinical (Finance)

Nemours is seeking a non clinical Care Coordinator! The Care Coordinator works with the Delaware Valley primary care medical homes, utilizing a team-based, family-centered approach, in continuous partnership with families and physicians to promote: timely access to needed care, comprehension and continuity of care, and the enhancement of child and family well-being. The Care Coordinator addresses gaps in care and promotes timely access to appropriate care, increasing the utilization of preventative care and healthy behaviors to improve the health of the population at risk.

Responsibilities:

• Assist with, and/or promote, the identification of patients in the practices with special health care needs by reviewing appropriate registry reports. Monitors chronic/preventive patient registries/lists and Gap in Care reports to assist in getting patients the appropriate appointments and/or interventions.
• Initiate family contacts; create ongoing processes for families to determine and request the level of care-coordination or care management support they desire for their child/youth or family member at any given point in time. Identify patient and family needs and unmet needs, strengths and assets.
• As a member of the care team, monitor patient care plans with family/youth/team (emergency plan, medical summary and action plan as appropriate). Contacts identified patients for preventative services and/or pre-visit forms.
• Care management coordination of non-clinical services such as, transportation, follow up on referrals, etc. Follow up on patient hospitalizations and ER visits.
• Serve as contact point, advocate and informational resource for family and community partners/payors. Referrals to child protective services and appropriate agencies for domestic violence. Research, find and link resources, services, and supports with/for the patient/family. . Assists with getting insurance coverage for patients without insurance.
• Coordinate inter-organizationally among family, the medical home, and involved agencies. Identifies community resources and tracks select community and specialty referrals. Connect to and understand community resources, i.e., WIC, food stamps, DME providers, advocacy groups, schools, financial assistance, counseling, anger management classes, special needs camps or inner-city camps.
• Promotes/documents Quality Improvement Cycles. Responsible for generating required data as appropriate.
• Facilitates the NCQA process at the offices working in close collaboration with the VBSO and the Medical Home liaison.

Qualifications:

• High School Diploma required
• Scheduling experience preferred

About Us

Nemours Children's Health is an internationally recognized children's health system. With more than 1.7 million patient encounters annually, we provide medical care in five states through two freestanding state-of-the-art children's hospitals - Nemours Children's Hospital, Delaware and Nemours Children's Hospital, Florida. Our pediatric network includes 80 primary-urgent-and specialty care practices and more than 40 hospitalists serving 19 affiliated hospitals. We generate annual revenues of more than $1.7 billion derived from patient services, contributions from the Alfred I. DuPont Trust, as well as other income.

As one of the nation's premier pediatric health systems, we're on a journey to discover better ways of approaching children's health. Putting as much focus on prevention as cures and working hand in hand with the community to make every child's world a place to thrive. It's a journey that extends beyond our nationally recognized clinical treatment to an entire integrated spectrum of research, advocacy, education, and prevention, leading to the healthiest generations of children ever.

Inclusion and belonging guide our growth and strategy. We are looking for individuals who are passionate about, and committed to, leading efforts to provide culturally relevant care, reducing health disparities, and helping build an inclusive and supportive environment. All of our associates are expected to ensure that these philosophies are embedded in their day-to-day work with colleagues, patients and families.

To learn more about Nemours Children's and how we go well beyond medicine, visit us at www.nemours.org .