Patient Care Faciliator

Job Title Patient Care Facilitator

Position Code: C11N Non Exempt

Department: Health Center Operations

Location: Health Centers

The following statements are intended to describe the general nature and level of work being performed. They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of personnel so classified.

A. Position Summary

Responsible for assisting site providers and staff with coordination of care for patients, as directed, in an efficient and timely manner. Coordinates with site Leadership Team, provider teams and staff. Reports to nurse flow manager for direct supervision and FCCH PCMH Coordinator for technical direction, as appropriate.

B. Essential Duties and Responsibilities

1. Facilitate patients’ access to available community support, educational and/or other healthcare resources, as appropriate to their needs and according to any requirements of health insurance or healthcare financial assistance programs they may (or may not) have.
2. Participate in the development, implementation and/or evaluation of FCCH PCMH initiatives.
3. Conduct patient chart reviews for pre-visit planning using standard protocols to enhance visit efficiency and effectiveness.
4. Participate in patient outreach to achieve greater patient compliance with appropriate treatment plans, standards of care/protocols and improved patient healthcare outcomes.
5. Serve as the focal point for coordination between FCCH health care delivery teams and outside entities regarding the care for individual patients.
6. Implement/assist with a variety of healthcare quality improvement/population health activities, as indicated and directed.
7. Conduct timely, requested patient education activities and follow-up on self-management goals for patients, as requested by FCCH health care delivery teams.
8. Communicate with/coordinate between patients, providers and/or staff and outside entities regarding functional aspects of care and follow-up.
9. Document activities/interventions within patient charts or other reporting formats, as appropriate.
10. Other duties, as assigned and/or needed