Calendar Management, Customer Support/Service, Electronic Medical Records, High School Diploma, Leadership, Medical Record System, Organizational Skills, Patient Follow-up, Reporting Skills, Social Work, Time Management, Transitional Care
- Perform screenings, education, and navigation for health-related social needs
- Document care coordination services and referrals in a timely and accurate manner, in the patient electronic health record (EHR) and any other platforms (e.g. Unite Us) as requested
- Assist patients with transportation needs to support timely and safe discharges and continuity of care at follow up appointments
- Coordinate/schedule follow up appointments for patients to support transition of care goals
- Conduct patient phone outreach post-discharge to support transitions of care
- Facilitate referrals of patients to Wyckoff programs that can support the patient’s treatment goals and/or social needs
- Provide support and facilitate access to resources to ED-based programs such as the Opioid Overdose Prevention Program
- Maintain a tracker of services provided and patients who were assisted, and provide regular reports and summaries as requested by supervisor and the 1115 Waiver leadership team
- Collaborate with other departments (e.g. Social Work, Population Health) to address patient needs holistically and comprehensively
- Demonstrate excellent customer service, professionalism, and sensitivity toward patients and coworkers
- Participate in regular huddles and interdisciplinary team meetings
- Attend trainings and orientations as required, including virtual, on-site and off-site
- Other related duties as assigned
Formal Education and Job-Related Experience. High School Diploma/GED. Experience working with electronic health records (EHRs) preferred.
Salary - $55,000 Annually