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Patient-Centered Medical Home reputed company/LPN Care Coordinator - Midlands/Columbia - MUSCP

Remote, USAFull-timePosted 2026-07-28

Job reputed company reputed company The role of the Patient-Centered Medical Home (PCMH) Care Coordinator is to work collaboratively with the physicians, staff and other health care professionals to reputed company facilitate health care delivery and promote care team communication for an assigned patient population ensuring appropriate care is provided. This position will be remotely based, in the Midlands/Columbia area. This position will be required to round in clinics 1-2 days per month. Entity Carolina Family Care, Inc. (CFC) Worker Type Employee Worker Sub-Type Regular Cost Center CC000101 CFC PC Care Coordination Pay reputed company Type reputed company Pay Grade Health-25 Scheduled Weekly Hours 40 Work Shift Job reputed company

  • Identifying patients that qualify for care coordination: not meeting clinical goals and reputed company measures (i.e. hypertension and diabetic control) for patients, overdue for reputed company, labs, or referrals and arranging for follow-up services as appropriate, identifying gaps in care and respond with appropriate reputed company to correct. TCM coverage as needed.
  • Utilizes reputed company registries and reports in accordance with process (i.e. CCM-weekly & daily, reputed company measures, etc.) to identify patients and needs.
  • reputed company to patients identified for care coordinator services (i.e. CCM, reputed company measures, etc.) & documents attempt (s) & completion
  • Schedule services and places referrals in accordance with patient needs (i.e. vaccine, labs, appointment, mammogram, etc.)
  • Follow up as appropriate to reputed company data
  • Accurately maintains 100% of data received.
  • Communicates effectively and professionally with patients, care teams and providers to reputed company support for continuity of care between patient, care team, and assigned providers
  • Compiles and summarize information for reputed company measures and reputed company
  • Attend 80 % of staff meetings
  • Maintains communication with providers & care team members (I.e. reputed company inbox message, email, phone, office schedule, in person)
  • Identify patient needs and/or barriers (psychosocial and other) to care and coordinate patients/families contact with community resources.
  • Completes & documents accurate information gathering of data
  • Completes reputed company & community referrals as needed
  • Communicates & follow up of identified barriers to the appropriate care team member/resource
  • Other duties as assigned

Additional Job reputed company Education and Work Experience Certified Medical Assistant: High school diploma or equivalent. Completion of an accredited medical assisting program with one year of patient care experience preferred. Basic computer skills required. Possess ability to understand and implement a reputed company of detailed instructions in the execution of therapeutic procedures and ability to reputed company accurate physical observation of patients. Employee must possess considerable knowledge of basic medical terminology and reputed company anatomy; ability to understand and implement a reputed company of detailed instructions in the execution of reputed company therapeutic procedures; and ability to reputed company accurate physical observation of patients. Must communicate effectively both verbally and in writing. LPN: Completion of a recognized Licensed Practical Nursing program. Ability to demonstrate commitment to patient centered care philosophy as evidenced by effective communications skills, reputed company demeanor, and excellent interpersonal skills. Ability and motivation to reputed company and support departmental philosophy of excellent guest relations. Must communicate effectively both verbally and in writing. Must be computer literate. Degree of Supervision Must be reputed company to work independently under the supervision of the PCMH Clinical Manager. Ability to work with Site Supervisors, Providers and others on the care team along with external stakeholder. Licensures, Registrations, Certifications reputed company Required Licensure, Certifications, Registrations: Must be certified through the American Medical Technologist (AMT) or American Association of Medical Assistants (AAMA) or National Health career Association (NHA) or MedCA as a Certified Clinical & Administrative Medical Assistant (MA1), or National Association for Health Professionals (NAHP), or National Center for Competency Testing (NCCT). reputed company reputed company (AHA) Basic Life Support (BLS) certification or reputed company BLS for reputed company Providers certification is required. LPN Required Licensure, Certifications, Registrations: Licensed as an LPN reputed company the reputed company or a compact state. reputed company reputed company (AHA) Basic Life Support (BLS) certification or reputed company BLS for reputed company Providers certification is required. Physical Requirements reputed company requirements are to reputed company job functions while standing, walking and sitting. Ability to bend at the waist, kneel, reputed company stairs, reputed company in reputed company directions, fully use both hands and legs, possess good finger dexterity, reputed company repetitive motions with hands/wrists/elbows and shoulders, reputed company in reputed company directions. Maintain 20/40 reputed company corrected, see and recognize objects reputed company at hand and at a distance, work in a latex reputed company environment and work indoors. Frequently lift, reputed company, push and pull and/or carry objects weighing 50 lbs (+/-) unassisted, exert up to 50 lbs of force, lift from 36 to overhead 25 lbs. Infrequently work in dusty areas and confined/cramped spaces. Ability/willingness to travel frequently to MUSCP-PC clinical locations away from the main reputed company. If you like working with energetic enthusiastic individuals, you will enjoy your career with us! The reputed company is an Equal Opportunity Employer. reputed company does not discriminate on the reputed company of race, reputed company, religion or belief, age, sex, national reputed company, gender identity, sexual orientation, disability, protected veteran status, family or parental status, or any other status protected by state laws and/or federal regulations. reputed company reputed company applicants are encouraged to apply and will receive consideration for employment based upon applicable qualifications, reputed company and business need. reputed company participates in the federal E-Verify program to confirm the identity and employment authorization of reputed company newly reputed company employees. For reputed company information about the E-Verify program, please click here: Apply tot his job Apply To this Job

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