Quality Outreach Coordinator - Navigate my Care -PFK

Nationwide Children's Hospital

Job Description

We are seeking a Quality Outreach Coordinator who will be responsible for supporting and maintaining population health programs and care coordination activities. These activities are performed in a variety of settings including during inpatient stays, outpatient specialty clinic visits, emergency room visits and telephonically. The Quality Outreach Coordinator works with Partners for Kids staff, hospital staff, health plans, and community agencies to arrange for and/or connect patients to needed services.


Why Nationwide Children's Hospital?

The moment you walk through our doors, you can feel it. When you meet one of our patient families, you believe it. And when you talk with anyone who works here, you want to be part of it, too. Welcome to Nationwide Childrens Hospital, where Passion Meets Purpose.

Here, Everyone Matters. Were 12,000 strong. And it takes every single one of us to improve the lives of the kids we care for, and the kids from around the world well never even meet. Kids who are living healthier, fuller lives because of the knowledge we share. We know it takes a Collaborative Culture to deliver on our promise to provide the very best, innovative care and to foster new discoveries, made possible by the most groundbreaking research. Anywhere.

Ask anyone with a Nationwide Childrens badge what they do for a living. Theyll tell you its More Than a Job. Its a calling. Its a chance to use and grow your talent to make an impact that truly matters. Because here, we exist simply to help children everywhere.

Nationwide Childrens Hospital. A Place to Be Proud.

What You Will Be Doing
Engages primary care physicians, specialty physicians, and other service providers to identify patients in need of care coordination and to implement interventions to address patient needs.
Works closely with families to guide them through the health care system to optimize the care and services they receive to improve child health, decrease costs, and improve satisfaction with care
Works closely with care coordinators based in other settings and levels of care to share responsibility in an efficient manner. Function as a resource to discharge planners in an inpatient setting as requested
Ensuring the delivery of preventive services, health promotion activities and other interventions that proactively address potential risks
Facilitates transitions between settings and caregivers
Actively participates in policy and procedure development, continuing education, continuous quality improvement, research and/or evidenced based practice.
Collaborates with program leaders to establish and/or maintain program goals and program budget as appropriate. Provides care in a fiscally responsible manner.
Maintains accurate documentation in the medical record
Participates in orientation and continuing education of staff and students as appropriate.
Maintains skills related to information technology requirements for the department.
Develop patient and caregiver skills, knowledge and abilities to self-manage their own healthcare. Practices the principles of Family Centered Care.
Refer, connect and collaborate with community agencies and resources to meet patient needs
Performs delegated care coordination tasks on behalf of licensed staff
Researches patient eligibility and capitation status with regards to Medicaid managed care health plans via Medicaid and health plan web portals.
Supports population health and disease management programs, including scheduling, data entry, report generation and distribution, and communication with internal and outside entities.
Obtains and documents accurate demographics and assessment data
Facilities effective and efficient team workflows through use of applications, data resources, procedures and communication skills
Assists patient with scheduling, follow-up, accessing healthcare benefits and resources, and administrative activities


What We Are Looking For?
Bachelors degree preferred, with background in health care, public health, or related clinical field a plus.
One year pre-registration, admitting, or customer service experience.
Ability to work with the hospitals electronic medical records system.
Keyboarding/typing, data entry and tracking skills; familiarity with spreadsheets and computerized scheduling experience preferred.
Excellent customer service and communication skills; bi-lingual a plus.
Ability to work and problem-solve with minimal supervision; ability to adapt to change positively in work flow and process.
Ability to understand and retain complex and quickly changing information.
Knowledge of managed care
Familiarity with medical terminology.
Health plan utilization management, health services, or customer service experience a plus.
Ability to function as a team member responsible for staffing operational hours (some evenings may be required).

Your Benefits, Your Wellness:

As an employer, Nationwide Childrens recognizes the importance of the benefits we offer. We also recognize the importance of balancing your work and personal needs. Our benefits and Employee Wellness package is designed to:
Empower you to be a conscientious health care consumer through educational and wellness activities
Establish a work environment that promotes health and well-being
Support your financial protection and security in retirement

Most of our positions are benefits eligible from day 1.

Minimum Physical Requirements:

Sitting Frequently (34-66%)

Talking on phone/in person Frequently (34-66%)

Typing on keyboard Constantly (67-100%)

Standing/walking Frequently (34-66%)

Lifting up to 25 lbs. Occasionally (0-33%)

The above list of duties is intended to describe the general nature and level of work performed by individuals assigned to this classification. It is not to be construed as an exhaustive list of duties performed by the individual so classified, nor is it intended to limit or modify the right of any supervisor to assign, direct, and control the work of employees under his/her supervision