Description:
The Pediatric Care Coordinator works within the context of a primary care, medical home from a team approach and 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.
Primary duties include enhancing communication among providers, family, and community partners; promoting access to community services and the development of self management skills among families; providing education on child development, parenting, nutrition, health/wellness, safety, and other topics deemed necessary; and increasing health promotion activities.
Requirements:
All employees of Carolina Health Centers, Inc. are expected to perform the duties of their job
and behave in a manner consistent with the Corporate Philosophy which supports the values
of: respect, honesty, integrity, openness, transparency, diversity, equity, inclusion,
stewardship, and innovation.
In addition, this position requires:
Education:
Bachelor's Degree as a nurse, social worker, or the equivalent with appropriate past experience in health care and advanced training or education in child development, family studies, psychology, or related field.
Work Experience:
Three (3) years relevant experience, or the equivalent, in community based pediatrics or primary care. Particularly in the care and service of vulnerable populations such as CYSHCN; essential leadership, advocacy, communication, education and counseling, and resource-research skills; culturally effective capabilities demonstrating a sensitivity and responsiveness to varying cultural characteristics and beliefs.
Experience and knowledge of child development, parent-child relationships, child health, and family systems.
Experience working with parents and caregivers.
Licensure and Certification:
Must have valid driver's license and safe driving record
Skills:
Able to read, write, and communicate effectively orally and in writing
Great interpersonal and organizational skills
Proficient in use of computer and keyboard
Able to establish and maintain effective working relationships
Knowledge of HIPAA and ability to maintain confidentiality
Able to manage self and environment calmly and appropriately in stressful situations
Must exhibit leadership capabilities
Family-centered, culturally effective behaviors supporting family/professional partnerships
Care planning with promotes shared decision making and patient/family self management
The integration and use of health knowledge and resource information
Team-based patient and family assessments and quality improvement capabilities
Goal/Outcome-oriented efforts and attitude
Role development skills dynamically in-step with health care environment/culture and needs of families and health care teams
Continuous learning and sharing of health, network, and community-based systems knowledge
Physical Abilities:
Occasionally required to stand, walk, push, pull, reach, sit, stoop, stretch, and crouch
Often required to sit and use hands/fingers to manipulate keys on a keyboard
Have the hand-eye coordination and manual dexterity needed to operate a computer, telephone, copier, and standard office equipment
Required to talk and hear
Vision abilities required for this job include close vision, distance vision, color vision, peripheral vision, depth perception, and ability to adjust focus with sometimes long periods of extended exposure to a computer screen.
Work Environment:
The noise level is that of an office and is typically quiet to moderate. Moderate to regular
exposure to blood borne pathogens. Employee must be capable of regular travel within
CHC's service area. Requirement for out-of-town and/or overnight travel is minimal.
Carolina Health Centers, Inc.
DUTIES AND RESPONSIBILITIES:
Demonstrate and apply knowledge of the philosophy/principles of comprehensive, community-based, family-centered, developmentally appropriate, culturally sensitive, care coordination services
Facilitate family access to medical home providers, staff, and resources
Assist with or promote the identification of patients in the practice with special health care needs (such as CYSHCN) and add them to a registry used to plan and monitor care
Assess child/patient and family needs and unmet needs, strengths, and assets
Screen for child's developmental progress and provide follow-up if a delay is identified
Initiate family contacts and create ongoing processes for families to determine/request the level of care coordination support they desire for their child/youth or family member at any given time
Build care-relationships among family and team supporting the primary caregiving role of the family
Develop care plan with family/youth/team (emergency plan, medical summary, and action plan as appropriate)
Execute care plans, evaluate effectiveness, monitor in a timely manner, and make changes as needed. Use age-appropriate transition timetables for interventions within care plans
Serve as contact, advocate, and informational resource for family and community partners/payors
Research, locate, and link resources, services, and supports with/for the family
Educate and support, provide developmentally appropriate anticipatory guidance, and facilitate referrals appropriately
Cultivate and support primary care and subspecialty co-management with timely communication, inquiry, follow-up, and integration of information in the care plan
Coordinate inter-organizationally among family, the medical home, and involved agencies. Facilitate "wrap-around" meetings or team conferences and attend community/school meetings with family as needed. Offer outreach to the community related to the population of CYSHCN
Serve as a medical home, quality improvement, team member. Help to measure quality and to identify, test, refine, and implement practice improvements
Coordinate efforts to gain family/youth feedback regarding experiences with health care (focus groups, surveys, other means) and participate in interventions that address family/youth-articulated needs
REPORTING RELATIONSHIPS:
Responsible to:
Directly supervised by Director of Early Childhood Services and has a dotted line of accountability to the Director of Pediatrics
Workers supervised:
N/A
Interrelationships:
Works as a team member with pediatric, medical staff and family members; works with the division of Early Childhood Services staff; and participates in community collaborations. Active participation in the QTIP quality improvement project of The Children's Center. This is a grant-based position and dependent on availability of funds.
This job description is not designed to cover or contain an exhaustive listing of activities, duties,
or responsibilities that are required of the employee for this job. Duties, responsibilities, and
activities may change at any time with or without notice.