Marathon Health is a leading provider of advanced primary care in the U.S., serving 2.5 million eligible patients through approximately 630 employer and union-sponsored clients. Our comprehensive services include advanced primary care, mental health, occupational health, musculoskeletal, and pharmacy services, delivered through our 680+ health centers across 41 states. We also offer virtual primary care and mental health services accessible in all 50 states. Transforming healthcare delivery with a patient-first approach, we prioritize convenient access to both in-person and virtual care, resulting in improved health outcomes and significant cost savings. Committed to inclusivity and collaboration, we foster a positive work environment and recruit exceptional talent to ensure expertise and compassion in healthcare delivery. Marathon has been recognized as a five-time Modern Healthcare Best Places to Work in Healthcare winner and a six-time Best in KLAS award winner for employer-sponsored healthcare services.
ABOUT THE JOB
The Patient Care Coordinator working in Marathon Health Centers will work with patients in reaching personal health improvement goals. They must be able to quickly assimilate to the patient's culture, environment, and goals. Relationships based on trust, an understanding of the patient's health benefits program and the local health care community is required. Strong collaborative skills are necessary to make the best use of all resources available to patient; to provide ongoing support and expertise through a comprehensive assessment, planning, implementation, and overall evaluation of the patient's individual needs. The overall goal of this position is to enhance the quality of patient management through the healthcare system and community resources.
The Patient Care Coordinator will engage patients in personal health improvement, provide care coordination services, and act as a resource and advocate for patient health care needs. They must understand the health impact that can be made by managing chronic conditions and providing patients unencumbered access to care.
The Patient Care Coordinator will foster an environment of collaboration and teamwork that promotes an outstanding patient experience. Strong collaborative skills are necessary to make the best use of all resources available to the patient.
The Patient Care Coordinator will manage, deliver, and develop care coordination services for the center's patients; coordinate the integration of care management functions into the patient care with external service organizations, agencies, and healthcare facilities.
The Patient Care Coordinator generally spends approximately 20% of the time directly handling clinically related tasks and the remaining 80% of the time handling administrative and patient benefit-related services.
ESSENTIAL DUTIES & RESPONSIBILITIES
Work with the clinical team as a resource on care management of the center's patients. This includes:
Plan pre-visit workflow to ensure care completion prior to visit whenever possible;
Coordinate care with hospital, ER, consulting physicians, and community resources;
Utilize and further develop workflows to ensure smooth transitions of patients treated at other facilities, providers, or community resources;
Perform follow-up and coordination with extended care teams (specialists, ancillary care, etc.);
Provide an after visit summary review with patients whenever appropriate;
Actively involve patient and family/significant others in planning patient's care;
Educate patients about self-management tasks;
Actively assist in the overall management of chronic care patients by performing the following:
Provide follow-up contact with patients as indicated to ensure compliance with prescribed care plan;
Telephonically advising per established protocols;
Perform pre-visit planning to ensure that necessary documentation and pre-visit tasks are completed prior to visit whenever possible;
Assist patients with meeting short- and long-term goals for the patient and family/significant others as directed by a care plan;
Assess barriers to not meeting treatment goals and advise patient care team of impacts to care plan;
Provide direct chronic disease education to patients;
Document patient problems and care coordination needs of the patient and family/significant others;
Identify the need to involve other disciplines in the patient's care;
Interface with Marathon Health disease management programs;
Support patient benefit questions and be familiar with Marathon Health and Client tools available to assist patients;
Understand cost impacts and be able to guide patients to cost and quality points of care;
Actively utilize the use of electronic medical records in capturing and utilizing clinical data;
Meet regularly with clinic staff to ensure care coordination, referral management, and clinical workflow processes are operating efficiently;
Participate in patient care Quality Assurance programs;
Efficiently and satisfactorily carry out other duties as assigned or required.
QUALIFICATIONS
Associate degree in healthcare plus a minimum of three (3) years' experience in a utilization review/case management position, outpatient primary care, care coordination and care management or equivalent combination of education and experience. Must be bi-lingual (Spanish). Previous experience working with migrant agricultural workers preferred. Experience with nutrition counseling and with patient-centered care models is preferred. CPR certification preferred
Clinical and practice skill sets, and responsibilities include:
Demonstrates excellent leadership and communication skills both with the primary care office staff and patients.
The successful candidate is able to utilize and incorporate in the practice setting electronic tools including EMR, patient registries and electronic data relating to quality and patient outcomes.
The candidate must be able to provide clinical care using a whole team approach centered on patient needs and incorporating individual preferences in the delivery and approach to care. An interest in treating chronic illness is a plus.
Exhibits strong interpersonal and clinical skills to work within a primary care center with a variety of licensed clinical (Physicians, Nurse Practitioners, Medical Assistants, and other RN's), non-clinical staff, patients, and their families. The candidate may be expected to communicate and build relationships with external clinical consultants, provide oversight for referrals to clinical care, care management programs, and for the overall clinical experience of patients treated in the primary care office.
Possesses a high degree of confidentiality, discretion, and professionalism.
Consistently demonstrate professionalism in communications and relationships with patients, clients, co-workers, Marathon Health corporate leadership and support staff, employers, prospects, vendors, and carriers.
Pay Range: $19.00-24.00/hr
The actual offer may vary dependent upon geographic location and the candidate's years of experience and/or skill level.
We are accepting applications for this position until a candidate has been selected. To apply to this position and learn more about open jobs at Marathon Health, visit our careers page.
Marathon Benefits Summary
We believe in empowering teammates to do their best work and build better healthcare. Below are some of our benefit offerings. Eligibility is based on 24/hr week.
Health and Well-Being: Free Marathon membership for in person and virtual care, employer paid life and disability insurance, and choice in medical/dental plans, vision, employer funded HSA, FSA, and voluntary illness, accident and hospitalization plans. Benefits are effective on the first of the month following date of hire.
Financial Support: Competitive compensation, 401k match, access to financial coaching through our Employee Assistance Program
Lifestyle: Paid time off for vacation, sick leave, and more, holiday schedule
