High Risk Triage Coordinator

High Risk Triage Coordinator I page is loaded## High Risk Triage Coordinator Ilocations:
Remote Oregon time type:
Full time posted on:
Posted 3 Days Agojob requisition :
JR100631

High Risk Triage Coordinator I---------------------------------------------------------------This position provides clinical operations support, working closely with Population Health regional care teams to achieve team and strategic goals. The overall aim is to improve quality of care, coordinate care across the continuum, reduce hospital re-admissions, and increase access to advanced illness care. The position is responsible for identifying and triaging members and assignment of appropriate referrals.
Core functions of the position include serving as a bridge between Care Oregon and external partners, community-based organizations, and state governments, taking on special projects, supporting the broader Care Management Team’s strategic needs, and coordinating systems across a large regional area.

NOTE:

This is a remote position but you must reside in the Portland metro area.
** Estimated Hiring Range:**$22.82 - $27.89
** Bonus Target:
** Bonus - SIP Target, 5% Annual Current Care Oregon Employees:
Please use the internal Workday site to submit an application for this job.

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** Essential Responsibilities
** Triage* Gather and review all available and relevant information in order to help determine the physical, behavioral, social support, and medical needs of the member in order to help determine the individualized plan of care or support clinical staff working with the member.
* Identify members’ barriers to care and potential resources in consideration of cultural factors, social determinants of health, and member autonomy.
* Review and assess daily emergency department reports, hospital admission reports, and other targeted patient lists, health plan claims, pharmacy records, EHR, and other relevant information to identify members in need of additional support.
* Respond to internal and external inquiries, referrals, and service requests for assistance.
* Effectively respond to requests for Intensive Case Management Services for members who:  are deemed high risk (complex clinical and/or behavioral or chemical dependency), have had a recent Emergency Department (ED) visit, have been discharged from a facility (hospital, skilled nursing facility [SNF], inpatient rehabilitation), or are identified by an internal or external referral source.
* Contribute to and implement integrated plans of care as applies in collaboration with telephone, outreach, and embedded staff.

Program Coordination
* Establish effective relationships with community partners and maintain active familiarity with key services and resources commonly requested by members.
* Develop working partnerships with health care providers regarding member needs and care coordination plans.
* Support coordinated care organizations (CCO) and Centers for Medicare and Medicaid Services (CMS) regulatory obligations.
* Collaborate with others within the organization to ensure the integration of assigned program activities with other organizational projects, as directed.
* Provide guidance and assistance to staff, as directed, with regards to needs for training, tools, technology, and other resources necessary to carry out their work.
* Provide population support, including work with a variety of vendors, or community partners.
* Conduct value stream mapping, process development and improvement, and program coordination.
* Coordinate multiple Care Oregon initiatives to be inclusive of all lines of businesses.

Data Tracking and Reporting
* Identify opportunities for increased case finding efficiencies and effectiveness.
* Collect and/or audit data and information to inform or evaluate departmental, organizational metrics and regulatory requirements.
* Contribute to continuous process improvement through team huddles, training, departmental and organizational meetings, and reporting.
* Ensure correct data inputs through consistent reporting and frequent data audits.
* Run reports and track incoming referrals.
** Experience and/or…