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Career Opportunities: High Risk Triage Coordinator II (24524) Requisition ID 24524 - Posted 08/19/2024 - CareOregon - Full Time - Permanent - Portland - Multi Location (2) Job Description Print Preview Candidates hired for remote positions must reside in Oregon, Washington, Utah, Idaho, Arizona, Nevada, Texas, Montana, or Wisconsin. Job Title High Risk Triage Coordinator II Department Care Management Exemption Status Non-Exempt Requisition # 24524 Direct Reports N/A Manager Title Triage and Data Integration Manager Pay & Benefits Estimated hiring range $51,800 - $63,320/year, 5% bonus target, full benefits. www.careoregon.org/about-us/careers/benefits Posting Notes This role is fully remote but must reside in either Oregon or Washington. Job Summary This position provides clinical and regional operations support, working closely with Population Health regional care teams and leadership teams to achieve team and strategic goals. The overall aim is to improve quality of care, coordinate care across the continuum, reduce hospital readmissions, and integrate process for efficiencies. 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 CareOregon 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. Essential Responsibilities Triage Use available tools to improve access to care coordination teams for members needing care coordination. Ensure programmatic and regulatory guidelines are being followed and tracking members enrollment into variety of services provided by the Population Health department. Review and assess daily emergency department reports, hospital admission reports, and other targeted patient lists, health plan records, and other relevant information to identify members in need of additional support. Use available community resources as an adjunct to health plan benefits and support the care coordination teams access. Respond to internal and external inquiries, referrals, and service requests for assistance. Effectively respond to requests for Care Coordination 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 Care coordination teams to meet programmatic and regulatory requirements. 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. Lead in team huddles, develop, and implement PDSA cycles and evaluate team related process improvement outcomes. Coordinate multidisciplinary case conferences with pertinent providers when identified as needed by care team. Collaborate with others within the organization to ensure the integration of assigned program activities with other organizational projects upon request. Provi