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ESSENTIAL DUTIES & RESPONSIBILITIES

• Prepare data and documentation and have charts prepped for all applicable Case Management sessions; completes all duties delegated by site Perinatal Care Manager related to case management

• Assists patients in scheduling and completing perinatal appointments at PCC and associated referrals as needed by coordinating between the patient, provider(s), and the referral source

• Advocate on patient's behalf if needed to ensure completion of referrals

• Conduct outreach for missed appointments, due, and overdue perinatal care per the high-risk patient protocol

• Decrease barriers to care, increase motivation, and foster open communication. Including assisting patients with scheduling transportation for medical needs, scheduling specialty or imaging care as directed by PCP or Perinatal Care Manager, and identifying resources to address patients' health-related social needs; includes educating patients on completing these tasks directly.

• Contact referral sources when reports/results are outstanding, request results/reports not automatically received by PCC

• Contribute to patient education materials and strategies to support care coordination

• Work with manager and team to create flow charts, workflows and document tracking process as needed

• Follow guidelines to enhance care coordination for high-need, high-risk patients, tracking of high-risk areas as needed

• Develop supportive services and tools to address common barriers to care for PCC patients; integrate these with other initiatives for health promotion/education and access to care

• Provides excellent customer service to internal and external customers

• Regularly attend and participate in monthly site team meetings

• Engages patients as active participants in their care

• According to manager discretion, supports various program areas, including but not limited to:

• Reach Out and Read

• Lead Exposure Follow-up Care Coordination

• Illinois Breast & Cervical Cancer Prevention

• Referral prior authorization

• Collaborates with site Perinatal Care Manager to address abnormal newborn screens and outstanding newborn hearing screens

• Other duties as assigned