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Community Care Coordinator in Greenville, Texas at Primary Care Solutions

NewIndustry: Healthcare / Health ServicesJob Function: Medical
Primary Care Solutions
Greenville, Texas, 75401, United States
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Job Description

Essential Duties and Responsibilities
Consult Tracking & Lifecycle Management
  • Efficiently monitor and manage all assigned Community Care consults to ensure accurate tracking from initiation through resolution and closure.
  • Maintain daily, uptodate, accurate records of consult status, activity, and outstanding requirements using approved tracking tools.
  • Review consults for completeness and accuracy, identifying missing orders, authorizations, documentation, or followup needs.
  • Manage followup on pending, cancelled, delayed, and active consults to prevent missed care or expired authorizations.
  • Utilize the designated consult tracking system (including interim/manual trackers while system access is pending) and assume responsibility for reviewing and acting on consults for the assigned CBOC.
Reporting, Huddles & Communication
  • Attend daily or regularly scheduled clinic huddles and report on:
  • Pending consults
  • Cancelled consults
  • Active and aging consults
  • Generate routine reports to keep leadership and the care team informed on consult status, risks, and unresolved items.
  • Escalate issues that place consult completion, timeliness, or compliance at risk in accordance with established protocols.
Veteran Outreach & Support
  • Contact Veterans as needed to:
  • Confirm appointment status
  • Resolve delays or missing information
  • Support timely completion of Community Care services
  • Document all Veteran communications accurately and professionally.
Documentation Collection & Imaging Disc Management
  • Proactively chase and collect all required documentation from Community Care providers, including consult notes, reports, and followup plans.
  • Collect, prepare, and send imaging/Xray discs and related documentation to the VA.
  • Track and confirm timely upload of discs into the Veterans medical record.
  • Inform ordering or referring providers once imaging discs and documentation have been successfully uploaded and are available for review as well as any follow-up consults that need to be placed.
Provider & VA Coordination
  • Serve as the primary point of contact for Community Care providers with questions regarding:
  • VA points of contact
  • Medications
  • Orders
  • Renewals or extensions of Community Care consults
  • Coordinate with VA departments and internal clinic staff to ensure timely responses to provider inquiries.
Community Care Provider Relationship Management & Education
  • Develop and maintain strong working relationships with local Community Care providers, office managers, and referral coordinators.
  • Conduct proactive outreach to help providers understand:
  • What the CBOC is and is not responsible for
  • Provider responsibilities related to orders, documentation, and followup care
  • Support improved provider compliance and turnaround times through education, clear expectations, and consistent communication.
FollowUp Workflow Development & Clinical Coordination
  • Establish and maintain a streamlined process to notify clinic providers when followup actions are required that the Community Care provider cannot initiate directly.
  • Example: initiating a physical therapy consult after orthopedic surgery when required by VA workflow
  • Ensure providers receive timely, actionable information needed to place additional consults or orders without delay.
Compliance & Quality Support
  • Ensure all activities comply with HIPAA, VA Community Care requirements, and contractor policies.
  • Maintain documentation and tracking records to support audits, compliance reviews, and quality improvement initiatives.
  • Contribute to process refinement aimed at reducing consult delays and improving Veteran care experience.
Required Qualifications
  • High school diploma or equivalent required
  • Minimum 2 years of experience in healthcare coordination, consult management, referrals, medical records, or patient access.
  • Demonstrated ability to manage high volumes of consults and conduct persistent followup.
  • Strong organizational skills with excellent attention to detail.
  • Proficient with electronic tracking systems, spreadsheets, and documentation workflows.
  • Strong verbal and written communication skills.
Preferred Qualifications
  • Experience with VA Community Care, VA consult workflows, or contractorsupported CBOCs.
  • Familiarity with imaging, specialty care referrals, and documentation standards.
  • Experience serving as a liaison between multiple healthcare entities.
Core Competencies
  • Clear and professional communication
  • Attention to detail and data accuracy
  • Persistence and accountability
  • Relationship building with external providers
  • Ability to manage competing priorities and deadlines

Job Location

Greenville, Texas, 75401, United States

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