Job Description: This position will conduct outreach and education services, targeting individuals who are at high risk for chronic disease complications, and works with a team of health care professionals to provide clients with opportunities to manage and improve their health by facilitating care coordination, enhancing access to community-based services, and addressing social determinants of health. This position will be assigned to the local health department and will be based in a primary care office and/or facility, working with individual patients as part of an integrated team of health care providers. Job Responsibilities: Meet with patients after being seen by their primary care physician or nurse practitioner, helping the patient understand their disease processes, their health care provider's instructions, and follow-up and referral plans. Ensure primary care and specialty appointment instructions are understood and appointments are kept. Track and report patient encounters and maintain required records as directed. Maintain appropriate confidentiality of information. Act as patient advocate. Serve as single-entry contact for customers trying to access multiple state services. Provide client follow-up and monitoring, including phone calls and home visits with patients as needed. Serve as liaison between state agencies and local community programs. Assist patients in understanding their insurance and medication coverage. Assist patients in applying for Medicaid/medical assistance as needed. Assist patients in applying for medication assistance programs as needed. Assist patients in connecting with community resources. Collaborate with team to provide clients with the opportunity to manage and improve health, coordinate care, and provide clinical team with case findings. Actively participate in required training and professional development activities. Assist local health department with contact tracing as needed Job Requirements: Knowledge of basic record keeping; Scheduling, data entry and of the techniques of interviewing; of basic methods of sanitation and personal hygiene; and of medical terminology. Strong relationship building and collaboration skills; excellent communication and facilitation skills; time management skills, and attention to detail. Ability to work independently and function as part of a team; Ability to follow oral and written directions; to plan and organize work assignments; to establish and maintain effective working relationships with others; and to judge a situation accurately and adopt an effective course of action. Work is typically performed in an office setting with a climate-controlled settings and exposure to moderate noise level. While performing the duties of the job, employee is required to talk, stand, walk, and reach with hands and arms. This position requires long period of sitting and daily use of computer and phone. Applicants must be willing to perform all job-related travel associated with this position. High school diploma or equivalent. Two or more years of any health care experience. Job Details: Company: State of Oklahoma Vacancy Type: Full Time Job Functions: Information Technology Job Location: Owasso, OK, US Application Deadline: N/A Apply Here careersvilla.net