Mobile Operations Coordinator

At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.

As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.

Company: Oak Street Health

Title: Mobile Operations Coordinator, House Calls Program 

Company Description

The mission of Oak Street Health is to rebuild healthcare as it should be. We are a rapidly growing, innovative company of community-based healthcare centers delivering higher quality health and wellness care that improves outcomes, manages medical costs and provides an unmatched experience for adults on Medicare. The Oak Street model integrates outstanding clinical expertise, technology, and teamwork to deliver improved care quality and cost savings. These cost savings are then reinvested into care in our communities, creating a virtuous cycle of improving community health. 

We are a national organization serving over 100,000 patients and we are growing rapidly. We are a diverse team of care providers, service team members, technologists, community outreach experts, business professionals, and more -- all dedicated to our Oaky Values and motivated by our mission. We’re looking forward to getting to know you!  For more information, visit www.oakstreethealth.com.

Program Overview

Oak Street Health@HOME delivers high-quality primary care to Medicare patients in their home. The @HOME program takes a team-based approach to providing outstanding patient care. Our Care Teams - consisting of a Provider, Medical Assistant/Scribe (CIS/MA), Behavioral Health Specialist (BHS) and Mobile Operations Coordinator (MOC) - build individual relationships across a panel of about 75 patients, seen monthly. The Care Team is responsible for delivering excellent, high-touch primary care, and coordinating the care of our patients throughout the healthcare delivery system.

Role Description

The House Calls Mobile Operations Coordinator (MOC) serves as an integral part of the in-home care team. The MOC coordinates logistics and scheduling for patients and teams, ensures wrap-around clinical care for our patients, and provides telephonic support directly to our patients and families in our innovative home-based care program. Additionally, the MOC works directly with the care team to help identify and bridge gaps in care when patients return from the hospital or experience other challenges.

Core Responsibilities

• Prepare daily visit schedules, including routing and logistics planning

• Answer incoming calls, voice mails, and escalation of needs

• Complete patient appointment confirmation calls and update patient information as needed in electronic medical record

• Conduct outbound calls, including outreach and scheduling of new patients, as instructed

• Monitor incoming faxes and distribute to appropriate care teams

• Manage patient panel registry

• Coordinate patient transition back to center, as needed

• Request patient medical records

• Monitor patient admissions and schedule post-discharge visits

• Follow-up on DME and Home Health orders

• Follow-up on Specialty Appointments, including arranging transportation when necessary

• Participate in daily huddles and weekly interdisciplinary team meetings to discuss patient care and program operations

• Other duties, as assigned

What we’re looking for

• Genuine passion for primary care and reaching vulnerable patients

• Demonstrated ability to collaborate effectively in a team setting

• Willingness to learn and be accountable for EMR documentat