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   Current UPHS employees must apply HERE

COE Care and Outreach Coord - PPMC

Job ID: 206599
Category: Behavioral Health/Psychology
Work Type: FT
Location: Philadelphia, PA, United States
Work Schedule: Days

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Penn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across all disciplines.

Today at Penn Medicine, someone will make a breakthrough. Someone will heal a heart, deliver hopeful news, and give comfort and reassurance. Our employees shape our future each day. Are you living your life's work?


  • The COE Care & Outreach Coordinator will be the single point of contact for treating physicians, clinicians, and patients to provide resources and assistance with accessing clinical and supportive care services offered within UPHS and in the community. Facilitates patient appointments, including those made with behavioral health programs, MAT physicians, labs, diagnostic areas, and specialty physicians. Will be visible in the community and will organize, attend, and present at various relevant providers and community resources to explain and expand the reach of the COE.


  • CARE COORDINATOR: Care Coordinator will meet with patient at least monthly to assess compliance, address patient needs and gain insight into unmet needs Coordinate information and patient needs (social service, health and medication) with appropriate interdisciplinary provider: PCP, social work, MAT provider, D&A provider, etc. Serve as an essential link between patients and all other care providers Care Coordinator is responsible for interacting with patient service representatives to expedite scheduling for follow-up and acute care appointments within UPHS Facilitate appointments for consults and support services within established service standards, including behavioral health clinicians, social workers, physician, community agencies, etc. Coordinate multidisciplinary team meetings; develop concise patient progress summaries for use by the care team, and document recommendations made utilizing standardized care protocols in accordance with state/nationally recognized care guidelines. Monitors and evaluates the delivery of care through documentation and tracking of needs addressed, track outcomes and support strategic planning through COE data collection in accordance with all State requirements. Assist in the development of patient education programs and tools. Follow patients throughout the care continuum, including inpatient admissions, discharges from all levels of care, and collaborate with inpatient care management resources. OUTREACH COORDINATOR Recognizes and capitalizes on opportunities in the community to explain the role of the COE/Care Coordinators and promote its use. Identifies barriers encountered both within the COE as well with community partners in regard to successful outcomes for clients. Respond to public and community inquiries on matters related to the COE Identify key stakeholders and work to connect with them to further expand the reach of the COE Build and nurture relationships in and outside of the Penn community. Attend community events relevant to the COE and be a representative of Penn Presbyterian’s Addiction and Behavioral Health Service lines Point person for the other care coordinators and helps monitor and oversee how the COE is executing on intended tasks.


    Education or Equivalent Experience:

    • H.S. Diploma/GED (Required)
    • Education Specialization:
    • Associate of Arts or Science preferred (Degree in Behavioral Health, Nursing or related field of study)
    • Prior experience in behavioral health preferred. Knowledge of behavioral health resources in Philadelphia preferred
    We believe that the best care for our patients starts with the best care for our employees. Our employee benefits programs help our employees get healthy and stay healthy. We offer a comprehensive compensation and benefits program that includes one of the finest prepaid tuition assistance programs in the region. Penn Medicine employees are actively engaged and committed to our mission. Together we will continue to make medical advances that help people live longer, healthier lives.

    Live Your Life's Work

    We are an Equal Opportunity and Affirmative Action employer. Candidates are considered for employment without regard to race, ethnicity, color, sex, sexual orientation, gender identity, religion, national origin, ancestry, age, disability, marital status, familial status, genetic information, domestic or sexual violence victim status, citizenship status, military status, status as a protected veteran or any other status protected by applicable law.

       Current UPHS employees must apply HERE
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