Patient Coordination

La Clinica del Pueblo prides ourselves in offering Patient Advocacy Services to our patients. These services play a critical role in helping to break down the barriers to healthcare faced by low-income patients, uninsured and underinsured community members and other individuals in need that come to La Clinica.

Services include:

• Case Management
• Entitlement assistance: prior authorizations
• Coordination of all referrals
• Food, clothing, medicine, transportation assistance
• Educating and enrolling eligible clients into Medicaid, Medicare and other programs
• Aids in application for pharmaceutical company medicine assistance programs
• Aids patients in obtaining specialty healthcare outside of our service area.
• Verifies insurance benefits
• Determines and coordinates financial eligibility for patients’ participation in the Sliding Fee Program and Medical Assistance Program (MAP)
• Assist patients in completing registration forms, healthcare questionnaires and all other documentation as needed
• Acting as a resource to assist the Medical, Dental, Behavioral Health and Promotoras staff at all times
• Reviewing upcoming procedures to determine medical necessity, prior authorization, and referral requirements are met
• Coordination of prior authorization for VA patients
• Assist VA patients with scheduling of their appointments with specialty

We also provide guidance and positive leadership in day to day activities, including interaction with Española Hospital, Christus Saint Vincent’s Hospital in Santa Fe, and Los Alamos Medical Center, San Juan Regional Medical Center staff and other private program agencies.