Care Coordinator

Job description

We are seeking a Care Coordinator to join our dynamic team! Job purpose: The Care Coordinator is a vital member of the interdisciplinary patient care team. This role provides patient navigation and facilitates access to care, based on EHR data and referrals from clinical teams. The Care Coordinator identifies any barriers that may impact a patients access to health care, and will link them to appropriate services. Duties and responsibilities: Reporting to the Care Coordination Program Manager, the Care Coordinator’s role will involve in-person visits with patients and families as well as telephonic visits. Patients who have been identified as needing additional support services to navigate the healthcare system and access community resources, , high utilizers of acute care or hospital services, or otherwise high-needs/high-cost patients, will comprise the panel of patients the Care Coordinator will address through measurable efforts to improve health and adherence/access to health care. Primary responsibilities include but are not limited to: - Outreach to patient populations based on gaps-in-care reports or other reports that have identified vulnerable patients and families - Cond...