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Care Coordinator

2 months ago


Houston, Texas, United States Su Vida Services Inc Full time
About Suvida Healthcare

We are a multi-disciplinary primary care program dedicated to improving the quality of life for Hispanic seniors and those who care for them. Our mission is to create health equity through exceptional clinical and consumer experiences.

Job Summary

The Care Coordinator will play a pivotal role in delivering high-quality care to our patients. Working closely with the Nurse Care Manager, the Care Coordinator will be responsible for conducting daily patient follow-ups, processing durable medical equipment and home health orders, triaging calls, retrieving hospital records, and performing other clinical clerical tasks.

Key Responsibilities
  • Conduct daily patient follow-ups for high-risk patients within the Chronic Care Program
  • Process DME and home health orders efficiently and accurately
  • Receive inbound triage calls from patients and coordinate appropriate responses to acute patient needs
  • Retrieve hospital records for patients recently admitted to external facilities
  • Perform clinical clerical tasks to support the Chronic Care Program and Transition of Care Programs
  • Assist in procedures within the Medical Assistant scope of practice for high-risk patients
  • Collaborate closely with the Nurse Care Manager to ensure seamless patient care delivery
  • Identify and address barriers to care for high-risk patients
  • Coordinate patient care progression throughout the continuum
  • Communicate effectively with physicians, nursing staff, and other members of the multidisciplinary care team
  • Facilitate patient discharge planning process to optimize outcomes and satisfaction
  • Monitor patient progress and intervene as necessary to ensure patient-focused, high-quality care
  • Collaborate with external case managers and community resources as needed
  • Actively participate in clinical performance improvement activities
  • Support activities to promote closure of care gaps and attainment of Medicare HEDIS metrics
Requirements
  • Minimum 2 years of experience as a Medical Assistant or a LPN/LVN
  • Experience in chronic care management or related field preferred
  • Excellent interpersonal and communication skills
  • Strong organizational and time management abilities
  • Proficiency in Microsoft Office suite
  • Bilingual/Bicultural (English and Spanish) required
Education, Experience, Licensure, or Certification Requirements
  • High school diploma or equivalent
  • Completion of a Medical Assistant program required
  • Certification in Medical Assisting from AAMA, CCMA or any other nationally recognized body required
  • LPN/LVN license preferred
Our Culture & Core Beliefs
  • Earn Trust
  • Building Relationships
  • Creating Joy
  • Doing Right
  • Improving Every Day
  • Moving Forward

Suvida Healthcare provides equal employment opportunities to all Team Members and applicants for employment and prohibits discrimination and harassment of any type with regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.