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Healthcare Navigator
2 months ago
The Care Coordinator will play a pivotal role in delivering high-quality care to our patients at Suvida Healthcare. Working closely with the Nurse Care Manager, the Care Coordinator will be responsible for conducting daily patient follow-ups, processing durable medical equipment (DME) and home health orders, triaging calls, retrieving hospital records for recently admitted patients, and performing other clinical clerical tasks within the scope of practice for high-risk patients.
Key Responsibilities- Conduct Daily Patient Follow-Ups: Ensure timely and effective communication with high-risk patients to address their needs and concerns.
- Process DME and Home Health Orders: Efficiently and accurately process orders for durable medical equipment and home health services to support patient care.
- Triage Calls and Coordinate Responses: Receive and respond to inbound calls from patients, coordinating with the care team to address acute patient needs.
- Retrieve Hospital Records: Obtain hospital records for patients recently admitted to external facilities to ensure seamless care coordination.
- Perform Clinical Clerical Tasks: Support the Chronic Care Program and Transition of Care Programs by performing various clinical clerical tasks.
- Collaborate with the Care Team: Work closely with the Nurse Care Manager and other members of the care team to ensure effective patient care delivery.
- Identify and Address Barriers to Care: Recognize and address barriers to care for high-risk patients to ensure optimal outcomes.
- Coordinate Patient Care Progression: Facilitate patient care progression throughout the continuum, including transitions from acute and post-acute settings to home or other transitional care facilities.
- Communicate Effectively: Communicate effectively with physicians, nursing staff, and other members of the multidisciplinary care team to ensure seamless care coordination.
- Facilitate Patient Discharge Planning: Support the patient discharge planning process to optimize outcomes and satisfaction.
- Monitor Patient Progress: Monitor patient progress and intervene as necessary to ensure patient-focused, high-quality care.
- Collaborate with External Resources: Collaborate with external case managers and community resources as needed to support patient care.
- Participate in Clinical Performance Improvement: Actively participate in clinical performance improvement activities to enhance patient care.
- Support Care Gap Closure: Support activities to promote closure of care gaps and attainment of Medicare HEDIS metrics.
- Minimum 2 Years of Experience: Minimum 2 years of experience as a Medical Assistant or a LPN/LVN.
- Experience in Chronic Care Management: Experience in chronic care management or a related field is preferred.
- Excellent Interpersonal and Communication Skills: Excellent interpersonal and communication skills are required.
- Strong Organizational and Time Management Abilities: Strong organizational and time management abilities are essential.
- Proficiency in Microsoft Office Suite: Proficiency in Microsoft Office suite is required.
- Bilingual/Bicultural: Bilingual/Bicultural (English and Spanish) is required.
