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Care Coordinator

2 months ago

Tucson, Arizona, United States Su Vida Services Inc Full time
About Suvida Healthcare

Suvida Healthcare is a healthcare organization dedicated to providing high-quality care to underserved communities. Our mission is to deliver patient-centered care that addresses the physical, behavioral, social, and cultural needs of our patients.

Job Summary

The Care Coordinator will play a critical role in delivering high-quality care to our patients. This position will work closely with the Nurse Care Manager to conduct daily patient follow-ups, process durable medical equipment and home health orders, triage calls, and perform other clinical clerical tasks.

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, including transitions from acute and post-acute settings to home or other transitional care facilities
  • 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