Comprehensive Care Advocate
2 days ago
Job Summary
The Community Care Coordinator role at LifeBridge Health is a dynamic position that requires a dedicated individual to promote the health and well-being of assigned patients.
This is a full-time day shift opportunity with a competitive salary range of $17.00-$26.00 experience based.
The ideal candidate will have 2-3 years of acute care and/or ambulatory practice experience as a Licensed Practice Nurse, Certified Medical Assistant, or trained Patient Care Assistant.
A key responsibility of the Community Care Coordinator is to ensure patients receive preventive services by contacting them, caregivers, and families.
Additionally, they will work with primary care offices to obtain timely appointments for assigned patients, including post-hospital discharge and annual wellness visits where necessary.
Other essential duties include assessing and linking community resources available to patients, ensuring timely access to necessary services, and respecting patient rights and wishes.
The successful candidate will be able to work independently with minimal supervision, possess good verbal and communication skills, and organizational abilities.
Competency in electronic medical records is also desirable, and bilingual proficiency (market-specific) is preferable.
Licensed Practice Nurse or Certified Medical Assistant or trained Patient Care Assistant with 2-3 years acute care and/or ambulatory practice experience is required.
A strong understanding of population health management principles and ability to apply them in identifying patients with uncontrolled chronic conditions or rising risk indicators is essential.
The selected candidate will be part of an interdisciplinary team caring for patients and ensuring their individual needs are addressed in a timely manner.
As a member of this team, the Community Care Coordinator will act as a patient advocate to address primary physical and social needs, assess and link community resources available to patients, and ensure patients have timely access to services while respecting their rights and wishes.
This role involves evaluating and referring patients to the Community Care Manager when acuity changes, following treatment plans written by providers and/or Community Care Managers, and assessing patient needs in their home environment to facilitate self-management skills.
The selected candidate will lead discussions in home management of assigned patients, facilitate discussion with patients and family members on advance directives, provide expertise in linking patients with community resources such as prescription assistance, and assist patients in navigating social and health services.
They will also assess and assist patient safety needs in their home, refer patients or family members to community resources for housing or treatment, and educate family members to support patients with chronic illnesses and end-of-life practices.
The ideal candidate will be able to perform tasks necessary for collecting data, maintaining records, developing, and utilizing assessment and measuring tools relative to patient care and wellness practices.
They will also schedule timely and appropriate office and follow-up visits with healthcare providers, including dentists, public health, social services, or other outreach workers needed to provide comprehensive and quality care for patients.
Benefits of Working with LifeBridge Health
- Competitive salary range of $17.00-$26.00 experience based
- Opportunity to work with a large health care provider in Maryland with 13,000 team members
- Diverse patient population with over 1 million patients annually
- Chance to make a meaningful impact on patients' lives through comprehensive care coordination
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