Skilled inpatient care coordinator Jobs in Cleveland, OH

What We Strive For At Strive Health, we're driven by a purpose : transforming the broken kidney care system. Through early identification, engagement, and comprehensive coordinated care, we significantly improve outcomes for people with kidney disease, reducing emergency dialysis and inpatient utilization. Our high-touch care model integrates with local providers and uses predictive data to identify and support at-risk patients along their entire care journey. Recognized with ten prestigious workplace awards, including LinkedIn's 2024 Top Startups in Denver, we're setting a new standard in kidney care. We embrace diversity, celebrate successes, and support each other, making Strive the destination for top talent in healthcare. Join us in making a real difference.What You'll Do The Care Coordinator works collaboratively with the care team to provide ongoing support and communication to chronic kidney disease (CKD) and End-Stage Renal Disease (ESRD) patients. This individual acts as a single point-of-contact to coordinate resources along the care delivery spectrum, identify gaps, and provide proactive follow-up. The Care Coordinator is responsible for making sure the patient's care at various locations is connected and there are no gaps in care or communication. This role will report to the Lead, Care Coordinator. The Day to Day Performs outbound calls to patients to understand their clinical needs and connect them with appropriate resources. Performs outbound calls to providers to make appointments for patients or follow up on care. Answers inbound calls from patients, providers, and other resources. Follows up with patients to ensure their needs are met and schedules future check-ins. Notifies patients of location and appointment times as needed. Coordinates with clinical resources and providers to ensure smooth continuum of care for patients. Assists with completing applications for resources, paperwork for provider visits, etc. Monitors patient hospitalizations and follows up as necessary with care team members and outside resources to confirm Strive gathers all relevant patient information. Provides patients with education materials and sends communications to primary care physicians, nephrologists, and specialists for new enrollments / appointments. Collaborates well with all levels of a clinical team (from Medical Assistants to Physicians) and partners closely with the Strive Nurse Practitioner (NP) to manage all pieces of care related to resources, appointments, care transitions, and care gaps. Minimum Qualifications 2+ years combined of related education, experience, or certification. Current BLS or CPR Certification required. Efficient and reliable transportation, including an active driver's license, allowing for the ability to travel across an assigned region to meet patient needs. Locations may include offices, clinics, and patient homes. Provides in-person patient care which may include standing, sitting, walking, pushing, pulling, and lifting. Internet Connectivity - Min Speeds : 3.8Mbps / 3.0Mbps (up / down) : Latency