The Care Coordinator supports patient engagement and care continuity by identifying, contacting, and assisting patients with scheduling necessary appointments and follow-up care. This role serves as a bridge between patients, payors, and internal clinical teams to ensure patients receive timely services, close care gaps, and navigate the health system effectively. The Care Coordinator provides compassionate and professional assistance to patients while maintaining accurate and detailed records of all interactions.
Essential Duties and Responsibilities :
- Work with payors and managed care partners to identify patients with open gaps in care and contact them to schedule necessary appointments.
- Review payor reports and compare them with patient charts to ensure data accuracy and alignment.
- Conduct outreach to patients recently discharged from hospitals to schedule timely follow-up appointments.
- Coordinate with internal departments (e.g., primary care, behavioral health, specialty care) to facilitate external referrals and ensure smooth transitions of care.
- Record all patient contacts, appointment outcomes, and follow-up needs in the electronic health record (EHR).
- Handle incoming patient phone calls, resolving issues directly when possible or routing to the appropriate department.
- Serves as a resource contact and information / education source to clients, families, providers, and / or staff.
- Works collaboratively with provider(s) and other staff to ensure the delivery of quality care to patients to ensure best client’s outcome.
- Track and log all outbound and inbound calls, maintaining accurate documentation of patient interactions.
- Generate and submit daily reports on call volume, patient outreach, and care gap closures.
- Provide regular reports to management on progress toward outreach and scheduling goals.
- Act as a patient navigator, assisting patients in understanding services, scheduling, and accessing care across the health system.
- Identify and help resolve patient barriers to care (e.g., transportation, scheduling conflicts, confusion about coverage).
- Demonstrate compassion, patience, and professionalism in all patient interactions.
- Participate in monthly payor strategy meetings
- Perform other job duties as assigned.
EDUCATION AND / OR EXPERIENCE :
Highschool diploma or GED required. Associate degree or higher preferred.Minimum of three (3) years experience in a healthcare, customer service, or managed care setting.Experience with electronic health records (HER) and data entry preferred.Job Type : Full-time
Benefits :
401(k)401(k) matchingDental insuranceHealth insuranceLife insurancePaid time offVision insuranceLanguage :
English (Required)Spanish (Preferred)Creole (Preferred)Work Location : Remote