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Care Coordinator - Philadelphia, PA

Philadelphia, PA, United States

Care Coordinator

Reporting to the RN Care Manager, a Care Coordinator works collaboratively with the care team to provide ongoing support and communication to Chronic Kidney Disease (CKD) and ESRD patients. The Care Coordinator 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.

Essential Functions

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

Coordinates with clinical resources and providers to ensure smooth continuum of care for patients.

Monitors patient hospitalizations and follows up as necessary with care team members and outside resources to confirm Strive gathers all relevant patient information

Notifies patients of location and appointment times as needed

Ensures all patient records are up to date

Provides patients with education materials and sends communications to primary care physicians, nephrologists, and specialists for new enrollments/appointments

Assists with the referral process when needed

Provides excellent customer service and treats patients with respect

Help patients and their families navigate the healthcare system and multitude of visits

Fosters a relationship with patients across their healthcare journey with a foundation of respect, honesty, empathy, no judgement and follow-through

Skilled and passionate caring for patients with complex needs

Collaborates well with all levels of a clinical team (from Medical Assistants to Physicians)

Partners closely with the Strive NP to manage all pieces of care related to resources, appointments, care transitions, and care gaps

Performs vital signs

Meetin personwith internaland/orexternal stakeholders to facilitateteam and businesspriorities/opportunities.

Servepatients in personandinmultiple caresettings (e.g.,patienthome,clinics) in addition tovirtual visits.

Home visits as determined by business need in market.

Complete in person visits with members (in home or where convenient to patient).

Serve as liaison between multiple service providers.

Assist with enrollment in services and community resources.

Assist with completing applications for resources, paperwork for provider visits, etc.

Follow up on referrals for pharmacy, DME, home care, etc.

Assist with finding and scheduling transportation.

Deliver culturally competent care.

Minimum Qualifications

High school diploma or equivalent required

At least two (2) years of experience in a professional office environment

Active Basic Life Support or CPR Certification

Internet Connectivity - Min Speeds: 3.8Mbps/3.0Mbps (up/down): Latency

Preferred Qualifications

Customer service experience

Active Community Health Worker Certification (CHW)

Intermediate proficiency in MS Word, Excel, PowerPoint, and Outlook

Excellent verbal and written communication skills

Skilled at dealing with confidential information and/or issues using discretion and judgment

Communicates clearly, respectfully, and thoughtfully

Hourly Range: $22.25-$25.00

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Care Coordinator - Philadelphia, PA jobs in Philadelphia, PA, United States

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