Care Coordinator, Transitional Care Management

Strive Health

9h • $22 - $25 • Hybrid

About The Position

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.

Requirements

• 2+ years combined of related education, experience, or certification.
• Current BLS or CPR Certification required.
• Internet Connectivity - Min Speeds: 3.8Mbps/3.0Mbps (up/down): Latency <60 ms.
• Excellent verbal and written communication skills.
• Skilled at dealing with confidential information and/or issues using discretion and judgment.
• Communicates clearly, respectfully, and thoughtfully.

Nice To Haves

• Active Community Health Worker (CHW) Certification.
• Customer service experience.
• Intermediate proficiency in MS Word, Excel, PowerPoint, and Outlook.

Responsibilities

• 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.

Benefits

• Hybrid-Remote Flexibility – Work from home while fulfilling in-person needs at the office, clinic, or patient home visits.
• Comprehensive Benefits – Medical, dental, and vision insurance, employee assistance programs, employer-paid and voluntary life and disability insurance, plus health and flexible spending accounts.
• Financial & Retirement Support – Competitive compensation with a performance-based discretionary bonus program, 401k with employer match, and financial wellness resources.
• Time Off & Leave – Paid holidays, vacation time, sick time, and paid birthgiving, bonding, sabbatical, and living donor leaves.
• Wellness & Growth – Family forming services through Maven Maternity at no cost and physical wellness perks, mental health support, and an annual professional development stipend.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed
• Number of Employees: 501-1,000 employees