Care Coordinator

Premier Medical • Clermont, FL

4d

About The Position

The Care Coordinator promotes quality, cost-effective outcomes for a population by facilitating collaboration and coordination across care settings, identifying member needs, and advocating to ensure members receive services and resources that support desired health and social outcomes. The role provides patient-centered care across the care continuum.

The Care Coordinator collects clinical data for care planning, supports care plans and interventions as directed, and collaborates with providers and healthcare settings. The position also facilitates transitions of care, care coordination, self-management planning, discharge planning, health education, and connections to community resources addressing social determinants of health. Referrals are adjudicated according to defined business rules across care settings. The employee follows policies and procedures established by the Quality Management Committee and performs additional assigned duties.

Most work is performed in an open office setting, involving detailed work while seated at a desk or table and using a computer.

Requirements

• High school diploma.
• At least 2 years of experience in medical management.
• Capacity to interpret health plan benefit decisions.
• Bilingual in English and Spanish.
• Strong critical-thinking and problem-solving skills.
• Effective verbal and written communication skills.
• Ability to manage time effectively, understand directions, and work independently in a fast-paced environment.
• Flexibility, organization, self-motivation, and adaptability to change.
• Strong work ethic and positive attitude.

Nice To Haves

• Certification as a Medical Assistant is preferred.

Responsibilities

• Collect relevant clinical data to support the care planning process.
• Support care plans and interventions to transition members to optimal levels of health and self-management, as directed.
• Collaborate across providers and healthcare settings to ensure optimal quality outcomes for an assigned population.
• Provide transition-of-care interventions as required.
• Facilitate care coordination, self-management planning, discharge planning, and health education as directed.
• Facilitate connections to appropriate community resources addressing social determinants of health.
• Adjudicate referrals according to defined business rules across care settings.
• Adhere to policies and procedures established by the Quality Management Committee.
• Perform additional duties as assigned.

What This Job Offers

• Job Type: Full-time
• Education Level: High school or GED