Care Coordinator

Suvida Healthcare•Garland, TX

About The Position

The Care Coordinator plays a pivotal role in delivering high-quality care to patients at Suvida Healthcare. Working closely with the Nurse Care Manager, this role supports high-risk patients through daily follow-ups, order processing, call triage, hospital-record retrieval, and clinical clerical work within the scope of practice. The Care Coordinator also supports chronic care and transitions-of-care programs, helps coordinate care across acute and post-acute settings, and performs other tasks as assigned by the Nurse Care Manager.

Requirements

At least 3 years of experience as a Medical Assistant or an LPN/LVN.
Excellent interpersonal and communication skills.
Strong organizational and time management abilities.
Proficiency in Microsoft Office suite.
Bilingual/Bicultural in English and Spanish.
High school diploma or equivalent.
Completion of a Medical Assistant program.
Certification in Medical Assisting from AAMA, CCMA, or another nationally recognized body.

Nice To Haves

5 years of experience as a Medical Assistant.
Experience in chronic care management or a related field.

Responsibilities

Conduct daily follow-ups for high-risk patients in the Chronic Care Program.
Process durable medical equipment (DME) and home health orders efficiently and accurately.
Receive inbound triage calls and coordinate appropriate responses to acute patient needs.
Retrieve hospital records for patients recently admitted to external facilities.
Perform clinical clerical tasks supporting the Chronic Care Program and Transition of Care Programs.
Assist with procedures within the Medical Assistant scope of practice for high-risk patients.
Collaborate with the Nurse Care Manager to support seamless patient care delivery.
Identify and address barriers to care for high-risk patients.
Coordinate patient care progression across the continuum, including transitions from acute and post-acute settings to home or other transitional care facilities.
Communicate with physicians, nursing staff, and other members of the multidisciplinary care team.
Facilitate patient discharge planning to optimize outcomes and satisfaction.
Monitor patient progress and intervene as necessary to support patient-focused, high-quality care.
Collaborate with external case managers and community resources as needed.
Participate in clinical performance improvement activities.
Support efforts to close care gaps and attain Medicare HEDIS metrics.
Perform other tasks as assigned.