Care Coordinator

Suvida Healthcare•Tucson, AZ

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 position conducts daily follow-ups for high-risk patients, processes durable medical equipment (DME) and home health orders, triages calls, retrieves hospital records for recently admitted patients, and performs clinical clerical tasks within the scope of practice. The role also supports care coordination across acute and post-acute settings, helps address barriers to care, participates in performance improvement activities, and supports closure of care gaps and attainment of Medicare HEDIS metrics. Other tasks may be 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 English and Spanish required.
High school diploma or equivalent.
Completion of a Medical Assistant program required.
Certification in Medical Assisting from AAMA, CCMA, or another nationally recognized body required.

Nice To Haves

Five years of experience as a Medical Assistant.
Experience in chronic care management or a related field.
LPN/LVN license.

Responsibilities

Conduct daily patient follow-ups for high-risk patients in the Chronic Care Program.
Process 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 ensure seamless patient care delivery.
Identify and address barriers to care for high-risk patients.
Coordinate patient care progression throughout the continuum, including transitions from acute and post-acute settings to home or other transitional care facilities.
Communicate with physicians, nursing staff, and other multidisciplinary care team members.
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 closure of care gaps and attainment of Medicare HEDIS metrics.
Perform other tasks as assigned.