Care Coordinator

Suvida Healthcare•Phoenix, 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 role conducts daily patient follow-ups, 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 for high-risk patients. The Care Coordinator also assists with Medical Assistant-scope procedures, coordinates care transitions, helps address barriers to care, and undertakes other tasks as assigned by the Nurse Care Manager.

Requirements

Minimum 3 years of experience as a Medical Assistant or LPN/LVN.
Excellent interpersonal and communication skills.
Strong organizational and time management abilities.
Proficiency in Microsoft Office suite.
Bilingual/Bicultural in English and Spanish required.
High school diploma or equivalent required.
Completion of a Medical Assistant program required.
Certification in Medical Assisting from AAMA, CCMA, or another nationally recognized body required.
Active ACLS or BLS certification, or willingness to obtain certification within 7 days of start.

Nice To Haves

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

Responsibilities

Conduct daily patient follow-ups for high-risk patients in the Chronic Care and Transition of Care Programs.
Process DME and home health orders efficiently and accurately.
Support inbound triage calls from patients 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 and Transition of Care Programs.
Assist with procedures within the Medical Assistant scope of practice for high-risk patients.
Collaborate closely 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 members of the multidisciplinary care team.
Facilitate patient discharge planning to optimize outcomes and satisfaction.
Monitor patient progress and intervene as necessary to ensure patient-focused, high-quality care.
Collaborate with external case managers and community resources as needed.
Participate in clinical performance improvement activities.
Support activities to close care gaps and attain Medicare HEDIS metrics.
Perform other tasks as assigned.