Medical Care Coordinator

Eisner Health Open•Los Angeles, CA

13d•Hybrid

About The Position

At Eisner Health, we believe everyone deserves access to high-quality, compassionate healthcare. As a Federally Qualified Health Center (FQHC), we serve over 40,000 patients across Los Angeles County each year, providing comprehensive care to children, adults, and families. Our integrated services include primary care, women’s health, pediatrics, behavioral health, dental, optometry, dermatology, pharmacy, laboratory services, and care coordination. We’re looking for a Medical Care Coordinator who is passionate about helping patients overcome barriers to care and achieve better health outcomes. In this role, you’ll be an essential link between patients, families, providers, care managers, and community resources—helping ensure that every patient has the support they need to successfully navigate their care journey. As a Medical Care Coordinator, you will work collaboratively with the Program Manager and interdisciplinary care team to implement individualized clinical care plans and address the social and practical barriers that can prevent patients from receiving quality care. You’ll build meaningful relationships with patients, help them understand and achieve their health goals, coordinate appointments and follow-up care, and communicate progress to providers and care managers. Your work will directly contribute to improved patient experiences, stronger continuity of care, and better health outcomes.

Requirements

Associate or Bachelor’s degree in health or social services or at least a year of experience in a clinical setting.
Bilingual English/Spanish required.
Proficiency with Microsoft Office, particularly Word and Excel.
Strong organizational, verbal, and written communication skills.
Ability to facilitate and coordinate patient care plans.
Ability to work effectively with people of all ages, cultures, and social and ethnic backgrounds.
Demonstrated ability to establish trust and communicate with patients in a respectful, compassionate manner.
Ability to maintain confidentiality and handle sensitive information appropriately.

Nice To Haves

Experience with Health Information Exchange (HIE) systems and population health platforms.
Experience working with an Electronic Health Record (EHR) and entering patient data.
Experience in care coordination, care management, community health, or a similar healthcare environment.

Responsibilities

Conduct health risk assessments and help develop strategies to address identified social determinants of health and care barriers.
Coordinate medical and specialty appointments for patients referred by providers, Care Managers, and other members of the care team.
Provide appointment reminders and post-visit follow-up calls.
Support patients in understanding and following their individualized care management plans and self-care goals.
Coordinate continuity of care between Eisner Health and external healthcare organizations, facilities, and providers.
Follow up promptly with patients after hospitalizations and emergency room visits, including obtaining discharge summaries and relevant medical records.
Conduct home or facility visits, when necessary, to support adherence to the plan of care.
Serve as a trusted liaison between patients, families, providers, Care Managers, and clinic staff.
Provide culturally responsive information, education, and support through phone calls and other patient interactions.
Help patients establish, maintain, and achieve clinically based self-management goals.
Provide disease-specific and preventive care education.
Support Eisner Health’s trauma-informed care approach in every patient interaction.
Participate in patient-centered team meetings focused on improving patient outcomes and operational processes.
Participate in clinical cross-care-team meetings.
Provide timely updates to Primary Care Providers and Care Managers regarding patient progress, barriers, and self-management.
Serve as a liaison between frontline clinic staff, clinicians, and other appropriate team members.
Support population health management activities as assigned.
Assist with the maintenance and dissemination of the chronic care model across appropriate clinic staff.
Maintain accurate, timely, and appropriate documentation of patient interactions in the EHR, care management applications, and databases.
Maintain patient confidentiality in accordance with organizational policies and applicable state and federal regulations.
Identify and pursue more efficient ways to deliver excellent patient and staff experiences.