Patient Care Coordinator - (Colorado)

Alpine Physician Partners • Lakewood, CO

7d • $17 - $24 • Hybrid

About The Position

The Patient Care Coordinator supports care coordination and healthcare service management for Medicare patients within a primary care practice. Working with healthcare providers and care teams, this role helps ensure smooth transitions of care and follow-up engagement for high-risk or vulnerable patients. The position includes patient-facing communication, support, and assistance throughout the healthcare journey, with the goal of improving patient satisfaction and care quality. This is a hybrid role with approximately 80% remote work and periodic working hours in supported clinics. Candidates must reside within a 150-mile radius of Denver, Colorado.

Requirements

• Two years of experience as a Medical Assistant.
• Medical Assistant certification is required.
• Excellent knowledge of healthcare administration and patient care processes.
• Strong understanding of clinical practices and care coordination.
• Knowledge of medical terminology.
• Experience with electronic medical records management.

Nice To Haves

• Bilingual in English and Spanish.
• Experience with value-based care and Medicare Advantage.
• Experience in care navigation or care coordination, including transitions-of-care support.
• Knowledge of billing and insurance claims.
• Certified Patient Care Coordinator (CPCC).
• Experience in a primary care setting or care management.

Responsibilities

• Coordinate care management activities with clinical teams, including pre-visit planning and retrieval of post-discharge summaries.
• Serve as a conduit of information between healthcare entities, care teams, and systems.
• Engage patients in health improvement activities and educate them on self-management to help avoid unnecessary emergency department visits and hospitalizations.
• Support team huddles reviewing hospital census and population health data, closing care gaps, identifying high-risk patients who need visits, and reviewing utilization trends.
• Manage a panel of high-risk patients by anticipating needs, addressing barriers to care, and coordinating access to care with their attributed primary care team.
• Work with patients, physicians, and care team members to assess progress toward health goals and document self-management measures and progress.
• Maintain confidentiality and comply with HIPAA regulations; treat all individuals with dignity and respect; participate in professional development activities.
• Monitor platforms for patient utilization events, such as hospital admissions and emergency department visits, and document occurrences.
• Perform and document transitional care activities, including 48-hour post-hospital follow-ups, medication reviews, obtaining hospital records, and scheduling transitional care management visits.
• Work with healthcare providers and staff to identify patients for care transition services.
• Support regular provider engagement and scheduling for high-risk, complex patients.
• Collaborate with medical receptionists, medical assistants, and clinicians to identify care gaps and risks that could lead to avoidable hospitalizations during patient visits.
• Coordinate with the PHP Care Management Team to escalate issues involving C-SNP members in the office panel.
• Ensure patients’ health plans are appropriately flagged in the EMR, including flagging new C-SNP members.
• Provide clinical follow-up and guidance to patients as needed to support effective care transitions.
• Support use of coding tools in the clinic during patient visits to capture chronic conditions.
• Maintain accurate and timely documentation of care coordination activities.

Benefits

• Medical insurance
• Dental insurance
• Vision insurance
• 401(k)
• Paid time off (PTO)
• Employee Assistance Program (EAP)
• Eligible for a quarterly performance bonus based on individual and/or company performance

What This Job Offers

• Job Type: Full-time
• Education Level: No Education Listed