Pediatrics Care Coordinator

Community Health Care•Millville, NJ

About The Position

The Pediatric Care Coordinator facilitates coordination of comprehensive, patient-centered medical, behavioral health, dental, and preventive healthcare services for pediatric patients, with a primary emphasis on identifying and closing gaps in care. The role works collaboratively with pediatric providers, nursing staff, dental care coordinators, behavioral health professionals, population health staff, and community partners to support timely, evidence-based preventive services and improved pediatric health outcomes. The position supports organizational performance on applicable HEDIS, HRSA UDS, and payer-specific pediatric quality measures. Through patient outreach, care-gap identification, appointment coordination, caregiver education, and systematic follow-up, the coordinator helps ensure children receive recommended immunizations, well-child visits, growth assessments, weight-related counseling, oral healthcare, developmental services, and other age-appropriate preventive care. The coordinator documents and communicates care coordination activities, maintains patient confidentiality, participates in team and quality improvement discussions, completes required training, and performs other related duties as assigned.

Requirements

High school diploma or GED required.
A minimum of two years of experience as a Medical Assistant, Care Coordinator, Patient Navigator, Community Health Worker, or in a comparable healthcare support position is preferred.
Familiarity with HEDIS, UDS, and population health quality measures is desirable; training will be provided.

Nice To Haves

Completion of an accredited or recognized Medical Assistant training program, or equivalent relevant healthcare experience.
Associate degree in healthcare, public health, human services, or a related field.
Medical Assistant certification (CMA, RMA, or equivalent).
Experience in pediatric primary care, family medicine, or community health.
Experience conducting patient outreach, coordinating appointments, managing referrals, or supporting preventive health initiatives.
Experience working with electronic health records and patient registries.

Responsibilities

Identify pediatric patients with overdue or outstanding preventive, medical, behavioral health, dental, and developmental care needs using EHRs, population health registries, and quality reporting tools.
Collaborate with providers and clinical support staff to develop and implement interventions that close identified care gaps.
Contact parents, caregivers, and legal guardians to coordinate recommended appointments and services.
Prioritize patients based on age-specific preventive care requirements, clinical risk, overdue services, and quality improvement priorities.
Support completion of well-child visits, preventive screenings, and follow-up appointments.
Identify and help address barriers to care, including transportation, appointment availability, language, health literacy, and social determinants of health.
Coordinate childhood immunization outreach, appointments, and follow-up, with particular emphasis on timely immunizations by a child's second birthday.
Review EHR and immunization registry information for documentation gaps; assist with reconciling immunization histories and obtaining external vaccination records.
Refer clinical immunization questions to licensed professionals and monitor progress toward pediatric vaccination performance goals.
Support completion of age-appropriate growth and weight assessments, BMI percentile documentation, and nutrition and physical activity counseling.
Coordinate referrals to nutrition, weight management, or specialty services when ordered or recommended by clinical providers.
Facilitate communication and coordination among pediatric primary care providers, behavioral health professionals, specialists, families, and community organizations.
Identify and facilitate follow-up for outstanding behavioral health screenings, referrals, and recommended services.
Support continuity of care after emergency department visits, hospitalizations, or specialty care encounters when appropriate.
Escalate urgent clinical concerns, abnormal findings, and patient safety risks to the appropriate licensed clinical professional.
Support performance improvement strategies for applicable pediatric HEDIS, UDS, and payer-specific quality measures.
Maintain working knowledge of assigned pediatric quality measures, age eligibility criteria, required services, and documentation standards.
Use EHR registries, population health dashboards, and care-gap reports to identify patients requiring intervention.
Monitor patient-level care gaps and measure performance with Quality and Population Health teams; implement targeted outreach based on deadlines, risk, and improvement opportunities.
Assist with validation and reconciliation of clinical information for accurate reporting.
Participate in quality improvement initiatives, workflow optimization, Plan-Do-Study-Act activities, and evaluation of interventions.
Communicate trends, barriers, and improvement opportunities to pediatric leadership and the Population Health team.
Build trusting, respectful relationships with pediatric patients and their families; provide culturally responsive and linguistically appropriate education.
Use motivational interviewing and engagement techniques within the scope of the position and help caregivers understand follow-up services and navigate appointments.
Respect patient and family preferences while promoting shared decision-making with appropriate clinical professionals.
Coordinate access to community resources addressing social and healthcare access needs.
Accurately and promptly document outreach, care coordination, appointment outcomes, caregiver communications, and unresolved barriers in the designated EHR or tracking system.
Maintain records of assigned patients, open care gaps, referrals, and follow-up activities; communicate needs and unresolved issues to pediatric team members.
Participate in pediatric team huddles, population health meetings, and quality improvement discussions.
Maintain patient confidentiality and comply with HIPAA, organizational policies, and applicable privacy standards.
Complete required training, participate in professional development, and perform other related duties as assigned.