The Specialty Care Coordinator is a critical member of our integrated specialty care team consisting of nurses, dietitians, pharmacists, care coordinators, and physicians. The Specialty Care Coordinator will be working in collaboration with the specialty care team, healthcare professionals, patients, and families to provide ongoing support and communication for patients with complex care, including chronic kidney disease (CKD), End-Stage Renal Disease (ESRD), congestive heart failure (CHF), and other complex cardiac conditions. Specialty Care Coordinators will support Specialty RN Care Managers, escalating clinical concerns and complex care needs as appropriate. This position does not require RN licensure, but must have strong clinical acumen, attention to detail, and the ability to navigate complex care environments. The primary focus of the role will be to improve patient outcomes, including delaying disease progression, avoiding unnecessary inpatient and emergency department utilization, supporting patient self-management, and contributing to better long-term outcomes. Specialty Care coordinators will be supported by predictive data to identify the highest risk patients and high-touch care workflows that integrates with Duly’s primary and specialty care providers. While primarily conducted via telecommunication, this role may necessitate potential for periodic in-person collaboration with the specialty care team. This individual acts as a single point-of-contact to coordinate resources along the care delivery spectrum, identify gaps, and provide proactive follow-up. The Specialty Care Coordinator is responsible for making sure the patient’s care at various locations is connected and there are no gaps in care or communication.