Care Coordinator

Strive Health
Berwyn, IL Full Time
POSTED ON 12/29/2022 CLOSED ON 2/17/2023

What are the responsibilities and job description for the Care Coordinator position at Strive Health?

 

Care Coordinator

Reporting to the RN Care Manager, a Care Coordinator works collaboratively with the care team to provide ongoing support and communication to Chronic Kidney Disease (CKD) and ESRD patients.  The Care Coordinator acts as a single point-of-contact to coordinate resources along the care delivery spectrum, identify gaps, and provide proactive follow-up. The 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.

 

Essential Functions

  • Performs outbound calls to patients to understand their clinical needs and connect them with appropriate resources
  • Performs outbound calls to providers to make appointments for patients or follow up on care
  • Answers inbound calls from patients, providers, and other resources
  • Follows up with patients to ensure their needs are met and schedules future check-ins
  • Coordinates with clinical resources and providers to ensure smooth continuum of care for patients.
  • Monitors patient hospitalizations and follows up as necessary with care team members and outside resources to confirm Strive gathers all relevant patient information
  • Notifies patients of location and appointment times as needed
  • Ensures all patient records are up to date
  • Provides patients with education materials and sends communications to primary care physicians, nephrologists, and specialists for new enrollments/appointments
  • Assists with the referral process when needed
  • Provides excellent customer service and treats patients
  • Help patients and their families navigate the healthcare system and multitude of visits
  • Fosters a relationship with patients across their healthcare journey with a foundation of respect, honesty, empathy, no judgement and follow-through 
  • Skilled and passionate caring for patients with complex needs
  • Collaborates well with all levels of a clinical team (from Medical Assistants to Physicians)
  • Partners closely with the Strive NP to manage all pieces of care related to resources, appointments, care transitions, and care gaps
  • Performs vital signs
  • Meet in person with internal and/or external stakeholders to facilitate team and business priorities/opportunities. 
  • Serve patients in person and in multiple care settings (e.g., patient home, clinics) in addition to virtual visits.   
  • Home visits as determined by business need in market.
  • Complete om person visits with members (in home or where convenient to patient).
  • Serve as liaison between multiple service providers.
  • Assist with enrollment in services and community resources.
  • Assist with completing applications for resources, paperwork for provider visits, etc.
  • Follow up on referrals for pharmacy, DME, home care, etc.
  • Assist with finding and scheduling transportation.
  • Deliver culturally competent care.

Minimum Qualifications

  • High school diploma or equivalent required
  • At least two (2) years of experience in a professional office environment
  • Internet Connectivity - Min Speeds: 3.8Mbps/3.0Mbps (up/down): Latency <60 ms

Preferred Qualifications

  • Customer service experience
  • Active Community Health Worker Certification (CHW)
  • Intermediate proficiency in MS Word, Excel, PowerPoint, and Outlook
  • Excellent verbal and written communication skills
  • Skilled at dealing with confidential information and/or issues using discretion and judgment
  • Communicates clearly, respectfully, and thoughtfully

 

Salary : $46,800 - $59,200

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