About this role
What You’ll Do - Job Responsibilities Position Summary The Care Coordinator will play a pivotal role in delivering high-quality care to our patients at Suvida Healthcare. Working closely with the Nurse Care Manager, the Care Coordinator will be responsible for conducting daily patient follow-ups, processing durable medical equipment (DME) and home health orders, triaging calls, retrieving hospital records for recently admitted patients, and performing other clinical clerical tasks within the scope of practice for high-risk patients. Additionally, the Care Coordinator will undertake other tasks as assigned by the Nurse Care Manager. Essential responsibilities consist of but not all inclusive: Responsibilities Conduct daily patient follow-ups for high-risk patients within the Chronic Care and Transition of Care Programs. Process DME and home health orders efficiently and accurately. Support inbound triage calls from patients and coordinate appropriate responses to acute patient needs. Retrieve hospital records for patients recently admitted to external facilities. Perform clinical clerical tasks to support the Chronic Care Program and Transition of Care Programs. Assist in procedures within the Medical Assistant scope of practice for high-risk patients. Collaborate closely with the Nurse Care Manager to ensure seamless patient care delivery. Identify and address barriers to care for high-risk patients. Coordinate patient care progression throughout the continuum, including transitions from acute and post-acute settings to home or other transitional care facilities. Communicate effectively with physicians, nursing staff, and other members of the multidisciplinary care team. Facilitate patient discharge planning process to optimize outcomes and satisfaction. Monitor patient progress and intervene as necessary to ensure patient-focused, high-quality care. Collaborate with external case managers and community resources as needed. Actively participate in clinical performance improvement activities. Support activities to promote closure of care gaps and attainment of Medicare HEDIS metrics. Other tasks as assigned.
Spring Branch - 7838 Long Point Rd. Houston TX 77055
What You’ll Bring Knowledge, Skills, and Abilities Minimum 2 years of experience as a Medical Assistant or LPN / LVN. Experience in chronic care management or related field preferred. Excellent interpersonal and communication skills. Strong organizational and time management abilities. Proficiency in Microsoft Office suite. Bilingual/Bicultural (English and Spanish) required. Education, Experience, Licensure, or Certification Requirements High school diploma or equivalent required. Completion of a Medical Assistant program required. Certification in Medical Assisting from AAMA, CCMA or any other nationally recognized body required. LPN / LVN license preferred.
How We Work Our Culture & Core Beliefs Earn Trust Building Relationships Creating Joy Doing Right Improving Every Day Moving Forward
Equal Employment Opportunity (EEO) Policy Suvida Healthcare provides equal employment opportunities to all Team Members and applicants for employment and prohibits discrimination and harassment of any type with regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.