Care Coordinator

United States

Full Time

Experienced

POSITION OVERVIEW

Harbor Health is seeking a Care Coordinator to support our integrated care delivery model. This role is essential to our care management team, working collaboratively with providers and multidisciplinary teams to ensure high-risk members receive coordinated, comprehensive care. The Care Coordinator will engage members in their healthcare journey, close care gaps, and facilitate seamless communication across our payvider platform.

POSITION DUTIES & RESPONSIBILITIES

Proactively outreach and engage high-risk members, post-discharge members, and those requiring additional care management support
Schedule Primary Care Provider (PCP) follow-up appointments and ensure all care gaps are closed
Collaborate with care team members and external vendors to coordinate member care, including durable medical equipment (DME) and home health services
Request and manage medical records from various physicians and healthcare systems to enable continuity of care
Screen members and escalate to nursing and social work team members based on individual member needs
Assist nursing and social work teams with member follow-up, providing tools and resources as directed
Monitor stable member populations under the guidance of nursing and social work team members
Address open care gaps through collaborative relationships with members, ensuring adequate documentation in the medical record
Coordinate with local community resources to support members' physical and psychosocial needs
Participate in special initiatives and projects as directed by market leaders

DESIRED PROFESSIONAL SKILLS & EXPERIENCE

Required:

3+ years of experience in a medical office or healthcare setting
Certified Medical Assistant or eligible within 90 days of hire
Proficiency with technology including Microsoft Office suite
Experience using electronic health records, including data capture and reporting
Strong organizational skills with ability to manage multiple tasks simultaneously
Demonstrated ability to engage diverse populations with cultural sensitivity
Excellent problem-solving skills and ability to identify issues requiring escalation
Strong communication skills and ability to build trust with members and team members

Preferred:

Experience in value-based care or population health management
Familiarity with care coordination workflows in a primary care setting
Knowledge of community resources and social determinants of health

WHAT WE OFFER

Opportunity to directly impact member outcomes and care coordination across our payvider model
Collaborative and dynamic work environment
An organization made of people who are passionate about changing the healthcare landscape
Competitive salary and benefits package
Professional development and growth opportunities
A transparent and unique culture

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