Bilingual Care Coordinator — Chronic Care Navigator

Suvida Healthcare; Phoenix (AZ); Presencial; USD 30.000 - 41.000; Jornada completa

Descripción de la vacante

Suvida Healthcare seeks a Care Coordinator to deliver high-quality care to Medicare-eligible seniors within a Hispanic-serving program. You will work closely with the Nurse Care Manager to follow up with high-risk patients, process DME and home health orders, triage calls, and retrieve hospital records for recently admitted patients.

Responsibilities include coordinating care transitions, assisting in clinical tasks within MA scope, and collaborating with physicians and the care team to close

Formación

• Minimum 3 years' experience as a Medical Assistant or LPN / LVN
• 5 years' experience as a Medical Assistant preferred
• 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
• High school diploma or equivalent required
• Completion of a Medical Assistant program required
• Certification in Medical Assisting from AAMA, CCMA or any other nationally recognised body required
• Active ACLS or BLS certification (or willing to obtain on within 7 days of start)
• LPN / LVN license preferred

Responsabilidades

• 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

Conocimientos

Interpersonal skills

Time management

Organizational skills

MS Office proficiency

Bilingual English/Spanish

Educación

High school diploma

Medical Assistant program

AAMA/CCMA certification

ACLS/BLS certification

LPN/LVN license preferred

Herramientas

Microsoft Office

Descripción del empleo

Suvida Healthcare seeks a Care Coordinator to deliver high-quality care to Medicare-eligible seniors within a Hispanic-serving program. You will work closely with the Nurse Care Manager to follow up with high-risk patients, process DME and home health orders, triage calls, and retrieve hospital records for recently admitted patients.

Responsibilities include coordinating care transitions, assisting in clinical tasks within MA scope, and collaborating with physicians and the care team to close