Bilingual Care Coordinator — Chronic Care & Transitions

Suvida Healthcare LLC; Phoenix (AZ); On-site; USD 30,000 - 39,000; Full time

Job summary

Suvida Healthcare LLC is seeking a Care Coordinator to partner with the Nurse Care Manager in delivering high-quality care. You will conduct daily follow-ups, process DME and home health orders, triage calls, and retrieve hospital records for recently admitted patients, all while supporting chronic care and transition programs.

You will communicate with physicians and nursing staff, assist in MA scope procedures for high-risk patients, and help close care gaps to improve Medicare HEDIS metrics.

Qualifications

• 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.
• Active ACLS or BLS certification (or willing to obtain on within 7 days of start)
• LPN / LVN license preferred.

Responsibilities

• Conduct daily 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

Skills

Interpersonal communication

Time management

Organization

Bilingual English/Spanish

Education

High school diploma or equivalent

Medical Assistant program completion

MA certification (AAMA/CCMA or equivalent)

ACLS or BLS certification

LPN/LVN license preferred

Tools

Microsoft Office

Job description

Suvida Healthcare LLC is seeking a Care Coordinator to partner with the Nurse Care Manager in delivering high-quality care. You will conduct daily follow-ups, process DME and home health orders, triage calls, and retrieve hospital records for recently admitted patients, all while supporting chronic care and transition programs.

You will communicate with physicians and nursing staff, assist in MA scope procedures for high-risk patients, and help close care gaps to improve Medicare HEDIS metrics.