Care Coordination Specialist

TidalHealth; Northern (KY); Hybrid; USD 60,000 - 90,000; Full time

Benefits offered by this job

Tuition Assistance

Certification support

PTO and Holidays

Onsite Child Care

Pet Insurance

Short-Term Disability

Long-Term Disability

Life Insurance

Job summary

The Care Coordination Specialist (CCS) at TidalHealth PRCIN is a key member of the primary care team, coordinating care across ambulatory, hospital, home, and skilled nursing settings. The CCS focuses on health outcomes, social determinants of health, and patient-centered plans to promote self-care and safe transitions.

BS in Community Health Education or Health Sciences and 4+ years in clinical/administrative roles; Epic EMR experience and proficiency with Word/Excel/PowerPoint are preferred.

Qualifications

• BS in Community Health Education or Health Sciences or equivalent experience.
• 4+ years clinical or administrative experience in acute or outpatient settings.
• Experience with EMRs; Epic preferred.
• Proficiency with Word, Excel and PowerPoint; data tracking and analysis.

Responsibilities

• Coordinate care for moderate to high risk patients across care settings.
• Develop patient-centered plans and coach patients for self-management.
• Identify social, environmental, and financial needs and refer to community resources.
• Collect and analyze data related to team and population health metrics.

Skills

EMR Epic

Data analysis

Community health

Patient education

Travel to care centers

Education

BS in Community Health Education or Health Sciences

Tools

Word

Excel

PowerPoint

Job description

Location

Care Coordination Specialist

• Location Berlin, MD
• Facility TidalHealth PRCIN
• Department MD Primary Care CTO
• Schedule - Shift - Hours Full Time - Monday - Friday - 8:00am to 4:00pm

Join a triple 'A' rated team where clinical excellence meets a coastal lifestyle. At TidalHealth, you’ll be part of an award-winning network spanning Maryland and Delaware, recognized by the Leapfrog Hospital Safety Guide for our unwavering commitment to patient care. Whether your expertise lies in specialized clinical fields like neurosurgery, academic mentorship through our graduate medical programs, or the critical professional and support roles that keep our network thriving, we provide the tools and tuition assistance you need to excel.

Care Coordination Specialist Position Summary

The Care Coordination Specialist (CCS) for the Peninsula Regional Clinically Integrated Network (PRCIN) functions as a key member of the primary care practice team. Under the supervision of the PRCIN Care Coordination Supervisor, the CCS is responsible for providing care coordination services to moderate and high risk patients ensuring safe and effective transitions across the health care continuum to include the ambulatory care setting, hospital, home environment, and skilled nursing facilities. The CCS serves as a care resource and coach with a focus on the health and wellness, prevention, and social determinants of health, and in collaboration with the practice-based health care team develops and implements a patient-centered plan of care that promotes self-care. The primary Duties of the Position include practice-based care coordination for patients at risk for health deterioration, poor outcomes, and/or high resource utilization, and identifying social, environmental, and financial needs and coordinating referral to community resources as appropriate. The Care Coordination Specialist will motivate patients to complete specific health care tasks related to an improvement in health, as well as provide disease specific education to assist patient in self-management of condition. They will also be responsible for the collection and analysis of data relating to team and population health metrics.

Care Coordination Specialist Position Requirements

Education

• Bachelor's of Science Degree in Community Health Education or Health Sciences, and/or minimum of 4 years of experience working in a clinical and/or administrative role in an acute care or community outpatient setting.

Experience

• Experience with EMRs - Epic preferred.
• Advanced knowledge and proficiency in Word, Excel, and, Power Point; experience in data compilation, analysis, tracking, and entry.
• Community (Population Health), Emergency Department, outpatient medical office, and/or inpatient hospital experience preferred.
• Must have valid driver’s license, and ability to travel to and from care centers to meet with patients and providers.
• Preferred experience educating and engaging patients.
• Knowledge of local community resources.

Care Coordination Specialist Work Schedule

• Monday-Friday, day shift. No holidays.
• May require work outside of normal hours to meet the needs of the providers and patients.

Care Coordination Specialist Benefits

Benefits: We provide a robust benefits suite for our eligible team members (36+ hours for 12-hour shifts; 37.5+ hours for standard shifts):

• Health:Medical (including HSA), Dental, Vision, & Prescription
• Wealth:Matching 403(b), Healthcare FSAs, & Dependent Care FSAs
• Growth:$5,000 Tuition Assistance & Certification support
• Balance:Generous PTO and Holidays, Onsite Child Care, Pet Insurance
• Income Protection & Leave:Employer-Paid Short-Term Disability, Paid Leave Program, & Long-Term Disability (LTD for FT)
• Life & Security:Employer-paid Life andadditionalvoluntary benefits such as Accident, Critical Care,additionalLife, and more

TidalHealth

offers the best inpatient-centered care across the Delmarva Peninsula, from wellness checkups and classes to high-tech surgeries, trauma, cancer and heart care. Wherever you are on your health journey, we’re here to care for you.