Care Coordination Specialist - Population Health Support

Codman Square Health Center, Inc.; Boston (MA); On-site; USD 35,817 - 56,481; Full time

Benefits offered by this job

Medical and Dental Insurance

Life, AD&D, and Long-Term Disability

403(b) plan

Paid vacation, holidays, personal andS

Commuter Benefits

Tuition Assistance

Job summary

Codman Square Health Center, Inc. is seeking a Care Management Coordinator to support coordination and delivery of care management services for high-risk patients.

You will work with nurses, providers, and interdisciplinary teams to improve patient outcomes through proactive outreach and timely follow-up across the care continuum. The role emphasizes population health, care coordination workflows, and patient engagement, including scheduling, referrals, and documentation in the EHR.

Qualifications

• High school diploma or equivalent; Medical Assistant program preferred.
• MA certification (CMA, RMA, or equivalent) preferred.
• Minimum 2 years in ambulatory care, community health, or care coordination.
• Experience with patient outreach, scheduling, and care coordination preferred.
• Familiarity with population health concepts and care management workflows preferred.
• Experience with EHR systems (Epic preferred).

Responsibilities

• Coordinate care management for high-risk, complex patients and assist with outreach.
• Conduct patient outreach via phone, messages, and other channels for follow-up and scheduling.
• Assist with post-visit and post-discharge follow-up to ensure continuity of care.
• Support scheduling and coordination of specialty care, referrals, and internal services.
• Maintain organized workflows and documentation in the EHR; track referrals and follow-ups.

Skills

Communication

Organization

Team collaboration

Time management

Education

High school diploma

Medical Assistant program or equivalent

Tools

Epic EHR

Job description

Codman Square Health Center, Inc. is seeking a Care Management Coordinator to support coordination and delivery of care management services for high-risk patients.

You will work with nurses, providers, and interdisciplinary teams to improve patient outcomes through proactive outreach and timely follow-up across the care continuum. The role emphasizes population health, care coordination workflows, and patient engagement, including scheduling, referrals, and documentation in the EHR.