Care Coordinator

Suvida; Fort Worth (TX); On-site; USD 52,000 - 68,000; Full time

Benefits offered by this job

Competitive Pay

Free Mental Health & Life Coaching

Holiday Time Off with Pay

Paid Community Service Day

Paid Parental/Family Leave

Generous PTO

401k With Company Match

Job summary

Suvida Healthcare is hiring a Care Coordinator to support high-risk patients with daily follow-ups, DME/home health orders, and triage duties. You will work closely with the Nurse Care Manager to ensure smooth patient transitions and care continuity.

The role requires bilingual English/Spanish proficiency, strong organizational skills, and experience in chronic care management. Excellent communication with physicians and care teams is essential.

Qualifications

• Minimum 3 years' experience as a Medical Assistant or LPN/LVN.
• 5 years' experience as Medical Assistant preferred.
• Experience in chronic care management or related field preferred.

Responsibilities

• Conduct daily patient follow-ups for high-risk patients in Chronic Care and Transition of Care programs.
• Process DME and home health orders accurately.
• Support inbound triage calls and coordinate responses to acute patient needs.
• Retrieve hospital records for recently admitted patients.
• Collaborate with Nurse Care Manager to ensure seamless patient care delivery.
• Coordinate care progression across acute, post-acute, and home settings.

Skills

Medical background

Bilingual (English/Spanish)

Interpersonal skills

Organizational skills

Communication skills

Education

LPN/LVN license preferred

Job description

At Suvida Healthcare, we are not just caregivers; we're compassionate advocates dedicated to enriching the lives of our cherished seniors. As a Team Member with us, you will embark on a fulfilling journey where your skills and empathy converge to make a meaningful impact on the well-being of an underserved community and their families. Our multi-disciplinary primary care program is built to address the physical, behavioral, social, and cultural needs of Medicare-eligible Hispanic seniors.

Celebrate diversity and inclusivity in a workplace that attracts, engages, values, rewards, and recognizes the unique needs and backgrounds of both, our patients and our team. We believe that a rich tapestry of experiences, shared interests, and perspectives enhances the care we provide, making us a stronger, service-centered, and more compassionate healthcare family and Employer of Choice! Will you join us Suvidanos, to help achieve our Higher Purpose?

What Makes Us Unique

We are an empowered primary care team, clinical operations, and support team creating health equity through an exceptional clinical and consumer experience that improves the quality of life for the people, families, and neighborhoods we serve. We tailor our primary care program to the culture, language, social, and overall well-being of the seniors we serve.

How We Work

Our Culture & Core Beliefs

• Earn Trust
• Building Relationships
• Creating Joy
• Doing Right
• Improving Every Day
• Moving Forward
• Competitive Pay
• Free Mental Health & Life Coaching for Team Members and their Dependents
• Holiday Time Off with Pay
• Paid Community Service Day
• Paid Parental/Family Leave
• Generous Paid Time Off (PTO)
• 401k Retirement Plan with Company Match
• And much more....

What You'll Do

Position Summary

The Care Coordinator will play a pivotal role in delivering high-quality care to our patients at Suvida Healthcare. Working closely with the Nurse Care Manager, the Care Coordinator will be responsible for conducting daily patient follow-ups, processing durable medical equipment (DME) and home health orders, triaging calls, retrieving hospital records for recently admitted patients, and performing other clinical clerical tasks within the scope of practice for high-risk patients. Additionally, the Care Coordinator will undertake other tasks as assigned by the Nurse Care Manager.

Responsibilities

• 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

What You'll Bring

Knowledge, Skills, and Abilities

• 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
• Bilingual/Bicultural (English and Spanish) required

Education, Experience, Licensure, or Certification Requirements

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

Suvida Healthcare provides equal employment opportunities to all Team Members and applicants for employment and prohibits discrimination and harassment of any typewithregard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.