Care Coordinator

Bookmark Medical; Mesa (AZ); Hybrid; USD 42,000 - 65,000; Full time

Benefits offered by this job

Medical, dental, and vision coverage

Company funded HSA

401(k) with company match

Flexible time off

Certification reimbursement

Job summary

Bookmark Medical is hiring a Care Coordinator for a hybrid role combining remote and in-person work. You will partner with clinicians to close care gaps, identify patients for Annual Wellness Visits, and support quality care across the care team.

The role emphasizes patient advocacy, efficient resource use, and strong communication with patients and care teams. Minimum qualifications include CPR/BLS and 2–3 years as a Medical Assistant or LPN.

Qualifications

• Excellent communication with patients, families, and health care teams.
• Ability to work independently and as part of a care team.
• Strong organizational and problem-solving skills to manage workflows and patient needs.
• Proficient in EMR and documentation practices.
• Knowledge of primary care concepts, care coordination, and health promotion.

Responsibilities

• Interview and patient intake to gather medical information.
• Coordinate and communicate with the health team to plan and execute the care plan.
• Perform clinical tasks and procedures as needed in the office.
• Identify patients for wellness visits and close care gaps.
• Document care accurately in the EMR and support quality measures.

Skills

Communication

Team collaboration

Independent work

Organization

EMR proficiency

Problem solving

Patient education

Education

Current CPR / BLS

Job description

Provider-Centered. Patient-Focused. Built For What Healthcare Should Be.

At Bookmark Medical, we are building a healthcare experience rooted in trust, teamwork, compassion, and continuous progress. We believe the best care happens when providers and care teams have the support, technology, and resources they need to focus on what matters most—patients.

Our mission is simple: improve lives through high-quality continuous care. Through connected care teams, innovative tools, and collaborative culture, we are creating a healthcare experience where patients are known, supported, and never have to start over.

Whether you are caring directly for patients, supporting operations, or helping grow our organization, you will join a team that values your expertise, encourages your growth, and empowers you to make a meaningful impact every day.

If you are looking for more than just a job, if you are looking for a purpose-driven career where your work truly matters, we would love to meet you.

Job Overview : Care Coordinator – Hybrid position (Remote and In-Person)

As a Bookmark Medical Care Coordinator, you will be a vital member of the team providing exceptional care to our patients. Our clinical team includes physicians, nurse practitioners, physician assistants, nurses, and medical assistants. This role will work collaboratively with the primary care provider and all members of the health care team to promote quality care and close care gaps. The care coordinator will identify patient care needs, implement the plan of care, and communicate with patients in person and via phone as well as perform specific clinical tasks and procedures in the office setting.

This position is responsible for identification of patients appropriate for Annual Wellness Visits (AWV) and execution of guided processes to complete the visit. Responsibilities also include coordinating patient care to improve quality of care through the efficient use of resources and acting as an advocate for the individual’s healthcare needs.

Essential Job Functions, Duties, And Responsibilities

The following list of duties is not intended to be restrictive or all inclusive.

• Perform interview and patient intake to gather medical information
• Utilize patient medical information to:
• Prepare for and/or provide care based upon patient visit or encounter needs
• Identify patients appropriate for care management or transitional care management services
• Perform therapeutic point of care diagnostic testing and other relevant clinical tasks as ordered for patients
• Interact professionally in person and telephonically with patient/family to inform, educate, counsel to plan of care
• Communicate, coordinate, and consult with members of the health team to eliminate barriers to care delivery and meet individual patient’s healthcare needs
• Maintain accurate and timely documentation of the patient’s care in the EMR
• Focus clinic efforts on patient satisfaction, clinical quality measures, HEDIS, and meaningful use standards
• Provide high intensity engagement with patients and family and serve as a patient advocate
• Follow Annual Wellness Visit protocols and standing orders including completion of preventive services as appropriate
• Perform medical record reviews to look for gaps in care such as missing mammograms, colon cancer screenings, diabetic screenings, etc.
• Coordinate with provider and clinical team to inform of missing screenings and HEDIS gaps
• Address open quality gaps with patients and works collaboratively towards closure
• Utilize incoming reports of emergency room utilization, hospital/facility discharges and medical information to initiate transitional care management activities and plan of care
• Submit/report patient information to various health plans via their portals
• Comply with federal, state, and local regulatory requirements and participates in the preparation and conduction of clinic or program regulatory audits
• Assist with all quality measure initiatives
• Assist as needed with other clinical duties such as prior authorizations, referrals, patient messages, prescription refills

Minimum Qualifications

Education :

• Current CPR /BLS

Experience

• Minimum of 2-3 years of experience as a Medical Assistant or Licensed Practical Nurse
• Experience in primary care, chronic care/disease management, or care coordination preferred

License

Must Have

• Knowledge of primary health care and the social determinants of health
• Knowledge of HEDIS measures and CMS Star Ratings Methodology
• Knowledge of concepts of health promotion, disease prevention, chronic disease management, care coordination and transitions of care
• Health coaching or motivational interviewing
• Knowledge and awareness related to cultural competence

Skills & Abilities

• Ability to work independently and be self-directed
• Ability to collaborate and work well with other healthcare professionals
• Ability to be an effective change agent
• Effective organizational, critical thinking, problem-solving and decision-making skills
• Excellent communication skills and ability to adapt communication styles to meet the needs of patients, healthcare team members and community partners
• Proficient in EMR documentation and computer/technology savvy

Why You Will Love Working Here

We take care of our team so they can take care of patients. Benefits include:

• Medical, dental, and vision coverage
• Company funded HSA + exclusive healthcare discounts
• 401(k) with company match
• Flexible time off + Vacation Exchange Program
• Medical Assistant Certification Reimbursement

What We Value

Trust. Ownership (Together). Compassion. Relentless Progress. These values shape how we show up for patients — and for each other.

Bookmark Medical is committed to a workplace that supports and sustains inclusion and belonging. Bookmark Medical does not discriminate in employment opportunities or practices on the basis of race, color, religion, gender, national origin, age, physical or mental disability, pregnancy, childbirth or related medical conditions, military service obligations, citizenship, sexual orientation, genetic information, or any other characteristic protected by applicable local, state, or federal law.