Care Coordinator

Mosaic Health, LLC.; North Fort Myers (FL); Hybrid; USD 26,000 - 39,000; Full time

Job summary

Mosaic Health, LLC. is seeking a Care Coordinator to support care management in an outpatient setting. The role reports to the RN Care Manager and collaborates with PCPs, specialty teams, patients, and caregivers to improve outcomes and reduce avoidable utilization.

Responsibilities include care plan implementation, chart reviews, appointment tracking, and coordinating services across providers. Telephonic outreach and documentation are also essential parts of the role.

Qualifications

• Assists in implementing and monitoring individualized patient care plans.
• Performs monthly patient chart reviews to identify care gaps and preventive needs.
• Monitors follow-up appointments, referrals, diagnostics, and care plan goals.
• Coordinates services among PCPs, specialists, hospitals, SNFs, home health agencies, and community resources.
• Conducts telephonic outreach to patients and caregivers as directed.

Responsibilities

• Assist the RN Care Manager in care plan implementation and monitoring.
• Review patient charts monthly to identify gaps and opportunities for intervention.
• Track follow-ups, referrals, tests, and goals to ensure progress.
• Coordinate care across providers and settings for continuity of care.
• Engage patients and families through outbound outreach to support adherence.

Skills

Care coordination

Patient outreach

Documentation

Chronic disease mgmt

Job description

## Care CoordinatorApplyremote type: Hybrid - Full Timelocations: North Fort Myers, FLtime type: Full timeposted on: Posted Todayjob requisition id: M104403**Job Description Summary**The Care Coordinator works under the direction of the RN Care Manager and in collaboration with primary care providers, patients, caregivers, and interdisciplinary team members to support care management activities in the outpatient setting. This role assists with care coordination, transitions of care, chronic disease management, patient outreach, resource navigation, and documentation to improve patient outcomes, reduce avoidable utilization, and enhance the patient experience. The Care Coordinator may be a Licensed Practical Nurse (LPN) or an experienced Medical Assistant (MA) with strong clinical knowledge and care coordination experience.**How will you make an impact & Requirements****Program Goals**The Care Coordinator supports the following organizational goals:Prevent unnecessary emergency department visits and hospital admissions.Reduce 30-day hospital readmissions.Improve communication and care coordination between Primary Care Providers (PCPs), specialists, and acute care settings.Facilitate safe and effective transitions of care.Support advance care planning discussions and documentation.Assist patients and caregivers in identifying the most appropriate level of care following discharge.Improve patient engagement, self-management, and adherence to care plans.**Essential Responsibilities****Care Coordination*** Assist the RN Care Manager in implementing and monitoring individualized patient care plans.* Perform monthly patient chart reviews to identify care gaps, preventive care needs, and opportunities for intervention.* Monitor and track follow-up appointments, referrals, diagnostic testing, and care plan goals.* Coordinate services among primary care providers, specialists, hospitals, skilled nursing facilities, home health agencies, and community organizations.* Collaborate with the healthcare team to ensure continuity of care across settings.**Patient Outreach and Engagement*** Conduct telephonic outreach to patients and caregivers as directed by the RN Care Manager.* Assess barriers to care, including transportation, medication access, financial concerns, health literacy, and social determinants of health.**Compensation Range:**$19.00to$28.50*The anticipated base salary range represents the Company's good-faith estimate of the compensation it reasonably expects to pay for this position at the time of posting. Actual compensation will be determined based on factors including experience, skills, qualifications, geographic location, internal equity, and business needs.*