Care Coordinator- Health Services

Care For the Homeless; New York (NY); On-site; USD 59,000 - 61,000; Full time

Job summary

Care For the Homeless in Brooklyn, NY is seeking a Care Coordinator- Health Services to support patients and clinical teams operating within FQHC Article 28 and the PCMH model. The role focuses on coordinating care for chronically ill or high-risk patients and involves partnering with families, caregivers, and community resources to integrate care.

The position requires strong organizational skills, the ability to manage referrals and scheduling, and front-desk duties.

Qualifications

• High School Diploma or Equivalent required.
• Bachelor’s degree preferred in a healthcare-related field.
• Knowledge of medical terminology and EMR experience.
• Minimum two years’ experience in ambulatory care, ER, or physician office.
• Bilingual English & Spanish.

Responsibilities

• Collaborate with clinical and administrative teams to ensure patient-centered quality care.
• Provide clerical and administrative support to patients.
• Liaise between patients, CFH, and off-site service providers.
• Coordinate with referrals team to schedule and track patient referrals.
• Support patients in scheduling and attending referrals and appointments.
• Register new patients and manage demographics and insurance information in the EMR.

Skills

Bilingual English & Spanish

Medical terminology

EMR experience

Education

High School Diploma or Equivalent

Bachelor’s degree (healthcare preferred)

Tools

eClinicalWorks

EPIC

Job description

Job Title: Care Coordinator- Health Services
Reports To: Director of Nursing
Location: Liberty Health Service Center Brooklyn 11207
Schedule: Monday-Friday 9am-5pm
Salary Range: 59k-61k based on relevant experience (Comprehensive Benefits Offered)

Position Summary:

The Care Coordinator provides day-to-day support to patients and the clinical team under FQHC Article 28 and the Patient-Centered Medical Home (PCMH) model The Care Coordinator position is an integral part of our care team and is dedicated to delivering exceptional care coordination services to our patients. This role focuses on collaborating with and continuously supporting individuals who are chronically ill or considered "high-risk" patients. The Care Coordinator will establish and maintain effective partnerships with patients, their families, caregivers, and specialty providers, clinics, hospitals, and other healthcare facilities. Additionally, they will liaise with community resources to ensure a cohesive approach to healthcare. This guarantees that all aspects of care, including provider referrals and support systems, are seamlessly integrated.

Engaging with client case managers or family members helps the patient receive the support and care they need. The Care Coordinator will manage and coordinate client care in our transitional and safe-haven facilities, including assessment sites. The ideal candidate will have a strong background in healthcare, social work, case management, or a related field. The Care Coordinator needs a passion for helping vulnerable populations in constantly changing environment

Key Responsibilities

• Collaborate with clinical and administrative teams to ensure patients receive patient-centered quality health care.
• Provide clerical and administrative support to patients. This support may occur in person, via telephone, email, or the patient's portal (web or telephone encounters).
• Liaise between patients, CFH, and off-site service providers such as specialty and radiology providers.
• Participate in process improvement committees, training, and staff meetings, as needed
• Coordinate with the referrals team to assist with scheduling, tracking, and management of patient referrals, ensuring follow-through with the recommended appointments.
• Support patients in attending specialized referral appointments, addressing potential barriers to ensure consistent care.
• Assist patients in managing their appointments at CFH Health Centers, including scheduling and rescheduling, and telephone support.
• Provide internal referrals to other services within the organization, along with non-clinical community referral linkages, and monitor outcomes.
• Conduct targeted outreach to patients requiring follow-up care or screenings, leveraging phone communication to ensure timely healthcare interventions.

• Monitor patient compliance with scheduled medical appointments, proactively contacting those who have missed appointments or disengaged from care to reconnect them with necessary services.

Patient Registration, Documents, and Insurance Verification

It is essential to understand and perform the necessary functions of the front desk. This helps you understand the flow when scheduling referral appointments.

• Register new patients to their preferred CFH site and/or update existing patient accounts.
• Obtain and scan copies of patient documents including but not limited to photo identification card(s), insurance card(s), referrals, consults, and emergency room discharge summaries.
• Accurately input/update patient demographic information to eCW, including, but not limited to patient’s name, birth date, address, telephone, email, insurance (medical, dental, vision), income and family size, housing status, veteran status, and sexual orientation/gender identity.
• Refer all uninsured or underinsured patients to the enrollment specialist to be screened for insurance eligibility.
• Verify patient’s medical insurance(s) to ensure coverage is active on the date of services, including but not limited to Medicaid, Medicaid Managed Care, Medicare, Medicare Managed Care, and Private or Commercial plans.
• Utilize insurance eligibility/verification portals to retrieve accurate patient insurance information, including but not limited to Claim Remedi, ePACES, Avaity, Managed Care and/or Private/Commercial individual portals.
• Add, modify, or update the patient’s medical insurance information to eCW.

Appointment Scheduling

• Manage requests for new, follow-up, routine care, off-site specialty, and radiology appointments initiated by a provider or patient.
• Reschedule appointments at the request of the provider or patient.
• Schedule follow-up appointments as necessary

Specialty Referral/Diagnostic Imaging Order(s)

• Ensure all insurance and demographic information is appropriately documented within the patient’s specialty referral or diagnostic imaging order using EpicCare Link.
• Provide copies of the specialty referral or diagnostic order to the patient as a second step in assuring receipt by the receiving facility.

Minimum Qualifications

• High School Diploma or Equivalent Required
• Bachelor’s degree (preferably in a healthcare-related field).
• Knowledge of medical terminology & eperience using an EMR
• Minimum two (2) years’ experience in an ambulatory care setting, Emergency Room, and/or Physician office.
• Bilingual English & Spanish

• Prior experience utilizing eClinicalWorks, EPIC, or any EMR
• Prior experience as a patient case representative, EMT, care coordinator, case manager, or patient access specialist; etc.

Additional Skill Sets:

• Excellent organizational and tracking skills are required.
• Excellent verbal and written communication skills are required.
• Excellent punctuality and attendance are required.
• Consistent demonstration of commitment to patient satisfaction, productivity, and excellence.
• The ability to work independently and maintain efficiency and productivity is required.
• Ability to multitask and meet assigned deadlines.
• Ability to work in a fast-paced and ever-changing environment.
• Process understanding and adjustments to change.
• Demonstrates initiative, personal awareness, professionalism and integrity, and exercises confidentiality in all areas of performance.