Geriatrics Panel Care Coordination Specialist (Hybrid/Remote)

Trinity Health; Ypsilanti (MI); Hybrid; USD 52,000 - 76,000; Full time

Benefits offered by this job

Day-one benefits

Competitive pay

Medical, dental, and vision coverage

Career growth opportunities

Job summary

Trinity Health IHA Medical Group in Michigan seeks a compassionate Geriatric Panel Management Coordinator to support the Comprehensive Geriatric Program through advanced panel management, outreach, care coordination, and quality improvement activities. You will help older adults stay connected to their care team and close gaps in preventive and chronic disease care.

The role involves navigating transitions between visits and care management programs with hybrid work across Livonia, Ypsilanti,

Qualifications

• Minimum 3+ years' experience in panel management, care coordination, or similar role.
• Geriatric population and chronic disease management experience preferred.
• Strong communication and patient education skills.

Responsibilities

• Support geriatric providers through proactive panel management and patient outreach.
• Monitor chronic disease registries and preventive care gaps to identify patients needing follow-up.
• Conduct outreach via MyChart, phone, letters to engage patients in their care.
• Coordinate services with Nurse Navigators and interdisciplinary team members.
• Schedule appointments, tests, and follow-up services based on provider recommendations.
• Onboard new patients and foster long-term patient-provider relationships.
• Support population health initiatives and quality incentive measures.
• Review EMR and payer data to validate care gaps and improve outcomes.
• Educate patients and families on preventive care and chronic disease management.

Skills

Panel management

Care coordination

Patient outreach

Quality improvement

EMR navigation

Education

High School Diploma or GED

Bachelor’s or Associate degree in health-related field

Tools

EMR systems

MyChart

Job description

Trinity Health IHA Medical Group in Michigan seeks a compassionate Geriatric Panel Management Coordinator to support the Comprehensive Geriatric Program through advanced panel management, outreach, care coordination, and quality improvement activities. You will help older adults stay connected to their care team and close gaps in preventive and chronic disease care.

The role involves navigating transitions between visits and care management programs with hybrid work across Livonia, Ypsilanti,