Geriatrics Panel Care Coordinator — Hybrid/Remote

IHA; Ypsilanti (MI); Hybrid; USD 52,000 - 68,000; Full time

Job summary

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

You will work with Nurse Navigators and the care team to coordinate services, schedule follow-ups, and educate patients on disease management and adherence.

Qualifications

• 3+ years’ experience in panel management or care coordination.
• Experience with geriatric population and chronic disease management preferred.
• Completion of health program such as IHA Panel Coordinator Onboarding or similar.

Responsibilities

• Support geriatric providers through panel management and patient outreach.
• Monitor chronic disease registries and preventive care gaps to identify follow-ups.
• Conduct outreach via MyChart messages, calls, letters to engage patients.
• Coordinate services with Nurse Navigators and care team.
• Schedule appointments, tests, and follow-ups as needed.
• Onboard new patients and foster long-term patient-provider relationships.
• Support population health initiatives and quality measures.
• Review EMR and payer data to improve care gaps and documentation.
• Educate patients and families on preventive care and management.

Skills

Panel management

Care coordination

Patient outreach

Interdisciplinary collaboration

Education

High School Diploma or GED

Medical Assistant program

Associate or Bachelor's degree in health-related field

Tools

EMR systems (MyChart)

Job description

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

You will work with Nurse Navigators and the care team to coordinate services, schedule follow-ups, and educate patients on disease management and adherence.