Hospital Care Coordinator

Premier Medical; Leesburg (FL); On-site; USD 42,000 - 62,000; Full time

Job summary

NeueHealth seeks a Care Coordinator to promote quality, cost-effective outcomes by coordinating across care settings and advocating for members’ needs. You will gather clinical data, support care plans, and ensure smooth transitions of care for assigned populations.

The role requires bilingual English/Spanish abilities, strong communication, and experience in medical management. Equal opportunity employer and a commitment to high-quality, consumer-centric care are emphasized.

Qualifications

• Bilingual required (English/Spanish) and strong communication skills.
• Experience in medical management or care coordination is preferred.
• Ability to interpret health plan benefits and coordinate across care settings.

Responsibilities

• Collect relevant clinical data to support care planning.
• Support care plans and transitions to optimize health and self-management.
• Coordinate with providers across settings to ensure quality outcomes.
• Facilitate transitions of care and patient education as directed.
• Link patients to community resources addressing social determinants of health.
• Adhere to policies and procedures and handle referrals per business rules.
• Participate in continuous quality improvement and documentation.

Skills

Bilingual English/Spanish

Care coordination

Education

High School Diploma

Certification as a Medical Assistant preferred

Job description

NeueHealth is a value-driven healthcare company grounded in the belief that all health consumers are entitled to high-quality, coordinated care. By uniquely aligning the interests of health consumers, providers, and payors, we help to make healthcare accessible and affordable to all populations across the ACA Marketplace, Medicare, and Medicaid.

NeueHealth delivers clinical care to health consumers through our owned clinics – Centrum Health and Premier Medical – as well as unique partnerships with affiliated providers across the country. We also enable providers to succeed in performance-based arrangements through a suite of technology and services scaled centrally and deployed locally. Through our value-driven, consumer-centric approach, we are committed to transforming healthcare and creating a better care experience for all.

JOB SUMMARY

The role of the Care Coordinator is to promote quality, cost-effective outcomes for a population by facilitating collaboration and coordination across settings, identifying member needs, and advocating to ensure member’s receive services and resources required to meet desired health and social outcomes. The Care Coordinator is responsible for providing patient centered care across the care continuum.

DUTIES & RESPONSIBILITIES

The Care Coordinator job description is intended to point out major responsibilities within the role, but it is not limited to these items.

• Collect relevant clinical data to support the care planning process.
• Care Plan support and intervention to transition members to optimal levels of health and self-management, as directed.
• Collaboration across providers and healthcare settings to ensure optimal quality outcomes for an assigned population.
• Provide transition of care interventions as required.
• Facilitate care coordination, self-management planning, discharge planning, and health education as directed.
• Facilitate linkage to appropriate community resources to address social determinants of health.
• Adjudicate referrals according to defined business rules across all care settings.
• Adheres to the Policies and Procedures set forth by the Quality Management Committee and performs all additional duties as assigned.

EDUCATION AND PROFESSIONAL EXPERIENCE

(LICENSURES AND CERTIFICATIONS)

• High School Diploma
• Minimum 2 years of experience in medical management.
• Capacity to interpret health plan benefit decisions.
• Bilingual Required (English/ Spanish)
• Certification as a Medical Assistant preferred.

PROFESSIONAL COMPETENCIES

• High level of critical thinking and problem-solving skills
• Strong work ethic and overall positive attitude
• Effective communication skills including verbal and written.
• Ability to manage time effectively, understand directions, and work independently in a fast-paced environment.
• Demonstrated flexibility, organization, and self-motivation.
• Highly adaptable to change.

WORK ENVIRONMENT

The majority of work responsibilities are performed in an open office setting, carrying out detailed work sitting at a desk/table and working on the computer.

As an Equal Opportunity Employer, we welcome and employ a diverse employee group committed to meeting the needs of NeueHealth, our consumers, and the communities we serve. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

Voluntary Self-Identification

For government reporting purposes, we ask candidates to respond to the below self-identification survey.Completion of the form is entirely voluntary. Whatever your decision, it will not be considered in the hiringprocess or thereafter. Any information that you do provide will be recorded and maintained in aconfidential file.

As set forth in Premier Medical’s Equal Employment Opportunity policy,we do not discriminate on the basis of any protected group status under any applicable law.

If you believe you belong to any of the categories of protected veterans listed below, please indicate by making the appropriate selection.As a government contractor subject to the Vietnam Era Veterans Readjustment Assistance Act (VEVRAA), we request this information in order to measurethe effectiveness of the outreach and positive recruitment efforts we undertake pursuant to VEVRAA. Classification of protected categoriesis as follows:

A "disabled veteran" is one of the following: a veteran of the U.S. military, ground, naval or air service who is entitled to compensation (or who but for the receipt of military retired pay would be entitled to compensation) under laws administered by the Secretary of Veterans Affairs; or a person who was discharged or released from active duty because of a service-connected disability.

A "recently separated veteran" means any veteran during the three-year period beginning on the date of such veteran's discharge or release from active duty in the U.S. military, ground, naval, or air service.

An "active duty wartime or campaign badge veteran" means a veteran who served on active duty in the U.S. military, ground, naval or air service during a war, or in a campaign or expedition for which a campaign badge has been authorized under the laws administered by the Department of Defense.

An "Armed forces service medal veteran" means a veteran who, while serving on active duty in the U.S. military, ground, naval or air service, participated in a United States military operation for which an Armed Forces service medal was awarded pursuant to Executive Order 12985.