Patient Care Coordinator

MCR Health, Inc; Bradenton (FL); On-site; USD 42,000 - 64,000; Full time

Benefits offered by this job

Drug-free workplace

Job summary

MCR Health, Inc is seeking a Patient Care Coordinator in Bradenton, FL. This role focuses on post-acute care management, chronic disease management, and coordinating care across the healthcare continuum to empower patients and reduce barriers to access.

Responsibilities include assessing patient needs, maintaining caseloads, creating care plans, and helping families navigate the system. A strong emphasis on teamwork, autonomy and flexible scheduling is required.

Qualifications

• Bachelor's or higher in public health, nursing, behavioral science or related field; AA/AS with 4 years hands-on clinical experience.

Responsibilities

• Identify the patient's needs and potential barriers to care through data collection.
• Maintain a patient caseload consistent with program guidelines.
• Develop and implement individualized patient care plan with disease management focus.
• Assist patients and families with navigation of the healthcare system with care team.
• Link patients to available community resources as appropriate.

Skills

Care Coordination

Case Management

Chronic Care Management

Discharge Planning

Autonomy

Team Collaboration

Education

BA/BS in Public Health, Nursing, Behavioral Science or related field

AA/AS in Public Health, Nursing, Behavioral Science or related field

Tools

Microsoft Office

EHR software

EPM

Job description

Why MCR Health?

A career at MCR Health offers exciting opportunities with one of the largest Healthcare companies in the areas we serve. Now, more than ever, we are looking for exceptional people to support our passion to provide "Exceptional Care to Everyone, Every Time", and to support our Mission

Brief Description

Why MCR Health?

A career at MCR Health offers exciting opportunities with one of the largest Healthcare companies in the areas we serve. Now, more than ever, we are looking for exceptional people to support our passion to provide "Exceptional Care to Everyone, Every Time", and to support our Mission to serve everyone. Whether you provide direct patient care or in other areas of our Company, you can find a home here. We invite you to be part of our community where you can grow your career and serve with your heart.

In our time of Company growth, we seek a Patient Care Coordinator.

Work Location:

Bradenton, FL

As Part Of This Role, You Will

• Identify the patient's needs and potential barriers to care through the collection of subjective data from the patient and/or the patient's family
• Maintain a patient caseload consistent with program guidelines
• Develop and implement individualized patient care plan with a focus on disease management, patient empowerment, and health care goals; along with taking account of identified discharge needs and potential barriers to care
• Assist patients and their families with the navigation of the healthcare system in collaboration with their care team while addressing open care gaps
• Assist patients and their families by providing linkage to available community resources, as appropriate

Requirements

What you need to bring to this role:

• Graduation from an accredited university with a background in science, including a BA or BS in Public Health, Nursing, Behavioral Science, or a similar degree; an AA or AS degree in Public Health, Nursing, Behavioral Science, or a similar degree will be considered, with a minimum of 4 years of hands-on clinical experience in one or more of the following domain areas: Clinical Care, Behavioral Health, or Social Services
• Minimum 1-3 years' experience in Care Coordination, Case Management, or related area within a healthcare inpatient or outpatient setting
• Experience in Chronic Care Management desirable
• Case Management or related Certification desirableExperience in complex discharge planning preferred
• Proficiency in Microsoft Office products, EPM, and EHR software preferred
• Ability to function autonomously while keeping team members and leaders informed
• Possession of a current Florida State driver's license and a registered, insured vehicle, as periodic travel may be required to effectively service patients
• Must have proof of vehicle insurance if the position requires driving
• Must be able to work a flexible schedule

Summary

Responsible for actively participating in the successful post-acute care management of assigned patients with complex needs including chronic disease management, active care planning, and management of high-cost patients with multiple barriers, along with open care gaps. Receives assigned patients and takes responsibility for individual patient transition processes for MRC Health patients; from acute to post-acute venues, including skilled nursing and rehabilitation facilities to home. Implements risk-stratified, evidence-based patient transition management processes, targets, and metrics. Actively participates in the management of patients with complex needs to include chronic disease management, active care planning, and management of high-risk patients with multiple barriers in successfully managing their disease state. Implements all operational policies and procedures relating to the Care Coordination Department as well as a caring and compassionate impression on all clients of the company.

• MCR Health is a drug-free workplace. All job applicants selected for employment are required to submit to a pre-employment drug test and background check.