Patient Care Coordinator

Eventful Concepts; Huntsville (AL); On-site; USD 45,000 - 65,000; Full time

Job summary

Eventful Concepts is seeking a dedicated Care Coordinator in Huntsville, Alabama. The Care Coordinator will be responsible for managing a panel of patients, monitoring their treatment plans, and coordinating with interdisciplinary teams to achieve health goals.

The ideal candidate should have a minimum of 2 years experience in care coordination, a High School diploma/GED, and the ability to build trusting relationships with patients and their families. This role is vital for ensuring comprehensive kidney care and patient education.

Qualifications

• High School diploma or GED.
• Minimum 2 years experience as a Care Coordinator.

Responsibilities

• Establish trusting relationships with patients and families.
• Monitor and coordinate patients' treatment plans.
• Educate patients about their condition.

Education

High School/GED

Care Coordinator (2+ years)

Job description

As a Care Coordinator, you will be responsible for a panel of patients and, in collaboration with other members of our Nephrology partners and interdisciplinary care team, help patients meet their kidney care and overall care goals. Care coordinators monitor and coordinate patients' treatment plans, educate them about their condition, connect them with health care providers, coordinate care with care centers and partners, and evaluate their progress.

Responsibilities

• Establish trusting, supportive, collaborative relationships with patients and their families
• Build relationships with patients in a clinical setting, working alongside the interdisciplinary team professionals, including nephrologists, nurse care managers, advanced practice providers, behavioral health advanced practice providers, pharmacists, social workers, and dietitians.
• Actively engage a panel of adult patients
• Consistently track census on inpatient and skilled nursing facility admissions, coordinate care, ensure the proper discharge, and timely follow-up as appropriate
• Closely work with NCMs on outpatient, longitudinal care coordination of in-home and community-based services, including but not limited to DME, home health, referrals, and in-home supportive services
• Take responsibility (in partnership with providers and NCM) for the health of a population of patients and monitor and track whether those patients are up to date on preventive measures
• Communicate with patients by phone or in person and escalated to the care team when necessary
• Link patients to community resources
• Assist with the coordination of care across the kidney care continuum, such as scheduling appointments with specialists and dialysis centers, coordinating referrals, and sharing or transferring information with the patient’s internal and external care team
• Participate in establishing a pragmatic care plan
• Capture relevant information about the patient’s health and healthcare experience, taking vitals, administering point-of-care testing, and performing standard age and condition-appropriate screening assessments as needed
• Other duties as assigned

Qualifications

• High School/GED
• Care Coordinator (2+ years)

Preferred:

• Valid Certified Medical Assistant (CMA)

Additional Information

All your information will be kept confidential according to EEO guidelines.

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