Patient Care Coordinator

South Plains Rural Health Services; Levelland (TX); On-site; USD 42,000 - 54,000; Full time

Job summary

South Plains Rural Health Services seeks a Patient Care Coordinator to navigate referrals, coordinate screenings, and keep chronic care on track. You will collaborate with providers and nursing staff, help patients schedule follow-ups, and maintain secure patient records under HIPAA.

The role emphasizes care coordination, data entry in the EMR, and population health support within a community health center setting in Texas.

Qualifications

• Medical Assistant or CNA preferred.
• At least one year of experience in a clinical setting; community health center experience preferred.
• Working knowledge of EMR systems, care coordination, and chronic disease support.
• Strong organization, communication, and follow-through skills.
• Ability to work collaboratively and protect patient confidentiality.
• Bilingual in English and Spanish preferred.

Responsibilities

• Coordinate outgoing referrals and imaging orders with providers and Referral Department.
• Follow up with patients about scheduling, steps, and access to care.
• Track records and results, update EMR, ensure referrals are completed.
• Partner with providers and nursing staff to support care coordination.
• Maintain patient registries for diabetes and hypertension; contact overdue patients.
• Support population health, UDS reporting, PCMH activities, and quality projects.
• Assist with PDSA activities to test and improve care processes.
• Maintain accurate, confidential patient records per HIPAA and SPRHS policies.

Skills

Care coordination

Organization

Bilingual in English & Spanish

Education

Medical Assistant or CNA preferred

Tools

EMR systems

Job description

Now Hiring: Patient Care Coordinator

South Plains Rural Health Services (SPRHS) is seeking a Patient Care Coordinatorto join our team. This position helps patients navigate referrals, complete recommended screenings, and stay on track with chronic condition care.

The coordinator works closely with providers, nursing staff, and the Referral Department to support timely patient follow-up and improve quality of care. This is a nonsupervisory position.

What You'll Do

• Coordinate outgoing specialist referrals and diagnostic imaging orders with providers and the Referral Department.
• Follow up with patients about scheduling, next steps, and questions about accessing care.
• Track outside records and results, document updates in the electronic medical record (EMR), and help ensure referrals are completed.
• Partner with providers and nursing staff to support care coordination and patient follow-up.
• Maintain patient registries for conditions such as diabetes and hypertension and contact patients who are overdue for visits or screenings.
• Support population health initiatives, Uniform Data System (UDS) reporting, Patient-Centered Medical Home (PCMH) activities, and quality improvement projects.
• Assist with Plan-Do-Study-Act (PDSA) activities to test and improve care processes.
• Maintain accurate, confidential patient records in accordance with HIPAA and SPRHS policies.

What We're Looking For

• Medical Assistant or CNA preferred
• At least one year of experience in a clinical setting; community health center experience preferred.
• Working knowledge of EMR systems, care coordination, and chronic disease support.
• Strong organization, communication, and follow-through skills.
• Ability to work collaboratively and protect patient confidentiality.
• Bilingual in English and Spanish preferred.

As part of South Plains Rural Health Services, Inc.'s commitment to patient and staff safety, all employees are required to comply with the annual influenza vaccination policy. Employees must either provide proof of influenza vaccination, or submit a medical/religious exemption form and wear a face mask during the flu season.