Senior Care Coordination Coach: Home Visits & Advocacy

CenterWell Senior Primary Care; Orlando (FL); Hybride; USD 54 000 - 73 000; Plein temps

Résumé du poste

CenterWell Senior Primary Care seeks a Care Coach to coordinate care across health and social services, including home visits and community outreach. You will support patients with high-risk, geriatric needs and reinforce treatment plans in partnership with primary care, specialists, and pharmacists.

The role emphasizes patient-centered care, cultural competence, and proactive engagement to close care gaps and ensure safe transitions of care. Travel to patient homes is required.

Qualifications

• Healthcare professional with 3+ years of ambulatory, primary care or senior-care direct patient care.
• Ability to discuss chronic conditions and reinforce medication instructions.
• Comfort conducting home visits and community-based outreach.
• Experience in patient education, care coordination, and social support of high-risk or geriatric populations.

Responsabilités

• Coordinate care across health and social service systems, acting as patient advocate and clinical support.
• Perform home visits to assess living conditions and barriers to engagement.
• Identify and address social needs; connect patients with community resources.
• Deliver culturally appropriate education to reinforce provider and pharmacist recommendations.

Connaissances

Ambulatory care

Care coordination

Patient education

Chronic disease management

Bilingual English/Spanish

Formation

LPN/LVN license

RN license or MA certification

Active licensure

Description du poste

CenterWell Senior Primary Care seeks a Care Coach to coordinate care across health and social services, including home visits and community outreach. You will support patients with high-risk, geriatric needs and reinforce treatment plans in partnership with primary care, specialists, and pharmacists.

The role emphasizes patient-centered care, cultural competence, and proactive engagement to close care gaps and ensure safe transitions of care. Travel to patient homes is required.