Value-Based Care Navigator

Joseph T Sherrel MD PA; Lake City (FL); On-site; USD 42,000 - 68,000; Full time

Job summary

North Florida Pediatrics is seeking a Care Coordinator to support patient communication, medication questions, refills, referrals, and lab/test result updates at the request of the clinician. The role also backs floor nursing, escorts patients, and ensures accurate vitals entry in the EHR, with vaccines administered per Chief Medical Officer and AAP guidelines.

You will work to identify high-risk rural patients, coordinate care across clinics, mobile units, telehealth, and specialists; conduct

Qualifications

• Certification – CMA, LPN, RN or a degree in healthcare administration or social work
• Experience – 1 to 3 years of clinical or outpatient primary care
• Technical Skills – familiarity with EHR systems and population health platforms

Responsibilities

• Identify high-risk or chronically ill patients in rural populations who need closer monitoring
• Bridge gaps between local primary care clinics, mobile health units, behavioral health tele hubs, and regional specialists
• Conduct regular check-ins between clinical visits to keep patient care plans on track and reduce emergency room usage
• Utilize electronic health records (EHRs) and health information exchanges (HIEs) to track quality metrics and close care gaps across disparate rural settings

Skills

Microsoft Outlook

Adobe

Education

CMA/LPN/RN or healthcare admin/social work degree

Job description

North Florida Pediatrics is seeking a Care Coordinator to support patient communication, medication questions, refills, referrals, and lab/test result updates at the request of the clinician. The role also backs floor nursing, escorts patients, and ensures accurate vitals entry in the EHR, with vaccines administered per Chief Medical Officer and AAP guidelines.

You will work to identify high-risk rural patients, coordinate care across clinics, mobile units, telehealth, and specialists; conduct