Care Coordinator

This is a fully remote position, open to applicants in United States.

📋 Description

• Conduct telephonic outreach to enroll and engage patients selected for the clinical program.

• Serve as the primary point of contact for patients who are enrolled.

• Create and implement care plans under the supervision of the Nurse Care Manager.

• Support transitions of care across various settings and dialysis centers.

• Revise patient care plans to improve care delivery and coordination.

• Perform patient assessments to uncover social, economic, and environmental factors affecting health.

• Suggest gap closures for inclusion in comprehensive care plans.

• Connect members with resources for housing assistance, transportation, food security, and community support.

• Assist members in navigating health and social services, as well as community-based organizations.

• Advocate for members by identifying barriers to care and addressing disparities.

• Communicate effectively with patients, families, caregivers, and healthcare teams.

• Document member interactions, assessments, and care plans in accordance with organizational and regulatory standards.

• Provide educational resources and solutions to empower patients and their families.

• Perform additional assigned duties, including cross-coverage between markets.

⛳️ Requirements

• A minimum of 3 years of experience in healthcare coordination, community health work, or a related healthcare field.

• Familiarity with a team-based approach to care.

• Excellent understanding of community resources.

• Exceptional ability to prioritize tasks and switch between them to meet the needs of patients and the overall care team.

• Self-motivated and driven to resolve issues in a professional and creative manner.

• Strong communication and teaching abilities.

• Intermediate proficiency with MS Office Suite, including Outlook and Teams.

• Capable of working effectively in a primarily remote environment.

• Minimum download speed of 25 Mbps and upload speed of 10 Mbps required.

• Wired internet connection (Cable, Fiber, or DSL) and a hardwired device are recommended.

• A dedicated workspace free from ongoing interruptions to ensure the protection of member PHI / HIPAA information.

• Availability to work from 8:30 a.m. to 5:00 p.m. PST and support patients in the Pacific Time Zone.

🏝️ Benefits

• Eligibility for bonuses.

• Paid time off starting at 4 weeks for full-time employees.

• 12 paid holidays each year.

• Medical, dental, vision, and life insurance, including an HSA with employer matching.

• Reimbursement for continuing medical education for eligible roles.

• A 401(k) plan where Evergreen matches up to 4% of contributions after six months of tenure.

• Paid parental leave.

• A comprehensive training and development program that begins with onboarding and continues throughout your career with Evergreen Nephrology.

• Fully remote work arrangement.

• Evergreen will provide Remote or Hybrid Home/Office employees with telephony applications and equipment to fulfill the business requirements for their position/job.