
Care Coordinator
Posted Aug 24

Posted Aug 24
This is a fully remote position, open to applicants in United States.
• Conduct telephonic outreach to enroll and engage patients selected for the clinical program.
• Serve as the primary contact for patients who are enrolled.
• Collaborate with the Nurse Care Manager to create and execute care plans.
• Ensure smooth transitions of care between various settings and dialysis centers.
• Revise patient care plans to improve care delivery and coordination.
• Perform patient assessments to identify social, economic, and environmental factors affecting health.
• Suggest solutions for gaps in care and connect members with housing, transportation, food security, and community support resources.
• Assist members in navigating health and social services as well as community organizations.
• Advocate for members by recognizing barriers to care and addressing disparities in health access and outcomes.
• Communicate effectively with patients, families, caregivers, and healthcare teams.
• Document interactions, assessments, and care plans in compliance with organizational and regulatory standards.
• Provide educational resources and solutions to empower patients and their families.
• Perform additional duties as assigned, including cross-market coverage.
• A minimum of 3 years of experience in healthcare coordination, community health work, or a related healthcare field.
• Proficiency in a team-based approach to care.
• Strong knowledge of community resources.
• Exceptional ability to prioritize tasks and switch between them to meet the needs of patients and the care team.
• Self-motivated and proactive in addressing issues professionally and creatively.
• Excellent communication and teaching skills.
• Intermediate proficiency in Microsoft Office Suite, including Outlook and Teams.
• Ability to work effectively in a predominantly remote setting.
• Minimum internet download speed of 25 Mbps and upload speed of 10 Mbps.
• A wired internet connection via Cable, Fiber, or DSL; a hardwired connection to the device is preferred.
• Must work from a designated area free from ongoing interruptions to safeguard member PHI / HIPAA information.
• Paid time off beginning 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 positions.
• A 401(k) plan with Evergreen matching up to 4% of contributions after six months of employment.
• Paid parental leave.
• A comprehensive training and development program that starts with onboarding and continues throughout your career at Evergreen Nephrology.
• Eligibility for bonuses.
• Remote work arrangement with telephony applications and equipment provided to meet business needs.
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