Care Coordinator – Triage, Transitions of Care, SNF, Value-Based Care

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

📋 Description

• Oversee incoming calls from patients and facilities, ensuring timely and professional responses.

• Accurately document interactions in the electronic health record (EHR).

• Address voicemail, electronic, and fax communications in accordance with program turnaround standards.

• Elevate urgent clinical issues to providers following established protocols.

• Act as a liaison among patients, providers, skilled nursing facilities (SNFs), hospitals, and community partners.

• Assist patients in navigating healthcare services and accessing necessary resources.

• Support follow-up on orders, care plans, and recommendations from providers.

• Identify barriers to care and encourage patient self-management.

• Monitor quality and program metrics using internal tools and dashboards.

• Help enhance workflows to facilitate care transitions and minimize gaps in care.

• Engage in quality improvement and patient satisfaction initiatives.

• Take part in interdisciplinary meetings and case discussions.

• Uphold HIPAA compliance and regulatory documentation standards.

• Foster professional relationships with both internal teams and external partners.

⛳️ Requirements

• A minimum of 2 years of experience in healthcare, care coordination, or patient support.

• Experience in SNF, post-acute, managed care, or value-based care is preferred.

• Excellent communication and documentation skills.

• Capability to manage multiple priorities in a dynamic environment.

• A Bachelor’s degree is preferred.

• Bilingual proficiency in Spanish is preferred.

🏝️ Benefits

• Medical

• Dental

• Vision

• Retirement

• Paid time off