Patient Health Coordinator, LPN/MA

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

📋 Description

• Support care coordination initiatives and address needs for a designated group of paneled patients.

• Work collaboratively with cross-functional teams to resolve issues and meet objectives.

• Serve as a liaison between providers and patients by communicating messages, processing referrals and faxes, and managing prior authorizations.

• Assess the effectiveness of interventions and treatments, recommending adjustments to care plans as necessary.

• Collaborate with the integrated care team to address medical concerns effectively.

• Advocate for patients during High-Risk Huddles, providing assessments and actionable recommendations.

• Reach out to patients discharged from hospitals or emergency departments to gather information and close care gaps.

• Identify, document, and address issues, goals, and interventions in care plans.

• Relay clinical information and instructions to patients, caregivers, facilities, and other entities on behalf of providers.

• Engage in collaborative care teams and High-Risk Huddles to enhance quality and patient experience outcomes.

• Identify and work towards the resolution of Social Determinants of Health barriers.

• Proactively oversee patient care through outreach and scheduled follow-up checkpoints.

• Promptly document calls and patient interactions in the EHR in accordance with clinical documentation guidelines and relevant laws.

• Interact compassionately and professionally with patients, families, care teams, and external entities.

• Recognize, escalate, and address patient complaints, grievances, and concerns effectively.

• Comply with HIPAA regulations and all applicable state and federal laws.

⛳️ Requirements

• High school diploma or GED required.

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

• Familiarity with Medicare, Medicare Advantage, and Medicaid insurance programs.

• Well-organized, detail-oriented, and capable of multitasking in a fast-paced, dynamic environment.

• Strong interpersonal communication and active listening skills.

• Adaptability to meet changing community needs and program environments.

• Excellent critical thinking and sound judgment abilities.

• Proven time-management skills.

• Strong dedication to patient advocacy.

• Self-motivated with outstanding problem-solving capabilities.

• Basic knowledge of medical terminology.

• Ability to work both independently and collaboratively within a team.

• Proficiency in EMR software/applications, call center technology, and Microsoft Office Suite.

• Experience in community work or healthcare settings.

• Understanding of fundamental principles, practices, and techniques in primary healthcare.

• Active LPN/LVN license in the state where patients are located, or certification as a Foreign Nursing Graduate, Foreign Medical Graduate, or Community Health Worker (preferred).

• Experience with Athena EHR (preferred).

• At least 2 years of experience providing exceptional customer service (preferred).

• A minimum of 2 years of experience in a role requiring critical thinking (preferred).

🏝️ Benefits

• Health, Dental, Vision, Disability & Life Insurance.

• 401K Retirement Plan with company match.

• Tuition, Professional License, and Certification Reimbursement.

• Paid Time Off, Holidays, and Volunteer Time.

• Paid Orientation and Training.

• Daytime hours with no holidays or weekends required.

• Manageable rosters and daily visit quotas compared to a traditional practice setting.