12,252 Care Coordination jobs in the United States

• Bachelor's of Science Degree in Community Health Education or Health Sciences, and/or minimum of 4 years of experience working in a clinical and/or administrative role in an acute care or community outpatient setting.

• Experience with EMRs - Epic preferred.
• Advanced knowledge and proficiency in Word, Excel, and, Power Point; experience in data compilation, analysis, tracking, and entry.
• Community (Population Health), Emergency Department, outpatient medical office, and/or inpatient hospital experience preferred.
• Must have valid driver's license, and ability to travel to and from care centers to meet with patients and providers.
• Preferred experience educating and engaging patients.
• Knowledge of local community resources.

• Monday-Friday, day shift. No holidays.
• May require work outside of normal hours to meet the needs of the providers and patients.

• At TidalHealth, full-time employees working at least 72 hours per pay period, part-time employees working at least 36 hours per pay period and part-time employees working at least 30 hours or more on weekends only are eligible for benefits.
• Benefits include medical, prescription, vision, dental, flexible spending accounts, disability insurance plans, life insurance, paid time off plans, retirement plans, tuition assistance, employee assistance, and access to on-site childcare and a credit union.

You are the compassionate and detail-oriented individual who makes sure our acute care patients smoothly transition to the next level of care in their recovery. Whether you’re referring patients to community resources or scheduling post-discharge follow-ups, you focus on making life better for our patients and their loved ones. In short, you embody the spirit of the Legacy community.

The Care Coordination Specialist, under the direction of the Rehabilitation Services Manager, provides complex and diversified clerical, telephonic and office support to assist with patient care coordination in the acute care setting and to/with community/discharge settings. The tasks performed may include referrals to community resources as well as resource and transportation coordination. Duties include but are not limited to: faxing of clinical information for arrangement of post-discharge placement or equipment needs, facilitating placement to designated skilled nursing facilities, scheduling post-discharge PCP follow-up appointments or establishing patients with a PCP when necessary, and delivery of Secondary Important Medicare Message (IMM) to appropriate patients. Administrative responsibilities include typing, transcription, file management, departmental scheduling, ordering supplies, preparing data and documents for key departmental committees, and operation of office equipment.

• Functions as the key point of contact between care management or clinic teams and post discharge facilities/agencies.
• Faxes clinical information for placement at post-discharge facilities such as SNF, ICF, AFH, Dialysis chairs, and Home Health.
• Schedules post-discharge PCP (primary care physician) appointments and completes appropriate documentation. 
• Establishes PCP for patients without a PCP.
• Arranges discharge transportation for patients, alerting staff members of discharge time and with appropriate documentation in medical records
• Arranges on-going transport needs for dialysis.
• Checks Medicaid eligibility and informs appropriate staff.
• When directed by Care Management Team, delivers Secondary IMM.
• Responsible for transcribing Utilization Review phone calls and faxed correspondence from payors and communicating information to Utilization Management RN. 
• Demonstrates effective interpersonal skills in communicating with all customers and informs management of concerns.
• Enhances department growth by support of and participation in the development and implementation of department goals and activities.
• Prioritizes assignments in order of importance and completes in a timely manner.
• Identifies creative approaches and takes action accordingly.
• Uses critical thinking and problem-solving skills effectively and seeks direction when indicated.
• Serves as the time-keeper for the department.
• Provides scheduling for department staffing and meetings.
• Attends all department meetings and produces timely, accurate and concise minutes.
• Answers department phone line and routes calls appropriately.
• Provides typing and transcription for Manager, as directed.
• Maintains and manages department files.
• Orders and maintains department supplies.
• Oversees operation of office equipment, including making service calls.
• Manages petty cash, invoices, and tracks department expenses.

Education: Bachelor’s degree preferred, or equivalent experience. Experience: Two years of experience in healthcare.  Administrative program support function experience preferred.  Experienced user of Access, Excel, Word and all standard office software.Experience with continuous quality improvement, outcomes management customer satisfaction, and regulatory standards for information management strongly preferred.  Experience in administrative support role requiring judgment and performance of a wide range of secretarial and/or administrative functions. 

Knowledge/Skills:Knowledge of the utilization review process preferred.Knowledge of available data systems within Legacy Health, particularly those specific to assigned department preferred.Strong analytical and customer-support skills.Ability to effectively manage conflict, competing priorities, and to problem solve.Strong verbal and written communication skills.Medical terminology background preferred.Demonstrated computer skills including word processing and database.Demonstrated professional behavior and relationships with ability to maintain confidentiality within the work setting.

Our Legacy is good for health for Our People, Our Patients, Our Communities, Our World. Above all, we will do the right thing.

If you are passionate about our mission and believe you can contribute to our team, we encourage you to apply—even if you don't meet every qualification listed. We are committed to fostering an inclusive environment where everyone can grow and succeed.

Legacy Health is an equal opportunity employer and prohibits unlawful discrimination and harassment of any type and affords equal employment opportunities to employees and applicants without regard to race, color, religion or creed, citizenship status, sex, sexual orientation, gender identity, pregnancy, age, national origin, disability status, genetic information, veteran status, or any other characteristic protected by law.

To learn more about our employee benefits click here:

• Contact and support patients to complete key care plan steps and meet engagement goals
• Identify, analyze, and act on service gaps to support comprehensive patient follow-through
• Collaborate with clinical, operational, and technical teams to streamline workflows
• Document interactions accurately and surface urgent issues to the right stakeholders

• 2+ years of experience in a patient-facing healthcare, call-center, care-coordination, or customer-success role.
• Familiarity with EHR scheduling modules (Epic, athenahealth, eClinicalWorks, etc.) and basic CRM/ticket tools.
• Stellar phone etiquette, writing skills, and active-listening chops.
• Comfort juggling multiple software tabs and priorities in a fast-moving startup.
• Demonstrated empathy for patients navigating complex care.
• Fluency in another language (e.g., Spanish, Russian, Korean) a plus but not required.
• Secure Internet connectivity.

• Competitive pay of $22/hr-$30/hr based on candidate experience.
• Full-time (40 hours per week) and part-time (20+ hours per week) opportunities available.

• Fully remote work environment
• Comprehensive onboarding, training, and technology support
• Generous health, vision, and dental insurance for eligible team members
• Paid time off
• A mission-driven culture committed to empowering clinicians and improving access to preventive care

Description

Location: UCHealth UCHlth Anschutz Outpt Pavilion, US:CO:Aurora

Department: UCH CO Responder Program

FTE: Full Time, 1.0, 80.00 hours per pay period (2 weeks)

Shift: Days

Pay: $25.80 - $8.70 / hour. Pay is dependent on applicant's relevant experience

Summary:

Provides clients and families with supportive care coordination services related to their health care management, education on chronic disease management and health maintenance, and connection to appropriate community resources.

Responsibilities:

• Serves clients under appropriate supervision and participates in regular case conferences. Provides outreach and initial contact to potential clients to introduce them to the program and engage them in care coordination services.

• Maintains individual case records and protects confidential information. Provides education to clients using population-specific criteria. Documents services provided per established guidelines.

• Coordinates an individualized plan of care with the client and family. Works with primary care providers and other members of the health care team to ensure coordination of services. Coordinates appointments with providers, utilizing transportation resources as needed. Meets clients in their home, at a provider's office, in the hospital, or in the community as part of ongoing support, offering monitoring of care. Provides appropriate follow-up.

• Serves as a client advocate with local community agencies (as permitted by clients), and provides emotional support. Facilitates access to key resources including information and education related to chronic disease management. Educates and coaches clients and caregivers about self care skills; collaborates with providers to achieve desired outcomes.

• Within scope of job, requires critical thinking skills, decisive judgement and the ability to work with minimal supervision. Must be able to work in a fast-paced environment and take appropriate action.

Requirements:

• Bachelor's degree in Public Health, Nutrition, Exercise Science, Health, Wellness, or related field.

• Preferred: Experience working with under-served populations or in community health programs.

We improve lives. In big ways through learning, healing, and discovery. In small, personal ways through human connection. But in all ways, we improve lives.

UCHealth invests in its Workforce.

UCHealth offers a Three Year Incentive Bonus to recognize employee's contributions to our success in quality, patient experience, organizational growth, financial goals, and tenure with UCHealth. The bonus accumulates annually each October and is paid out in October following completion of three years' employment.

UCHealth offers their employees a competitive and comprehensive total rewards package (benefit eligibility is based off of FTE status):

• Medical, dental and vision coverage including coverage for eligible dependents

• 403(b) with employer matching contributions

• Time away from work: paid time off (PTO), paid family and medical leave (inclusive of Colorado FAMLI), leaves of absence; start your employment at UCHealth with PTO in your bank

• Employer-paid basic life and accidental death and dismemberment coverage with buy-up coverage options

• Employer paid short term disability and long-term disability with buy-up coverage options

• Wellness benefits

• Full suite of voluntary benefits such as flexible spending accounts for health care and dependent care, health savings accounts (available with HD/HSA medical plan only), identity theft protection, pet insurance, and employee discount programs

• Education benefits for employees, including the opportunity to be eligible for 100% of tuition, books and fees paid for by UCHealth for specific educational degrees. Other programs may qualify for up to 5,250 pre-paid by UCHealth or in the form of tuition reimbursement each calendar year

Loan Repayment:

• UCHealth is a qualifying employer for the federal Public Service Loan Forgiveness (PSLF) program! UCHealth provides employees with free assistance navigating the PSLF program to submit their federal student loans for forgiveness through Savi.

UCHealth always welcomes talent. This position will be open for a minimum of three days and until a top applicant is identified.

UCHealth recognizes and appreciates the rich array of talents and perspectives that equal employment and diversity can offer our institution. As an equal opportunity employer, UCHealth is committed to making all employment decisions based on valid requirements. No applicant shall be discriminated against in any terms, conditions or privileges of employment or otherwise be discriminated against because of the individual's race, color, national origin, language, culture, ethnicity, age, religion, sex, disability, sexual orientation, gender, veteran status, socioeconomic status, or any other characteristic prohibited by federal, state, or local law. UCHealth does not discriminate against any qualified applicant with a disability as defined under the Americans with Disabilities Act and will make reasonable accommodations, when they do not impose an undue hardship on the organization.

Who We Are (uchealth.org)

For more than 70 years, Mercy Medical Center Redding has offered comprehensive health care in the North State, providing acute care and a full range of medical services. The 267-bed hospital offers major medical services including a Level II Trauma Center as well as specialized Cardiovascular Care, Stroke Care, Orthopedics, Neurological Surgery, Comprehensive Cancer Care, Maternity Care, and da Vinci Robotic Surgery. It is the sole provider of obstetrical services, along with the only Level III Neonatal Intensive Care Unit in Shasta County. In addition, the hospital’s network of care includes Mercy Home Health and Hospice and Dignity Health Connected Living. Mercy Medical Center Redding is a member of the Dignity Health system and is a sister facility to St. Elizabeth Community Hospital in Red Bluff and Mercy Medical Center Mt. Shasta. As one of the area’s largest not-for-profit employers, we are proud to give back to the community by providing many programs and services to benefit overall health. Visit here to learn more. 

One Community. One Mission. One California 

Position Summary:

Under direct supervision the Care Coordinator is responsible for assessing, planning, facilitating and advocating for options and services through a continuum of care from point of contact through discharge on assigned patients.The Care Coordinator performs this role in such a manner as to meet the individuals health needs while promoting quality and cost effective outcomes. The positions emphasis will be on care coordination, communication and collaboration with nursing, physicians, departments within the medical center, insurers and post acute service providers to pace the care toward optimal outcomes within the appropriate level of care. The Care Coordinator will advocate for the patient and family by identifying and valuing patient choice, spiritual needs, cultural, language and socioeconomic barreris to care transitions. In addition, the Care Coordinator will protect confidentiality while striving to achieve high levels of patient satisfaction. The Care Coordinator consistently conducts the utilization review process and the discharge planning process as required by hospital policies, standards of practice and Federal and State regulations.The position reports to the Supervisor Care Coordination.

Minimum Qualifications:

Required:

• CM certification preferred, Current Registered Nurse (RN) license
• Minimum of 3 years nursing experience in an acute hospital setting.
• Prior Care Coordination experience in a clinical or insurance setting is required. If operational conditions permit, training a candidate without the required experience may be considered. A Masters Degree in nursing with a concentration in Case Management can serve as a substitute for the experience requirement.
• ASN degree and current Registered Nurse (RN) license.

Preferred:

• BSN degree or experience equivalent preferred

• Manage patients who experience a transition of care (inpatient stay or ED visit) within 48 hours, ensuring that the discharge plan of care is implemented. This includes medical and functional assessments, medication reconciliation, referrals to VNA, behavioral health referrals, and scheduling appropriate follow-up appointments;

• Work in collaboration with the health care team and other CCs to identify, stratify and manage high risk patients, providing a care plan with self-management goals and documenting care activities in the EHR;

• Use data from various technology platforms including the EHR, ACO partners, payers, hospital portals, and web applications to meet value-based requirements;

• Monitor that appropriate home care, hospice care or other ancillary services (DME, infusion services, etc) are in place and being delivered as directed by the primary care team;

• Implement population management strategies for patients supported by technology-based tracking and incorporating best practices guidelines for preventive and disease screening;

• Facilitate patient engagement activities through patient education which is focused on self-care, personal goal-setting, and partnering with the provider for best outcomes;

• Maintain professional competencies through attending continuing education courses and ensure that all licensure and certification credentials are consistently current.

• Current, active, and unrestricted NJ Registered Nurse license, BS degree preferred

• Certified Case Manager (CCM) certification a plus

• 3 years of experience preferred in case management, direct patient care, home care, or with insurance company

• Current, active, and unrestricted NJ Registered Nurse license, BS degree preferred
• Certified Case Manager (CCM) certification a plus
• 3 years of experience preferred in case management, direct patient care, home care, or with insurance company

• Strong analytical skills using clinical judgment and case management experience

• Persuasive interpersonal skills required; ability to influence others while motivating them to change

• Able to prioritize and balance work responsibilities in a high volume environment

• Takes initiative in finding solutions to difficult and/or sensitive problems

• Effective communication skills with varied staff on the health care team

• Active NJ driver license

• Able to travel to VMG sites and outside locations for training and meetings