Care Coordination Specialist

Care Coordination Specialist Overview

• The Care Coordination Specialist is a key member of the healthcare team, ensuring comprehensive medical case management services for all primary care patients.
• Collaborate with clinical and support staff to manage patient enrollments, referrals, and administrative processes within the EMR system.
• Support patients in navigating insurance programs, including ADAP applications and authorization processes.
• Document hospitalizations, schedule discharge appointments, and monitor client progress to enhance patient outcomes.
• Participate in morning huddles and medical staff meetings, contributing to quality improvement initiatives.
• Coordinate referrals, ensuring proper documentation, insurance authorizations, and communication of outcomes to providers.
• Oversee program enrollment and manage resource distribution, including gift card allocation and record-keeping.
• Advocate for patients affected by homelessness, substance use, and HIV/AIDS, supporting the organization’s mission.

Care Coordination Specialist Key Responsibilities & Duties

• Coordinate patient enrollments in insurance programs and assist with ADAP applications and paperwork.
• Document hospitalizations, schedule discharge appointments, and monitor patient progress with clinical teams.
• Manage referral processes, ensuring accurate documentation, insurance authorizations, and communication with providers.
• Participate in morning huddles and medical staff meetings, contributing to patient care planning and quality improvement.
• Assist with patient registration, appointment scheduling, and medical records management within the EMR system.
• Oversee the distribution of program resources, including gift cards, and maintain accurate records.
• Provide coverage for Patient Access Specialists and support general administrative tasks as needed.
• Advocate for patients by addressing challenges related to homelessness, substance use, and HIV/AIDS.

Care Coordination Specialist Job Requirements

• High School Diploma or GED required; relevant certifications are a plus.
• Minimum of 2 years of experience in a medical or related field preferred.
• Proficiency in using Electronic Medical Record (EMR) systems for documentation and data entry.
• Strong organizational skills and ability to manage multiple tasks in a fast-paced environment.
• Excellent communication skills for collaborating with clinical teams and supporting patient care coordination.
• Knowledge of insurance programs and processes, including ADAP, is highly desirable.
• Commitment to the organization’s mission and values, including advocacy for vulnerable populations.
• Flexibility to adapt to changing priorities and deliver effective service to internal and external customers.