Strive Health, LLC

Care Coordinator / Responsible for Multi-Sites in Michigan

Job Locations US-MI-Detroit | US-MI-Royal Oak | US-MI-Roseville
ID
1187
Category
Clinical Patient Care
Type
Full Time

Overview

Reporting to the RN Care Manager, a Care Coordinator works collaboratively with the care team to provide ongoing support and communication to Chronic Kidney Disease (CKD) and ESRD patients.  The Care Coordinator acts as a single point-of-contact to coordinate resources along the care delivery spectrum, identify gaps, and provide proactive follow-up. The Care Coordinator is responsible for making sure the patient’s care at various locations is connected and there are no gaps in care or communication.

Essential Functions

  • Performs outbound calls to patients to understand their clinical needs and connect them with appropriate resources.
  • Performs outbound calls to providers to make appointments for patients or follow up on care.
  • Answers inbound calls from patients, providers, and other resources, as necessary.
  • Follows up with patients to ensure their needs are met and schedules future check-ins.
  • Coordinates with clinical resources and providers to ensure smooth continuum of care for patients.
  • Monitors patient hospitalizations and follows up as necessary with care team members and outside resources to confirm Strive gathers all relevant patient information.
  • Notifies patients of location and appointment times as needed.
  • Ensures all patient records are up to date.
  • Provides patients with education materials and sends communications to primary care physicians, nephrologists, and specialists for new enrollments/appointments.
  • Assists with the referral process when needed.
  • Provides excellent customer service and treats patients.
  • Help patients and their families navigate the healthcare system and multitude of visits.
  • Fosters a relationship with patients across their healthcare journey with a foundation of respect, honesty, empathy, no judgement and follow-through. 
  • Skilled and passionate caring for patients with complex needs.
  • Collaborates well with all levels of a clinical team (from Medical Assistants to Physicians).
  • Partners closely with the Strive NP to manage all pieces of care related to resources, appointments, care transitions, and care gaps.
  • Obtains vital signs.

Qualifications

Minimum Qualifications:

  • High school diploma or equivalent required
  • At least two (2) years of experience in a professional office environment

Preferred Qualifications:

  • Customer service experience
  • Intermediate proficiency in MS Word, Excel, PowerPoint, and Outlook
  • Excellent verbal and written communication skills
  • Skilled at dealing with confidential information and/or issues using discretion and judgment
  • Communicates clearly, respectfully, and thoughtfully

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