Care Coordinator 

 

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 

Performs vital signs 

 

Minimum Qualifications 

High school diploma or equivalent required 

At least two (2) years of experience in a professional office environment 

Trained in performing vital signs and can pass competency  within 30 days of hire date 

 

Preferred Qualifications 

 

Customer service experience 

Medical Assistant certification preferred 

Intermediate proficiency in MS Word, Excel, PowerPoint, and Outlook 

Excellent verbal and written communication skills