Care Coordinator - TCM

What You’ll Do

The Care Coordinator works collaboratively with the care team to provide ongoing support and communication to chronic kidney disease (CKD) and End-Stage Renal Disease (ESRD) patients. This individual 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. This role will report to the Lead Care Coordinator.

The Day to Day

• 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.

• Follows up with patients to ensure their needs are met and schedules future check-ins. Notifies patients of location and appointment times as needed.

• Coordinates with clinical resources and providers to ensure smooth continuum of care for patients. Assists with completing applications for resources paperwork for provider visits etc.

• Monitors patient hospitalizations and follows up as necessary with care team members and outside resources to confirm Strive gathers all relevant patient information.

• Provides patients with education materials and sends communications to primary care physicians nephrologists and specialists for new enrollments/appointments.

• Collaborates well with all levels of a clinical team (from Medical Assistants to Physicians) and partners closely with the Strive Nurse Practitioner (NP) to manage all pieces of care related to resources appointments care transitions and care gaps.

Minimum Qualifications

• 2+ years combined of related education experience or certification.

• Current BLS or CPR Certification required.

• Efficient and reliable transportation allowing for the ability to commute to patient homes.

• Provides in-person patient care which may include standing sitting walking pushing pulling and lifting.

• Internet Connectivity - Min Speeds: 3.8Mbps/3.0Mbps (up/down): Latency <60 ms.

Preferred Qualifications

• Active Community Health Worker (CHW) Certification.

• Customer service experience.

• Intermediate proficiency in MS Word Excel PowerPoint and Outlook.

About You

• Excellent verbal and written communication skills.

• Skilled at dealing with confidential information and/or issues using discretion and judgment.

• Communicates clearly respectfully and thoughtfully.

Hourly Range: $22.25-$25.00