Provider Network Solutions

Pediatrica Health Group
·22 days agoPediatrica Health Group
·22 days agoCare coordinator
Location
onsite, Miami, FL, United States
Commitment
Full Time
Level
Junior (<2 years)
Required skills
Job Description
The Care Coordinator is responsible for supporting patients and families by coordinating healthcare services, ensuring smooth transitions of care, and promoting adherence to treatment plans. Working across multiple practice sites, this role focuses on care management and utilization/quality improvement, medication refill management, coordination of care for special and post-acute populations, and tracking of key performance and accreditation metrics, in close collaboration with providers, payers, and community resources.
ESSENTIAL FUNCTIONS:
Care Management
- Monitor patient progress and address barriers to care.
- Facilitate communication between patients, clinical teams, and external partners.
- Support utilization management and quality improvement activities.
Documentation & Compliance
- Maintain accurate records in care management systems and EHR.
- Ensure compliance with organizational policies and regulatory requirements.
- Manage medication refill requests and processing in accordance with clinical protocols.
Patient Support & Navigation
- Assist patient’s parents in understanding their care plans and available resources.
- Coordinate appointments, referrals, and follow-up care across multiple providers.
- Provide focused care coordination for special populations and post-acute care needs.
Resource Coordination
- Connect patients with community services, financial assistance, and support programs.
- Educate patients on preventive care and wellness initiatives.
- Track and report on metrics related to accreditation, benchmarking, and progress toward program goals.
KNOWLEDGE, SKILLS & ABILITIES
- Strong communication and interpersonal skills.
- Ability to multitask and manage time effectively.
- Proficiency in care management software and electronic health records (EHR).
- Additional computer experience, including proficiency in Excel and databases.
- Core Competencies: Empathy and patient advocacy, organizational skills, collaboration and teamwork, and problem solving.
EDUCATION & EXPERIENCE
Bachelor’s degree in nursing, Licensed Practical Nurse certified, or a related field is preferred. Minimum of 1-2 years of experience in care coordination or case management and or patient services preferred.
WORKING CONDITIONS
General office working conditions. May require occasional overtime during peak periods, such as month-end or year-end closings.
PHYSICAL DEMANDS
The physical demands described here are representative of those that must be met by an associate to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential function. While performing the duties of this job, the associate will be required to stand, walk; sit; use hands to finger, handle, or feel objects, tools, or controls; reach with hands and arms; climb stairs, balance; stoop, kneel, crouch or crawl; talk or hear. The associate must occasionally lift and or move up to 15 pounds. Specific vision abilities required by the job include close vision, distance vision, peripheral vision, depth perception, and the ability to adjust. Frequent travel is required, often up to several hours of driving per day. Ability to travel to, attend, and conduct sales presentations. Manual dexterity is required to use desktop computers and peripherals. Exposure to variable weather conditions is likely.
WORK ENVIRONMENT
The work environment characteristics described here are representative of those that must be met by an associate to successfully perform the essential functions of his job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The noise level in the work environment is usually moderate.
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