Care Coordinator - Usftg Umsa Quality and Safety

Job description

The Care Coordinator educates patients about their conditions, supports them through care and treatment plans, and ensures they are connected with the appropriate healthcare professionals and services. This role assists with patient outreach, referral coordination, and care transitions while working collaboratively with providers, payers, and internal teams. The Care Coordinator documents patient information using health databases, monitors quality performance trends, and helps prevent outstanding balances through accurate communication. This position contributes to coordinated, efficient, and patient-centered care across the continuum.
Essential Functions:
• Inform and educate patients about their health conditions, treatment plans, and care expectations.
• Coordinate patient care by ensuring they are connected with appropriate providers, services, and follow‑up appointments.
• Participate in payer group meetings to support gap closures through patient outreach, scheduling, and follow‑up.
• Utilize health databases to document notes, review accounts, and communicate with necessary parties regarding patient needs.
• Monitor and maintain quality performance reports to track trends and support department goals.
• Assist patients with treatment plans by communicating with healthcare professionals to obtain referrals and coordinate care transitions.
• Coordinate home care services and durable medical equipment (DME) needs for patients as ordered.
• Support transitions of care by ensuring accurate communication and smooth handoff between care settings.
• Maintain clear, accurate, and timely documentation to support quality, compliance, and continuity of care.
• Completes other duties as assigned

Education Qualifications
• Technical Program Allied Health

Licenses and Certifications
• Certified Medical Assistant

Experience Qualifications
• 3 months of healthcare experience or care coordination experience required.

Skills and Abilities
• Knowledge of care coordination principles, including treatment planning, referrals, and transitions of care.
• Strong communication and interpersonal skills to educate patients, coordinate with providers, and collaborate with payer groups.
• Proficiency in electronic health databases and documentation systems to update notes, review accounts, and communicate patient information accurately.
• Ability to analyze quality trends, maintain reports, and identify gaps in care or quality measures.
• Strong organizational and multitasking skills, with the ability to handle outreach, scheduling, and follow‑through across multiple cases.
• Problem‑solving skills and attention to detail to prevent outstanding patient balances and ensure proper coordination of services such as home care and DME.