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Care Coordinator

🕒 September 8

🇺🇸 United States – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

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Logo of Ascend Medical

Ascend Medical

51 - 200 employees

🏥 Healthcare

⚕️ Healthcare Insurance

Healthcare • Healthcare Insurance

Ascend Medical is a membership healthcare platform providing patients with 24/7 access to primary, urgent, pediatric, and mental healthcare through convenient mobile visits that come to their home, work, or anywhere they are located. Launched in Atlanta in Fall 2020, Detroit in Summer 2021, and Austin in Fall 2021, Ascend Medical aims to make healthcare more accessible and efficient through end-to-end technology. The company emphasizes its commitment to home health care services.

📋 Description

• Deliver longitudinal Care Management services through proactive patient engagement, chart and care plan review, care coordination, documentation, and collaboration with patients, caregivers, providers, and interdisciplinary team members • Serve as the primary Care Manager for an assigned panel of in-office patients or support patients in Assisted Living Facility settings, depending on assignment • Identify and enroll eligible patients in appropriate Care Management programs and obtain required consent • Complete comprehensive patient assessments and establish Care Management needs • Develop, maintain, and update individualized care plans • Review charts and care plans to identify status changes, care gaps, barriers, and intervention opportunities • Conduct proactive patient outreach and monthly Care Management activities • Monitor patient progress and escalate clinical concerns or other needs appropriately • Coordinate care and communicate patient updates with providers and interdisciplinary teams • Conduct outreach to patients, family members, caregivers, and Powers of Attorney as appropriate • Support care coordination across providers, facilities, caregivers, and healthcare team members • Accurately and timely document Care Management services, qualifying time, activities, and required patient records • Comply with payer requirements, organizational policies, Care Management workflows, and HIPAA requirements • Identify social, financial, access, and other barriers to care and connect patients with internal or community resources • Support adherence to care plans, continuity of care, patient outcomes, and ongoing engagement • Independently manage assigned responsibilities, prioritize patient needs, and manage a longitudinal patient population • Participate in team meetings, training, and Care Management improvement initiatives • Meet established Care Management productivity, utilization, and performance expectations

🎯 Requirements

• Medical Assistant (MA), Licensed Practical Nurse (LPN), or similar clinical healthcare background strongly preferred • Previous experience in Care Management, Chronic Care Management (CCM), Advanced Primary Care Management (APCM), population health, or a similar longitudinal patient-support program • Experience working within a primary care or ambulatory healthcare environment • Experience with Athenahealth, ThoroughCare, or similar EHR and Care Management platforms • Familiarity with Care Management documentation, time tracking, and payer requirements • Bilingual skills are a plus • Previous experience in healthcare, care coordination, patient support, population health, or a related healthcare setting • Strong verbal and written communication skills • Strong organizational and time-management skills • Ability to independently manage a patient population and multiple ongoing priorities • Ability to accurately and consistently document patient interactions and Care Management activities • Comfortable working within electronic health records, Care Management platforms, and other healthcare technology systems • Ability to recognize concerns requiring clinical or operational escalation and communicate them to the appropriate team member • Ability to work effectively and independently in a remote environment • Consistent availability during established business hours • HIPAA compliance and protection of patient confidentiality

🏖️ Benefits

• Fully remote position • Reliable internet access for remote work • Participation in team meetings, training, and Care Management improvement initiatives

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