Care Coordinator, MA

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Evergreen Nephrology

WebsiteLinkedInAll Job Openings

51 - 200 employees

⚕️ Healthcare Insurance

💊 Pharmaceuticals

💰 $4.3M Venture Round on 2022-06

Healthcare Insurance • Pharmaceuticals

Evergreen Nephrology is a company focused on transforming kidney care by empowering nephrologists to provide high-quality and personalized care to patients with chronic kidney disease (CKD) and end-stage renal disease (ESRD). By putting nephrologists at the forefront, the company provides them with financial backing, interdisciplinary clinical resources, analytical insights, and technology-enabled tools to improve patient outcomes and experience. Evergreen Nephrology collaborates with strategic partners to address healthcare challenges, including disparate electronic health records (EHRs), transplantation process visibility, and patient readmission risks. The company's co-founders, Adam Boehler and Abe Sutton, have been recognized for their contributions to kidney care models and organ procurement standards, reflecting a deep commitment to improving kidney care quality nationwide.

📋 Description

• Support CCM patient enrollment and onboarding activities. • Verify eligibility based on Evergreen and payer program guidelines. • Ensure patient consent documentation is completed prior to outreach. • Proactively maintain patient engagement regularly. • Identify inactive or non-engaged patients and escalate appropriately. • Conduct text & telephonic outreach to enrolled CCM patients weekly. • Achieve required engagement time standards aligned with Medicare CCM billing requirements. • Support achievement of required engagement time for billing compliance. • Reinforce provider-directed care plans during patient interactions. • Identify barriers to adherence including medication access, transportation, or social needs. • Document patient interactions accurately within the CCM patient management platform and EHR systems. • Track engagement time consistent with Medicare CCM billing requirements. • Maintain audit-ready documentation standards. • Ensure HIPAA and PHI compliance. • Facilitate patient access to their referring provider and clinical staff. • Support care transitions following hospitalizations or ED visits. • Coordinate referrals and follow-up appointments. • Escalate symptom concerns or medication issues to licensed clinical staff. • Utilize CCM platform and EHR systems daily. • Manage patient messaging workflows. • Collaborate with remote clinical and operational teams.

🎯 Requirements

• Certified Medical Assistant • 1–3 years healthcare experience • Chronic disease or nephrology experience is preferred. • Strong clinical assessment, communication, and documentation skills. • Comfortable working in two systems (EHR + CCM platform) simultaneously. • Ability to manage a structured, metric-driven workflow with reliability. • Intermediate skills with MS Office Suite of products including Outlook and Teams • Able to work effectively in a primarily remote environment: • Home internet must support a minimum download speed of 25 Mbps and upload speed of 10 Mbps. Cable, Fiber, or DSL connections hardwired to the internet device are recommended • Evergreen will provide remote employees with telephony applications and equipment to meet the business requirements for their role • Employees must work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information

🏖️ Benefits

• Paid time off starting at 4 weeks for full-time employees • 12 paid holidays per year • Medical, dental, vision and life insurance, including an HSA with employer match • Reimbursement for continuing medical education for eligible roles • A 401(k) program where Evergreen matches up to 4% of contributions after six months of tenure • Paid parental leave • A robust training and development program that starts with onboarding and continues throughout your career with Evergreen Nephrology