Patient Care Coordinator - Clinical

Brief Description Why MCR Health? A career at MCR Health offers exciting opportunities with one of the largest Healthcare companies in the areas we serve. Now, more than ever, we are looking for exceptional people to support our passion to provide "Exceptional Care to Everyone, Every Time", and to support our Mission to serve everyone. Whether you provide direct patient care or work in other areas of our Company, you can find a home here. We invite you to be part of our community where you can grow your career and serve with your heart. In our time of Company growth, we seek a Patient Care Coordinator Clinical Work Location: Bradenton, FL As Part Of This Role, You Will Identify the patient's needs and potential barriers to care through the collection of subjective data from the patient and/or the patient's familyMaintain a patient caseload consistent with program guidelinesDevelop and implement individualized patient care plan with a focus on disease management, patient empowerment, and health care goals; along with taking account of identified discharge needs and potential barriers to careAssist patients and their families with the navigation of the healthcare system in collaboration with their care team while addressing open care gapsAssist patients and their families by providing linkage to available community resources, as appropriate Requirements What you need to bring to this role: Graduation from an accredited university with a background in science, including a BA or BS in Public Health, Nursing, Behavioral Science or similar degree; AA or AS degree in Public Health, Nursing, Behavioral Science or similar degree will be considered with a minimum of 4 years hands-on clinical experience in one or more of the following domain areas: Clinical Care, Behavioral Health or Social ServicesMinimum 1-3 years experience in Care Coordination, Case Management, or related area within a healthcare inpatient or outpatient settingExperience in Chronic Care Management desirableCase Management or related Certification desirableExperience in complex discharge planning preferredProficiency in Microsoft Office products, EPM, and EHR software preferredAbility to function autonomously while keeping team members and leaders informedPossession of a current Florida State driver's license and a registered, insured vehicle as periodic travel may be required to effectively service patientsMust have proof of vehicle insurance if the position requires drivingMust be able to work a flexible schedule Summary Responsible for actively participating in the successful post-acute care management of assigned patients with complex needs, including chronic disease management, active care planning, and management of high-cost patients with multiple barriers, along with open care gaps. Receives assigned patients and takes responsibility for individual patient transition processes for MRC Health patients, from acute to post-acute venues, including skilled nursing and rehabilitation facilities to home. Implements risk-stratified, evidence-based patient transition management processes, targets, and metrics. Actively participates in the management of patients with complex needs, including chronic disease management, active care planning, and management of high-risk patients with multiple barriers in successfully managing their disease state. Implements all operational policies and procedures relating to the Care Coordination Department as well as a caring and compassionate impression on all clients of the company. MCR Health is a drug-free workplace. All job applicants selected for employment are required to submit to a pre-employment drug test and background check.