Remote Care Coordinator – Triage & Transitions of Care (SNF / Value-Based Care)

Key Responsibilities

• Manage incoming patient and facility calls in a timely and professional manner
• Document interactions accurately within the electronic health record (EHR)
• Respond to voicemail, electronic, and fax communications within program turnaround standards
• Escalate urgent clinical concerns to providers according to established protocols
• Serve as liaison between patients, providers, SNFs, hospitals, and community partners
• Aid patients with navigating healthcare services and accessing resources
• Support follow-up on orders, care plans, and provider recommendations
• Identify barriers to care and promote patient self-management
• Track quality and program metrics using internal tools and dashboards
• Help refine workflows to improve care transitions and reduce gaps in care
• Participate in quality improvement and patient satisfaction initiatives
• Collaborate with interdisciplinary teams and case discussions
• Maintain HIPAA compliance and regulatory documentation standards

Qualifications

• 2+ years of healthcare, care coordination, or patient support experience
• SNF, post-acute, managed care, or value-based care experience preferred
• Strong communication and documentation skills
• Ability to manage multiple priorities in a fast-paced environment
• Bachelor’s degree preferred
• Bilingual Spanish preferred