Care Coordinator/Care Navigator II (non-RN)
Core
Coordinate patient care, manage transitions of care, and support chronic disease management in an outpatient primary care setting.
Role type
Care Coordinator (non-RN)
Builds
Coordinated care plans and patient outcomes
Domain
Healthcare / Primary Care
Required skills
Care coordination, Transitions of care management, Chronic disease management, Patient outreach, Clinical documentation, Resource navigation
Preferred skills
LPN license, Medical Assistant certification, BLS certification, Chronic disease experience, High-risk patient population experience
Technologies
Electronic health records (EHR)
Responsibilities
Monitor and track follow-up appointments and care plan goals, Conduct telephonic outreach to assess barriers to care, Support transition-of-care activities following hospitalizations, Maintain accurate documentation within the EHR, Assist patients in accessing community-based services, Reinforce patient education on medication adherence and preventive health
Seniority
Mid-level, hands-on IC