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Care Coordinator

Suvida Healthcare
Full-time
On-site
Fort Worth, Texas, United States
Care Coordinator
Join to apply for the Care Coordinator role at Suvida Healthcare . This is a full‑time position located in Fort Worth, TX.

Who We Are
At Suvida Healthcare, we are not just caregivers; we are compassionate advocates dedicated to enriching the lives of our cherished seniors. As a Team Member with us, you will embark on a fulfilling journey where your skills and empathy converge to make a meaningful impact on the well‑being of an underserved community and their families. Our multi‑disciplinary primary care program is built to address the physical, behavioral, social, and cultural needs of Medicare‑eligible Hispanic seniors.

What Makes Us Unique
We are an empowered primary care team, clinical operations, and support team creating health equity through an exceptional clinical and consumer experience that improves the quality of life for the people, families, and neighborhoods we serve. We tailor our primary care program to the culture, language, social, and overall well‑being of the seniors we serve.

How We Work

Earn Trust

Building Relationships

Creating Joy

Doing Right

Improving Every Day

Moving Forward

Our Promise

Purpose Driven Career

Competitive Pay

Best‑In‑Class Medical/Dental Coverage

Free Mental Health & Life Coaching for Team Members and their Dependents

Holiday Time Off with Pay

Paid Community Service Day

Paid Parental/Family Leave

Paid Bereavement Leave

Generous Paid Time Off (PTO)

401k Retirement Plan with Company Match

And much more…

Position Summary
The Care Coordinator will play a pivotal role in delivering high‑quality care to our patients at Suvida Healthcare. Working closely with the Nurse Care Manager, the Care Coordinator will conduct daily patient follow‑ups, process durable medical equipment (DME) and home health orders, triage calls, retrieve hospital records for recently admitted patients, perform clinical clerical tasks within the scope of practice for high‑risk patients, and undertake additional tasks as assigned.

Responsibilities

Conduct daily patient follow‑ups for high‑risk patients within the Chronic Care Program.

Process DME and home health orders efficiently and accurately.

Receive inbound triage calls from patients and coordinate appropriate responses to acute patient needs.

Retrieve hospital records for patients recently admitted to external facilities.

Perform clinical clerical tasks to support the Chronic Care Program and Transition of Care Programs.

Assist in procedures within the Medical Assistant scope of practice for high‑risk patients.

Collaborate closely with the Nurse Care Manager to ensure seamless patient care delivery.

Identify and address barriers to care for high‑risk patients.

Coordinate patient care progression throughout the continuum, including transitions from acute and post‑acute settings to home or other transitional care facilities.

Communicate effectively with physicians, nursing staff, and other members of the multidisciplinary care team.

Facilitate patient discharge planning process to optimize outcomes and satisfaction.

Monitor patient progress and intervene as necessary to ensure patient‑focused, high‑quality care.

Collaborate with external case managers and community resources as needed.

Actively participate in clinical performance improvement activities.

Support activities to promote closure of care gaps and attainment of Medicare HEDIS metrics.

Other tasks as assigned.

What You’ll Bring
Knowledge, Skills, and Abilities

Minimum 2 years of experience as a Medical Assistant or an LPN / LVN.

Experience in chronic care management or related field preferred.

Excellent interpersonal and communication skills.

Strong organizational and time management abilities.

Proficiency in Microsoft Office suite.

Bilingual/Bicultural (English and Spanish) required.

Education, Experience, Licensure, or Certification Requirements

High school diploma or equivalent.

Completion of a Medical Assistant program required.

Certification in Medical Assisting from AAMA, CCMA, or any other nationally recognized body required.

LPN / LVN license preferred.

Equal Employment Opportunity Policy
Suvida Healthcare provides equal employment opportunities to all Team Members and applicants for employment and prohibits discrimination and harassment of any type with regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.

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