Care Coordinator- MHN

JOB SUMMARY

Friend Health is seeking a dedicated and detail-oriented MHN Care Coordinator to support patient care by serving as a liaison between patients, families, and clinical teams. This role plays a key part in improving patient outcomes through assessments, care coordination, referrals, and follow-up. The Care Coordinator will navigate Electronic Health Records (EHR), conduct patient assessments, and ensure smooth care transitions in alignment with the Medical Home Network program.

JOB DUTIES

Patient Care Coordination

• Conduct Health Risk Assessments to evaluate patient needs.
• Coordinate care between clinical teams, patients, and families.
• Provide disease-specific and preventive care education.
• Ensure timely provider follow-up after hospitalizations and emergency visits.
• Assist with referrals, care transitions, and scheduling.
• Retrieve discharge summaries and medical records for continuity of care.
• Develop and implement low-level care plans for patients.
• Conduct home visits when necessary.

Administrative & Data Management

• Accurately utilize EHR and Practice Management Systems.
• Maintain and track patient data, compile reports, and monitor care efforts.
• Participate in care management meetings to discuss patient needs.

Customer Service & Communication

• Provide courteous, professional communication with patients and families.
• Maintain confidentiality in line with HIPAA.
• Manage incoming/outgoing calls, documenting all patient interactions.

QUALIFICATIONS

• High school diploma or equivalent required.
• 2–3 years of related experience with direct public contact, customer service, or care coordination.
• Experience with Electronic Health Records (EHR) required.
• Strong data entry and typing skills.

SMART GOALS

• Complete 95% of Health Risk Assessments for new MHN patients within 30 days of assignment.
• Ensure 100% documentation accuracy in EHR with less than 2% error rate during quarterly audits.
• Achieve 90% patient follow-up completion rate within 7 days of ER or hospital discharge.

WORKING CONDITIONS

The unavoidable, externally imposed conditions under which the work must be performed, and which create hardship for the incumbent including the frequency and duration of occurrence of physical demands, environmental conditions, demands on one’s senses, and mental demands.) None known.

PHYSICAL REQUIREMENTS

• Frequent sitting with occasional standing and walking.
• Ability to bend, reach, and lift up to 10 lbs.

EMPLOYMENT CONDITIONS

This job description is to ensure that essential functions and basic duties have been included. It is intended to provide guidelines for job expectations and the employee’s ability to perform the duties as described. This job description is not intended to be construed as an exhaustive list of all functions, responsibilities, skills, and abilities. Additional functions and requirements may be assigned as deemed appropriate commensurate to the position. This document does not represent a contract of employment, and Friend Health - HRDI reserves the right to change this job description and /or assign tasks deemed as needed.

BENEFITS & COMPENSATION

Hourly Pay: $20.00- 21.01

• Medical, Dental, and Vision Insurance
• 403(b) Retirement Plan
• Paid Time Off (PTO) & Paid Holidays
• Life Insurance & Disability Coverage
• Tuition Reimbursement & Professional Development Opportunities
• Wellness Programs & Employee Assistance Programs (EAP)

Occupational Risk for Exposure to TB:

There is an occupational risk for exposure to TB, as this position involves extensive community and patient contact. Employees in this role are required to comply with annual TB testing as part of workplace health and safety protocols. The only acceptable exceptions to this requirement are documented medical contraindications or religious objections. Employees who decline TB testing will be required to wear a mask when deemed necessary.

Equal Employment Opportunity (EEO) Statement

Friend Health – HRDI is an equal opportunity employer. We consider all applicants for employment without regard to race, religion, color, age, sex, national origin, citizenship, ancestry, marital or parental status, sexual orientation including gender identity, gender expression, military discharge status, physical or mental disability, or any other status or characteristic protected by law. In addition, Friend Health – HRDI provides reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act and applicable state and local laws (including during the application or hiring process). Friend Health - HRDI supports the Pay Transparency Law as an equal opportunity employer.

Join our Team!

If you are passionate about patient-centered care and want to make a difference in the lives of individuals and families, we encourage you to apply and become part of our dedicated Care Coordination team at Friend Health.