Care Coordination Specialist

Care Coordination Specialist Location Berlin, MD Facility TidalHealth PRCIN Department MD Primary Care CTO Schedule - Shift - Hours Full Time - Monday - Friday - 8am-4pm Join a triple 'A' rated team where clinical excellence meets a coastal lifestyle. At TidalHealth, you’ll be part of an award‑winning network spanning Maryland and Delaware, recognized by the Leapfrog Hospital Safety Guide for our unwavering commitment to patient care. Whether your expertise lies in specialized clinical fields like neurosurgery, academic mentorship through our graduate medical programs, or the critical professional and support roles that keep our network thriving, we provide the tools and tuition assistance you need to excel. Care Coordination Specialist Position Summary The Care Coordination Specialist (CCS) for the Peninsula Regional Clinically Integrated Network (PRCIN) functions as a key member of the primary care practice team. Under the supervision of the PRCIN Care Coordination Supervisor, the CCS is responsible for providing care coordination services to moderate and high risk patients ensuring safe and effective transitions across the health care continuum to include the ambulatory care setting, hospital, home environment, and skilled nursing facilities. The CCS serves as a care resource and coach with a focus on the health and wellness, prevention, and social determinants of health, and in collaboration with the practice‑based health care team develops and implements a patient‑centered plan of care that promotes self‑care. The primary Duties of the Position include practice‑based care coordination for patients at risk for health deterioration, poor outcomes, and/or high resource utilization, and identifying social, environmental, and financial needs and coordinating referral to community resources as appropriate. The Care Coordination Specialist will motivate patients to complete specific health care tasks related to an improvement in health, as well as provide disease specific education to assist patient in self‑management of condition. They will also be responsible for the collection and analysis of data relating to team and population health metrics. Care Coordination Specialist Position Requirements Education Bachelor's of Science Degree in Community Health Education or Health Sciences, and/or minimum of 4 years of experience working in a clinical and/or administrative role in an acute care or community outpatient setting. Experience Experience with EMRs - Epic preferred. Advanced knowledge and proficiency in Word, Excel, and, Power Point; experience in data compilation, analysis, tracking, and entry. Community (Population Health), Emergency Department, outpatient medical office, and/or inpatient hospital experience preferred. Must have valid driver’s license, and ability to travel to and from care centers to meet with patients and providers. Preferred experience educating and engaging patients. Knowledge of local community resources. Work Schedule Monday-Friday, day shift. No holidays. May require work outside of normal hours to meet the needs of the providers and patients. Benefits Benefits: We provide a robust benefits suite for our eligible team members (36+ hours for 12‑hour shifts; 37.5+ hours for standard shifts): Health: Medical (including HSA), Dental, Vision & Prescription Wealth: Matching 403(b), Healthcare FSAs, & Dependent Care FSAs Growth: $5,000 Tuition Assistance & Certification support Balance: Generous PTO and Holidays, Onsite Child Care, Pet Insurance Income Protection & Leave: Employer-Paid Short-Term Disability, Paid Leave Program, & Long-Term Disability (LTD for FT) Life & Security: Employer‑paid Life and additional voluntary benefits such as Accident, Critical Care, additional Life, and more TidalHealth offers the best inpatient‑centered care across the Delmarva Peninsula, from wellness checkups and classes to high‑tech surgeries, trauma, cancer and heart care. Wherever you are on your health journey, we’re here to care for you. #J-18808-Ljbffr