Care Coordinator

Welcome to Pathways Health Partners, the Accountable Care Organization (ACO) that's leading the charge in helping independent providers transition to Value-Based Care. What We Do: Medicare REACH ACO: We're at the forefront of Medicare innovation. Medicare Advantage MSO: Providing top-notch services to our Medicare Advantage patients. Commercial MSO: Managing care for approximately 16,000 patients across North-West/Central Florida. Where We Operate: From The Villages to St. Petersburg, and across to Mount Dora, we've got you covered! Our Services: Hospital Medicine Group: Delivering exceptional care in hospitals. Affiliated Medical Practices: Managing several top-tier medical practices. Insurance Agency: Offering comprehensive insurance solutions. Join us on our journey to better health and value-based care! Job Summary: The Care Coordinator is responsible for using various software platforms to perform and document care coordination for our patients and beneficiaries between their provider visits. The Care Coordinator will have frequent contact with patients to provide care coordination, support, and manage compliance with their care plan to improve health outcomes and reduce utilization/costs in the assigned population. Position Responsibilities: Coordinating andassistingin developing patient-specific health plans of careIdentifyinghealth and social determinants of health in the assigned populationActively working with care team, both internal and external, to meet patient needsMonitoring key metrics of the assigned population to ensure goals are metCommunicating between the care team, patients, and family/caregiversEducating patients about their condition(s), medication(s)Making patients appointments with providers to ensure care plan adherenceMaintaining patient confidentiality and helping to ensure quality careOther projects/duties as assigned potentially patient care in the clinics as needed. Qualifications and Education Requirements: Education: High School Diploma with Subsequent completion of Medical Assistant or Certified Nursing Assistant curriculum, college degree preferred. A combination of education and experience may be accepted in lieu of educationExperience: Two years demonstrated experience in a medical office or health plan care managementCertification/Licensure: Valid Florida Driver License (unencumbered and no points); Certified Medical Assistant (within six months of hire if not current at time of hire) or CNATraining and Knowledge Required at Time of Hire: Excellent computer skills with experience in Outlook, MS Office Suite, EMRs; Strong presentation skills, positive and effective communication skills; Good typing skills with quality documentation accuracy Why Work for Pathways? Pathways Health Partners is a growing company based in Leesburg, FL. We are proud of our professional yet family culture with the executive team working daily alongside our team members. We provide competitive salaries, bonuses for all team members, and a benefits package that is second to none. Medical Insurance for Employee and Spouse/Significant Other paid up to 100% by Pathways!Addition of family coverage for dependents at a fraction of the cost25K life insurance for employees 100% paid by Pathways!Increasing Employee coverage or adding spouse/dependents at a fraction of the costVision and Dental Coverage available at a very low cost for employees, spouses, and family401K retirement plan with 100% match up to 4% of annual payPaid holidaysAmple Paid Time Off (PTO) for vacation/sick/personal days We look forward to speaking with you about this opportunity