Care Coordinator

Care Coordinator Suvida Healthcare LLC Houston, Texas, United States About this position Who We Are At Suvida Healthcare, we are not just caregivers; we're 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. Celebrate diversity and inclusivity in a workplace that attracts, engages, values, rewards, and recognizes the unique needs and backgrounds of both our patients and our team. We believe that a rich tapestry of experiences, shared interests, and perspectives enhances the care we provide, making us a stronger, service‑centered, and more compassionate healthcare family and Employer of Choice! Will you join us Suvidanos, to help achieve our Higher Purpose? 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. Our Culture & Core Beliefs Earn Trust Building Relationships Creating Joy Doing Right Improving Every Day Moving Forward Competitive Pay Free Mental Health & Life Coaching for Team Members and their Dependents Holiday Time Off with Pay Paid Community Service Day Paid Parental/Family Leave Generous Paid Time Off (PTO) 401k Retirement Plan with Company Match Responsibilities Essential responsibilities consist of but not all inclusive: Conduct daily patient follow‑ups for high‑risk patients within the Chronic Care and Transition of Care Programs. Process DME and home health orders efficiently and accurately. Support 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. Location Spring Branch – 7838 Long Point Rd. Houston TX 77055 What You’ll Bring Knowledge, Skills, and Abilities Minimum 2 years of experience as a Medical Assistant or 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 required. 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 (EEO) 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. #J-18808-Ljbffr