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Pediatric Care Coordinator

$50k - $68k

TalentLNX

Location: Boston, MA (Onsite) We are hiring for a Pediatric Care Coordinator with a pediatric health system located in the US. This position is a full-time, direct hire opportunity. Responsibilities Serve as primary coordinator for complex pediatric patients with proactive family touchpoints throughout care continuum. Conduct comprehensive assessments across clinical, psychosocial, educational, developmental, and financial domains using validated screening tools. Develop and maintain individualized care plans with multidisciplinary team, ensuring documented, measurable, family-approved goals. Coordinate and track appointments, referrals, testing, imaging, and consultations across internal and external networks. Facilitate communication across families, providers, specialists, inpatient teams, schools, and community organizations as central bridge. Navigate insurance benefits, prior authorizations, coverage appeals, and financial assistance programs including Medicaid and nonprofits. Monitor care plan progress and conduct proactive outreach for appointments, screenings, authorizations, and medication refills. Support critical care transitions (NICU discharge, hospital-to-home, ED follow-up, pediatric-to-adult handoffs) with complete clinical context. Document care coordination activities, assessments, updates, and communications in Epic per organizational and regulatory standards. Qualifications Hold Bachelor’s in Nursing, Social Work, Health Sciences, Public Health, or clinical/human services; Master’s preferred. Demonstrate 2+ years pediatric care coordination, case management, patient navigation, or clinical care management experience. Maintain active RN, LPN, MSW, LSW, LCSW, or equivalent licensure in Massachusetts. Demonstrate pediatric condition knowledge: asthma, diabetes, epilepsy, oncology, cardiac disease, autism, cerebral palsy, genetic disorders. Demonstrate Epic or EHR proficiency; manage care plans, referrals; population health software experience valued. Demonstrate MassHealth, CHIP, commercial managed care, specialty program knowledge; navigate prior authorizations and coverage appeals. Schedule Full-time, Monday through Friday, standard clinic hours. On-site in Boston with potential for some hybrid flexibility after onboarding. Occasional travel to satellite clinic locations within the health system. Salary Range The salary range for this position is approximately $50,000 – $68,000 annually ($24.04 – $32.69 per hour), based on experience and qualifications. Interview Process Selected candidates will participate in a multi-step interview process, including an initial screening with TalentLNX followed by interviews with department leadership. Equal Opportunity Employer TalentLNX is committed to equal employment opportunity and a diverse, inclusive workforce. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status. #J-18808-Ljbffr

Vacancy posted 10 hours ago
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