Care Coordinator

Job Description

Job Description

ABOUT MATTER HEALTH

Matter Health delivers primary and preventive healthcare directly to older adults living in affordable housing communities. Our mission is simple: to improve healthcare access by meeting patients where they are and building trusted relationships within the communities we serve. As we rapidly expand across the country, we are building a team of mission-driven professionals who thrive in fast-paced, collaborative environments.

Total Healthcare. Where you live.

ABOUT THE ROLE

Matter Health is seeking a highly organized and compassionate Care Coordinator to support our growing care teams in Memphis. The Care Coordinator serves as the centralized administrative support hub for an assigned care team, helping ensure patient needs, referrals, follow-up services, and care team communications remain organized and move forward efficiently.

In this role, you will maintain a current view of the care team’s priorities by monitoring patient status changes, hospital and emergency department events, open care gaps, pending referrals, orders, and visit progress. You will coordinate daily care team huddles, manage referrals and authorizations from start to finish, conduct telephonic patient outreach, and ensure important information reaches the appropriate clinical or operational team member promptly.

This is a patient-centered, non-provider role designed for someone who finds purpose in being the organized, persistent, and caring presence that keeps patients supported and the entire care team informed.

RESPONSIBILITIES

• Provide administrative coordination and support for an assigned care team, keeping daily support activities organized, visible, and moving forward

• Coordinate daily care team huddles by preparing agendas, documenting updates and assignments, and tracking follow-up responsibilities

• Serve as a communication link between field-based team members, providers, and centralized support staff

• Communicate patient status changes, cancellations, no-shows, transportation barriers, access issues, and newly identified needs to the appropriate team member

• Escalate clinical questions or concerns promptly to the RN, Nurse Practitioner, physician, or other appropriate provider

• Monitor real-time dashboards, worklists, and event feeds for hospital and emergency department activity, open care gaps, pending orders and referrals, and visit completion status

• Maintain a current, prioritized work list for the assigned care team and update it as patient needs and circumstances change

• Support care gap closure by coordinating lab orders, specimen collection, in-home test kits, durable medical equipment, and other follow-up needs

• Track orders and follow-up services through delivery, completion, and receipt of results or confirmation by the care team

• Manage the referral process from initial request through confirmed completion of services

• Identify and verify in-network specialists, skilled nursing facilities, hospice programs, community resources, and other appropriate referral destinations

• Coordinate appointments and services with external providers, facilities, and vendors

• Prepare prior authorizations and insurance approvals and follow up with payers to support timely completion

• Obtain and transmit medical records, clinical documentation, and referral information in compliance with HIPAA requirements

• Follow up with external providers and facilities to confirm scheduling, receipt of records, and completion of services

• Coordinate transportation for referred appointments and services when needed

• Conduct telephonic outreach regarding upcoming appointments, preventive care needs, open care gaps, emergency department follow-up, and missed appointments

• Help patients understand discharge instructions, identify unmet needs, and schedule necessary follow-up care

• Document all care coordination activities, patient contacts, referrals, interventions, and escalations accurately and promptly in the EHR

• Track key process metrics, including contact attempts, scheduled follow-ups, referral and authorization completion, orders, transportation coordination, and visit completion

• Maintain patient confidentiality and data security in accordance with HIPAA and organizational requirements

• Demonstrate empathy, patience, professionalism, and appropriate boundaries in every interaction

QUALIFICATIONS

• 2–3 years of experience in a medical office, healthcare practice, care coordination, or similar healthcare setting

• Experience scheduling appointments or coordinating referrals to specialists, skilled nursing facilities, hospice programs, or other healthcare providers

• Working knowledge of medical terminology and experience documenting in an EHR

• Familiarity with insurance authorization processes, including in-network verification and prior authorization

• Understanding of HIPAA-compliant medical record handling and patient confidentiality requirements

• Strong organizational skills and attention to detail, with the ability to manage multiple patient cases, referrals, and deadlines simultaneously

• Timely, proactive communication skills and the ability to relay updates or escalate concerns to the appropriate team member

• Ability to engage patients and caregivers from diverse backgrounds and health literacy levels in a supportive, nonjudgmental manner

• Comfort conducting patient outreach by phone using cloud-based softphone technology

• Ability to translate patient conversations and care coordination activities into clear, accurate documentation

• Ability to work effectively in a fast-paced, team-oriented healthcare environment

PREFERRED QUALIFICATIONS

• Current or previous CMA, CNA, EMT, or equivalent clinical certification

• Bilingual proficiency, with a strong preference for Spanish-speaking candidates

• Familiarity with Medicare, Medicaid, community-based resources, transportation services, and disease-management programs

• Experience coordinating lab orders, in-home test kits, or durable medical equipment

• Experience monitoring real-time healthcare dashboards, worklists, ADT feeds, or emergency department event notifications

• Experience conducting post-discharge or post-emergency department follow-up calls

WHAT SUCCESS LOOKS LIKE

• Keeping the care team’s daily support priorities organized, accurate, and up to date

• Ensuring patient status changes and newly identified needs reach the appropriate team member promptly

• Managing referrals, authorizations, orders, and follow-up services through completion

• Helping prevent patients from falling out of care or experiencing avoidable service gaps

• Maintaining timely, accurate, and HIPAA-compliant documentation

• Building trusted relationships with patients, caregivers, providers, and internal team members

• Serving as a dependable and compassionate partner to the entire care team

WORK LOCATION

This is a full-time, in-office position based in Memphis, TN. Candidates must be located in the Memphis area and able to work onsite. No travel is required. There is no relocation assistance available for this role.

WHY MATTER HEALTH

We believe where someone lives should never determine the healthcare they receive. Every team member at Matter Health plays an important role in expanding healthcare access for older adults living in affordable housing communities. Our work removes barriers to care and improves lives through relationship-based healthcare.

If you are passionate about helping patients navigate their care, keeping complex processes organized, and contributing to a mission-driven organization, we want to meet you.

Total Healthcare. Where you live.

WORKING AT MATTER HEALTH

We are committed to supporting the whole person—at work and beyond. Full-time team member benefits begin the first of the month following your start date.

HEALTH & WELLNESS

• Medical, dental, and vision coverage

• Employer-funded HSA options

• Employer-paid life and disability insurance

• Voluntary illness, accident, and hospitalization coverage

• Access to Matter Health’s in-person and virtual care services

FINANCIAL SECURITY

• Competitive compensation

• 401(k) with company match beginning at Day 60

• Access to financial wellness resources

TIME AWAY

• Up to 4 weeks of Paid Time Off

• 10 paid company holidays

• 2 volunteer days annually

EQUAL OPPORTUNITY EMPLOYER

Matter Health is an equal opportunity employer committed to building a diverse and inclusive workplace. We welcome applicants from all backgrounds and experiences and are dedicated to creating an environment where every team member feels valued, respected, and supported.