What are the responsibilities and job description for the Care Coordinator position at Harbor Health?
POSITION OVERVIEW
Harbor Health is seeking a Care Coordinator in San Antonio, TX to support our integrated care delivery model. This role is essential to our care management team, working collaboratively with providers and multidisciplinary teams to ensure high-risk members receive coordinated, comprehensive care. The Care Coordinator will engage members in their healthcare journey, close care gaps, and facilitate seamless communication across our payvider platform.
POSITION DUTIES & RESPONSIBILITIES
- Proactively outreach and engage high-risk members, post-discharge members, and those requiring additional care management support
- Schedule Primary Care Provider (PCP) follow-up appointments and ensure all care gaps are closed
- Collaborate with care team members and external vendors to coordinate member care, including durable medical equipment (DME) and home health services
- Request and manage medical records from various physicians and healthcare systems to enable continuity of care
- Screen members and escalate to nursing and social work team members based on individual member needs
- Assist nursing and social work teams with member follow-up, providing tools and resources as directed
- Monitor stable member populations under the guidance of nursing and social work team members
- Address open care gaps through collaborative relationships with members, ensuring adequate documentation in the medical record
- Coordinate with local community resources to support members' physical and psychosocial needs
- Participate in special initiatives and projects as directed by market leaders
DESIRED PROFESSIONAL SKILLS & EXPERIENCE
Required:
- 3 years of experience in a medical office or healthcare setting
- Certified Medical Assistant or eligible within 90 days of hire
- Proficiency with technology including Microsoft Office suite
- Experience using electronic health records, including data capture and reporting
- Strong organizational skills with ability to manage multiple tasks simultaneously
- Demonstrated ability to engage diverse populations with cultural sensitivity
- Excellent problem-solving skills and ability to identify issues requiring escalation
- Strong communication skills and ability to build trust with members and team members
Preferred:
- Experience in value-based care or population health management
- Familiarity with care coordination workflows in a primary care setting
- Knowledge of community resources and social determinants of health
WHAT WE OFFER
- Opportunity to directly impact member outcomes and care coordination across our payvider model
- Collaborative and dynamic work environment
- An organization made of people who are passionate about changing the healthcare landscape
- Competitive salary and benefits package
- Professional development and growth opportunities
- A transparent and unique culture