About Pediatrica Health Group Inc.

Every day is a good day to prepare for a healthy tomorrow. Providing children and their families with equitable access to quality pediatric care to build a foundation for a lifetime of optimal health and wellness is what drives our team to deliver its best every day. It’s our purpose.

Offering focused care from tots to teens, our pediatric primary care providers and teams partner with families to foster good health and strong, thriving communities. Second-to-none medical staff and top-tier administrative professionals keep our practices running smoothly and make each patient experience the best we can offer.

Working in partnership with patients, families, and communities who put their trust in us for their care, we hold ourselves accountable to ensure equitable access to care, advocate to create impactful change, and continually learn and progress to create better outcomes and brighter futures. Together, we’re paving the way for kids to develop into healthy young adults. Rooted in these values, we continue to grow and serve. Are you ready to join us?

POSITION SUMMARY: 

The Care Coordinator is responsible for supporting patients and families by coordinating healthcare services, ensuring smooth transitions of care, and promoting adherence to treatment plans. Working across multiple practice sites, this role focuses on care management and utilization/quality improvement, medication refill management, coordination of care for special and post-acute populations, and tracking of key performance and accreditation metrics, in close collaboration with providers, payers, and community resources.

ESSENTIAL FUNCTIONS: 

Care Management

·         Monitor patient progress and address barriers to care.

·         Facilitate communication between patients, clinical teams, and external partners.

·         Support utilization management and quality improvement activities.

Documentation & Compliance

·         Maintain accurate records in care management systems and EHR.

·         Ensure compliance with organizational policies and regulatory requirements.

·         Manage medication refill requests and processing in accordance with clinical protocols.

Patient Support & Navigation

·         Assist patient’s parents in understanding their care plans and available resources.

·         Coordinate appointments, referrals, and follow-up care across multiple providers.

·         Provide focused care coordination for special populations and post-acute care needs.

Resource Coordination

·         Connect patients with community services, financial assistance, and support programs.

·         Educate patients on preventive care and wellness initiatives.

·         Track and report on metrics related to accreditation, benchmarking, and progress toward program goals.

KNOWLEDGE, SKILLS & ABILITIES

·         Strong communication and interpersonal skills. 

·         Ability to multitask and manage time effectively.

·         Proficiency in care management software and electronic health records (EHR).

·         Additional computer experience, including proficiency in Excel and databases.

·         Core Competencies: Empathy and patient advocacy, organizational skills, collaboration and teamwork, and problem solving.

EDUCATION & EXPERIENCE

·         Bachelor’s degree in nursing, Licensed Practical Nurse certified, or a related field is preferred.

·         Minimum of 1-2 years of experience in care coordination or case management and or patient services preferred.

WORKING CONDITIONS

General office working conditions. May require occasional overtime during peak periods, such as month-end or year-end closings. 

PHYSICAL DEMANDS 

The physical demands described here are representative of those that must be met by an associate to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential function.