Patient Care Coordinator, Empassion

Ennoble Care is a mobile primary care, palliative care, and hospice service provider with patients in New York, New Jersey, Maryland, DC, Virginia, Oklahoma, Kansas, Pennsylvania, and Georgia. Ennoble Care’s clinicians go to the home of the patient, providing continuum of care for those with chronic conditions and limited mobility. Ennoble Care offers a variety of programs including, remote patient monitoring, behavioral health management, and chronic care management, to ensure that our patients receive the highest quality of care by a team they know and trust. We seek individuals who are driven to make a difference and embody our motto, “To Care is an Honor.” Join Ennoble Care today!

• →Serve as the primary liaison between patients, families, and interdisciplinary care teams to ensure clear and consistent communication.
• →Coordinate, schedule, and track patient appointments, follow-ups, and referrals to specialists to ensure timely care delivery.
• →Process and manage referrals, including sending orders and referrals following provider appointments.
• →Maintain and manage assigned patient caseloads, ensuring all interactions are accurately documented.
• →Utilize Electronic Medical Record (EMR/EHR) systems to maintain accurate, detailed, and confidential patient records.
• →Demonstrate strong computer proficiency, including the ability to multitask and toggle between multiple systems and platforms efficiently.
• →Review provider documentation and progress notes for chronically ill patients and communicate recommendations to appropriate clinicians.
• →Develop and maintain individualized patient care plans and provide ongoing care management and coordination services using the organization’s EMR system.
• →Identify and address barriers to care, such as transportation, financial limitations, or access to services.
• →Connect patients and families with community resources, social services, and support programs.
• →Facilitate smooth transitions of care between hospitals, specialists, home health services, and other care settings.
• →Maintain frequent communication with patients and families to provide care coordination, education, and support.
• →Monitor patient adherence to care plans and support compliance with palliative care programs to improve overall health outcomes

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Ennoble Care is an Equal Opportunity Employer, committed to hiring the best team possible, and does not discriminate against protected characteristics including but not limited to - race, age, sexual orientation, gender identity and expression, national origin, religion, disability, and veteran status.