At VillageMD, we are committed to helping patients achieve greater health by delivering the most effective, accessible and efficient healthcare in the world through partnership with primary care physicians. We're in a unique position to impact everyone in primary care from independent, family-owned practices to world-class health systems. As an extension of the primary care physician’s (PCP) care team, the Care Coordinator works in tight collaboration with the RN and SW Care Managers to effectively engage and support high-risk patient management through high-risk patient outreach, post-discharge and ER follow up activities as well as community resource connection and follow up.

Integral to our Care Management team, the Care Coordinator will be accountable for supporting and improving the organization’s ongoing refinement of care management processes. As a new member of our team, you’ll work closely with our comprehensive care team to connect the dots of collaborative patient care while incorporating patients’ personal health and lifestyle goals.

What are some unique responsibilities that you’ll have at VillageMD?

• Actively engage and collaborate with PCP’s and office staff in identifying high-risk patients
• Engage with patients in the primary care setting to introduce and engage them in the VillageMD care management model
• Manage a caseload of lower acuity patients and support those patients in working toward their healthcare goals
• Employ motivational interviewing skills to elicit optimal member engagement/outcome
• Identify patients with Gaps in Care and work with practice staff and care management team to effectively close gaps
• Identify and support practice needs for structured on-site Care Coordination presence in alignment with program models

What will make you successful here?

• The ability to be flexible in an ambiguous and dynamic environment
• The ability to adapt quickly to changing demands in the healthcare industry
• A service orientation and a “can do” attitude
• A willingness to learn on your own and take initiative
• Displays Strength-Based Approach to collaborative problem solving
• The ability to receive feedback and apply it to work performance
• Demonstrates consistently, strong ethics and sound judgement
• Effectively engages diverse populations (age, ethnic groups, socio-economic levels, etc.) and provide culturally sensitive coaching, education and assistance to members and their families
• A low ego and humility; an ability to gain trust through good communication and doing what you say you will do

What you might do in your first year:

• Perform post-discharge follow up calls and effectively assess risk-factors for readmission and triage to appropriate care team member for further intervention
• Become an active and contributing member of the multi disciplinary care management team
• Document clinical interventions in applicable care management software systems
• Develop and maintain effective professional working relationships with assigned PCP practice(s)

The following experience is relevant to us:

• 3+ years of experience in a medical office or health care setting, Medical Assistance licensure and/or experience is a plus
• Telephonic communication with collaborative care teams regarding gaps and future needs
• Comfort with technology including Microsoft suite of products
• Utilizing a variety of electronic health records including data capture, data mining and reporting

At VillageMD, we see diversity and inclusion as a source of strength in transforming healthcare. We believe building trust and innovation are best achieved through diverse perspectives. To us, acceptance and respect are rooted in an understanding that people do not experience things in the same way, including our healthcare system. Individuals seeking employment at VillageMD are considered without regard to race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.