Patient Engagement and Continuity of Care Coordinator

Are you looking to make a difference in patients lives with a company that values your expertise Join us in our mission of delivering compassionate healthcare where it matters most at home.

Pinnacle Home Care Floridas largest Medicare-certified home health provider has been delivering high-quality patient-centered care for over two decades and were looking for a Patient Engagement and Continuity of Care Coordinator to join our award-winning team.

Key Responsibilities

• Patient Engagement and Outreach.
• Initiate follow-up calls surveys and wellness checks with patients post-discharge.
• Ensure that patient interactions are empathetic thorough and focused on understanding the patients health status and care needs.
• Identify opportunities for service reengagement based on patient needs and collaborate with clinical teams to reinitiate care plans as appropriate.
• Quality Assurance and Compliance to ensure all outreach efforts comply with industry regulations including HIPAA and Medicare requirements.
• Track and report on key performance indicators including readmission rates patient satisfaction and engagement metrics.
• Work closely with the Quality Assurance team to ensure high standards of service and follow-up.
• Data Analysis and Reporting to analyze data on patient outcomes service utilization and engagement rates to identify trends and opportunities for improvement.
• Provide regular reports to senior leadership highlighting program successes challenges and areas for development.
• Utilize data insights to refine patient outreach strategies tailor communications and adjust resources as necessary.

Qualifications

• A High School Diploma a degree in Nursing (LPN/RN) Social Work or a related field and relevant experience are preferred.
• Experience: Minimum of 2-5 years in healthcare with experience in patient engagement case management or transitional care programs in a home health hospital or related setting preferred.
• Strong knowledge of home health regulations patient care standards and HIPAA compliance.
• Proficiency in healthcare technology systems such as EHR and CRM tools for data tracking and analysis.
• Excellent communication and interpersonal skills with the ability to engage compassionately and professionally with patients and families.
• Analytical mindset with strong problem-solving skills and attention to detail.

Why Choose Pinnacle

• Personalized One-on-One Care: Help patients heal and regain their independence by delivering individualized care in the comfort of their homes.
• Growth & Stability: Over two decades as Floridas largest home health agency.
• Ongoing Professional Development: Free Continuing Education Units (CEUs) to support licensure and career advancement.
• Competitive Benefits & Perks: Including an employee referral program where you can earn rewards.
• Recognized Excellence: Ranked as a USA Today Top Workplace.
• Flexible Scheduling: Enjoy a schedule that aligns with your personal priorities.
• Supportive & Fun Culture: Join a collaborative forward-thinking team that values both professional excellence and personal fulfillment.

Pinnacle promotes an inclusive environment and is an equal opportunity employer. We prohibit discrimination or harassment based on race religion age gender national origin disability veteran status or other legally protected characteristics.

Be part of a company that empowers clinicians to make a difference in the lives of over 10000 patients across Florida every day. Apply now!

Required Experience:

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