Geriatric Care Coordinator

Hours: Monday-Friday 8am-5pm

3 days in the office and 2 days remote

Key Responsibilities:

• Appointment Management:Coordinate schedule and confirm new and existing patient appointments using systems like Athena andCarelink; placereminder calls to patients.

• Patient andcarecoordination

• Liaison/Communication:Act as the primary liaison communicating regularly with patients family members and various providers and care teams (including specialists PCPs home health and hospice agencies).

• Case Management & Referrals:

• Coordinate and schedule post-discharge visits for patients returning home from the hospital or skilled nursing facilities (SNF).

• Monitor and manage the coordination of new patient referrals specifically for house calls.

• Process and track specialized referrals (e.g. specialists home health hospice psychiatry) including faxing orders/referral packets and progress notes and following up to confirm acceptance and scheduling.

• Program Enrollment:Enroll eligible patients inAdvanced PrimaryCare Management (APCM) creating the necessary profiles and uploading consent forms; accurately document time spent onAPCMtasks (e.g. home health orders prescription management phone calls).

• GUIDE Program Management:Track referrals discuss program details with patients and set up in-person or telehealth visits including confirming insurance and location details.

• NP/Provider Support:Screen and return phone calls to family members on behalf of the Nurse Practitioner (NP).

Administrativeand Documentation

• Patient Registration & Data Entry:Perform patient registrationcreatingprofiles in Athena and accuratelyadding/verifyingpatient demographics new patient insurance and billing information. Upload admission packets as needed.

• Census Management:Maintainand track provider census datamonitoringpatient appointment cadence referral status and ensuringaccurateprovider and regional assignments in Athena and other tracking systems.

• Insurance Verification & Authorization:

• Verify patient insurance benefits.

• Obtain necessary insurance authorizationsfor specialist referralsAPCM Transitional Care Management (TCM) services and medications.

• Documentation:Document after-hourscall notes in the patient chart.

• General Administration:Assistwith tasks related to practice capacity general letters and processing provider requests/orders.

Clinical Support and Processing

• Orders Processing (Lab Radiology DME):

• Process lab and radiology orders including faxing orders and demographics for mobile imaging.

• Manage the Lab bucketby labeling/assigning reports and contacting patients to deliver lab results on behalf of the NP.

• Complete and process Durable Medical Equipment (DME)orders addaddenda to progress notes fax the order and face sheet to the vendor and call to confirm receipt.

• Medication Assistance:Verify medication dosage and frequency in the EHR andsubmitprescription refills on behalf of the NP. Send orders for acute issues to Assisted/Independent Living facilities (AL/IL) on behalf of the NP.

• Medical Records:Send medical records requests on behalf of the NP; fax progress notes and records to specialists PCPs home health and hospice agencies for care coordination.

• Compliance:Track and manage death certificate requests. Send home health certifications to the Central Business Office (CBO). Serve as a liaison for unprocessed medical records requests betweenHealthMarkand the patient/requestors.

Qualifications

• Experience:Previousexperience in a healthcare administrative or patient care coordination role is preferred especially in a geriatric or primary care setting.

• Technical Skills:Proficiencywith Electronic Health Record (EHR) systems (e.g. Athena) and scheduling platforms ().

• Knowledge:Strong understanding of medical terminology insurance verification authorization processes and common clinical workflows (e.g. lab orders referrals prescription refills).

• Attributes:Exceptional organizational skills attention to detail strong verbal and written communication and a compassionate patient-centered approach.