Job Description
Remote Care Coordinator – Triage & Transitions of Care (SNF / Value-Based Care) Overview We are seeking a compassionate and detail-oriented Triage & Care Coordination Specialist to support patients across Skilled Nursing Facility (SNF) and triage service lines. This role serves as a central communication hub between patients, providers, facilities, and interdisciplinary teams to ensure timely care coordination, improved patient outcomes, and seamless transitions of care. This is an excellent opportunity for someone who enjoys patient advocacy, problem solving, and working within value-based care environments while contributing to quality improvement initiatives. Key Responsibilities Patient Triage & Communication Manage incoming patient and facility calls in a timely and professional manner Document interactions accurately within the electronic health record (EHR) Respond to voicemail, electronic, and fax communications within program turnaround standards Escalate urgent clinical concerns to providers according to established protocols Care Coordination & Patient Advocacy Serve as liaison between patients, providers, SNFs, hospitals, and community partners Assist patients with navigating healthcare services and accessing resources Support follow-up on orders, care plans, and provider recommendations Identify barriers to care and promote patient self-management Quality & Operational Support Track quality and program metrics using internal tools and dashboards Help refine workflows to improve care transitions and reduce gaps in care Participate in quality improvement and patient satisfaction initiatives Collaboration & Compliance Participate in interdisciplinary meetings and case discussions Maintain HIPAA compliance and regulatory documentation standards Build professional relationships with internal teams and external partners Qualifications 2+ years of healthcare, care coordination, or patient support experience SNF, post-acute, managed care, or value-based care ex
