Care Coordinator - Compassionate Care Program

Who We Are

Evergreen Nephrology partners with nephrologists to transform kidney care through a value-based, person-centered, holistic, and comprehensive approach to kidney care. We believe patients living with kidney disease deserve the best care. We are committed to improving patient outcomes and improving quality of life by delaying disease progression, shifting care to the home, and accelerating kidney transplants.

We help nephrologists focus on the right patients at the right time across the full care spectrum. We do this by providing them with the best-in-class interdisciplinary clinical resources, analytical insight and tools, and services to patients. We listen to the needs of our patients, our employees, and our client partners, continually working to push beyond the status quo in which the care system manages patients today.

Who You Are

You are devoted, compassionate, and enjoy being on the front lines of healthcare, changing the lives of patients by supporting them and the team by focusing on customers. You’re excited about being part of a team that is building a healthcare delivery model that ensures the highest possible quality of life and best outcomes for those in our care. You believe people living with kidney disease deserve the best person-centered, holistic, comprehensive care and want to influence the healthcare system to drive towards that. You thrive in innovative and evolving environments with high rates of change.

Your Role

As a Compassionate Care Program Care Coordinator with Evergreen Nephrology, you are responsible for ensuring prompt, precise, and compassionate clinical care for patients through exceptional patient service and care coordination. Leveraging an integrated technology platform, you are complemented by a team of remarkable nurse care managers who are highly trained in initiating and revisiting goals of care conversations, educating them on advanced care planning, introducing palliative care, and recognizing qualifiers for hospice care in a medically complex patient population.

You will play an integral role in the coordination of care across multiple disciplines through the Compassionate Care Program. You will be an essential resource for patients, community partners, and aligned medical practices. You are the hands and feet of the ECCP Nurse Care Managers, taking their actions and delivering a reality for our patient population.

While this position is fully remote, you will support patients in all time zones Monday-Friday 8:30a-5p (CST preferred).

Role Responsibilities

Some responsibilities may vary based on specific patient programs, but this role's primary duties include the following:

• Patient Engagement
  • Answer incoming calls in a friendly and compassionate manner, engaging appropriately with the patient population, and recognizing calls that should be escalated to the nurse care managers.
• Care Coordination
  • Facilitate seamless transitions of care through collaborative pathways across multiple care settings to ensure the patient’s wishes are upheld to the highest standard possible.
  • Communicate updates regarding mutual patients to community partners and associated medical practices.
  • Promptly recognize and report any discrepancies in visit cadence between community partners and the patient population
• Member Advocacy
  • Advocate for members by identifying barriers to care, ensuring they receive appropriate support and interventions, and working to address inequities in health access and outcomes.
• Collaborative Communication
  • Maintain open lines of communication with patients and their families, caregivers, and healthcare teams to ensure coordinated care and support patients through any issues that may arise during the care process.
• Documentation and Reporting
  • Ensure accurate and timely documentation of member interactions, in accordance with organizational policies and regulatory requirements.
• Education and Empowerment
  • Identify and alleviate stressors and other barriers to the coordination of care, involving other EG programs when necessary
• Other duties consistent with this role, as assigned.

Required Qualifications

• 3 years of experience in hospice and palliative care, health care coordination, community health work, or a similar healthcare-related field
• Experience with a team-based approach to care
• Excellent working knowledge of community resources
• Exceptional ability to prioritize and task-switch to meet the needs of patients and the overall care team
• Self-directed and motivated to resolve issues professionally and creatively
• Strong communication and teaching skills
• Intermediate skills with MS Office Suite of products including Outlook and Teams
• Able to work effectively in a primarily remote environment:
  • Home internet must support a minimum download speed of 25 Mbps and upload speed of 10 Mbps. Cable, Fiber, or DSL connections hardwired to the internet device are recommended
  • Evergreen will provide remote employees with telephony applications and equipment to meet the business requirements for their role
  • Employees must work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information

Compensation

The pay range for this role is $19-$23/hr. Exact pay is determined based on experience, education, demand for the role, and other role-specific factors.

This role is also eligible for a quarterly bonus.

Benefits

Evergreen Nephrology’s total rewards program is designed to support you in and outside of work. You can expect:

• Paid time off starting at 4 weeks for full-time employees
• 12 paid holidays per year
• Medical, dental, vision and life insurance, including an HSA with employer match
• Reimbursement for continuing medical education for eligible roles
• A 401(k) program where Evergreen matches up to 4% of contributions
• Paid parental leave
• A robust training and development program that starts with onboarding and continues throughout your career with Evergreen Nephrology

Evergreen Nephrology is an equal opportunity employer. Applicants will not be discriminated against because of race, color, creed, sex, sexual orientation, gender identity or expression, age, religion, national origin, citizenship status, disability, ancestry, marital status, veteran status, medical condition or any other protected category under local, state or federal laws.

If you are an applicant with a disability who requires reasonable accommodation for any part of the hiring process, please contact us for assistance at [email protected].