Care Coordinator (PCMH)

The Care Coordinator serves as a link between patients and primary care physicians to coordinate care across the healthcare continuum, focusing on health maintenance, disease prevention, and management. This role involves collaborating with multidisciplinary teams to individualize patient care, manage caseloads based on medical acuity, and ensure effective resource utilization. The position requires maintaining accurate documentation in the EMR and supporting patients through various health and social service needs.