Care Coordinator, Embedded (Atlanta, GA - Douglasville/Southwest Atlanta) at Ennoble Care

Atlanta, Georgia, United States -

Full Time

Start Date

Immediate

Expiry Date

16 May, 26

Salary

0.0

Posted On

15 Feb, 26

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Patient Care Coordination, Clinical Communication, Vital Signs Monitoring, Remote Patient Monitoring, Chronic Care Management, Telehealth Facilitation, Patient Onboarding, Staff Mentorship, Documentation, Escalation Protocols, Relationship Building, Time Management, Healthcare Terminology, Microsoft 365 Proficiency, Proactive Communication, Patient Safety

Industry

Hospitals and Health Care

Description

About Us Ennoble Care is a mobile primary care, palliative care, and hospice service provider with patients in New York, New Jersey, Maryland, DC, Virginia, Oklahoma, Kansas, Pennsylvania, and Georgia. Ennoble Care’s clinicians go to the home of the patient, providing continuum of care for those with chronic conditions and limited mobility. Ennoble Care offers a variety of programs including, remote patient monitoring, behavioral health management, and chronic care management, to ensure that our patients receive the highest quality of care by a team they know and trust. We seek individuals who are driven to make a difference and embody our motto, “To Care is an Honor.” Join Ennoble Care today! Ennoble Care is seeking a full-time Care Coordinator, Embedded to join our team, providing on-site support within one or more partnered long-term care facilities in the Atlanta, Georgia area, with a primary focus on the Douglasville/Southwest Atlanta region. This role is an integral, in-person member of our clinical care team, working alongside Ennoble Care providers in a family-practice-style model of care that emphasizes continuity, relationship-building, and patient-centered support. At Ennoble Care, we foster a positive, respectful culture rooted in teamwork, where individuals are valued and encouraged to do meaningful work while maintaining a healthy work-life balance. We support internal advancement and long-term career growth based on performance, organizational needs, and role availability. KEY ROLE RESPONSIBILITIES Facility Presence & Engagement Maintain a consistent, reliable daily presence within assigned facilities, serving as an embedded member of the care team Engage proactively and regularly with residents to support care plans, follow-ups, and care transitions Serve as a trusted liaison between providers, facility staff, residents, and families, helping ensure clear communication and continuity of care Act as a vital communication bridge between facility staff, Ennoble Care providers, and hospice teams Contribute to strong facility partnerships and collaborative team dynamics that support high-quality, patient-centered care Clinical Communication & Care Coordination Provide timely, accurate clinical updates to Ennoble Care providers to support informed, coordinated decision-making Communicate patient needs, changes in condition, and urgent concerns clearly and promptly to the clinical team Support care coordination efforts that promote continuity of care and help prevent unnecessary hospitalizations Accurately document patient interactions and care coordination activities in alignment with established workflows and standards Follow documentation and escalation protocols to support safe, efficient, and effective clinical operations Vital Signs & Symptom Monitoring Support routine and urgent vital sign collection to help ensure timely clinical insight and patient safety Monitor patients experiencing acute symptoms and escalate care appropriately in coordination with the clinical team, as needed (CCM billable) Remote Patient Monitoring (RPM) & Chronic Care Management (CCM) Facilitate enrollment in Remote Patient Monitoring (RPM) for eligible facility-based patients to support ongoing, data-informed care Monitor and support patients to achieve the required 16 readings per month, helping ensure program effectiveness and continuity of care Identify and engage appropriate patients for Chronic Care Management (CCM) services, ensuring accurate documentation and billing compliance Telehealth Facilitation Coordinate and support urgent telehealth visits for facility-based patients, helping ensure timely access to care and clinical continuity New Patient Referrals Facilitate clinical onboarding for new facility-based patients, helping ensure a smooth transition and timely initiation of care Expedite time to first visit by coordinating closely with providers and care teams to support early engagement and continuity of care Staff Onboarding & Mentorship Support the onboarding and training of new Embedded Care Coordinators to promote confidence, consistency, and clinical excellence Serve as a clinical mentor and ongoing resource for new hires, supporting professional growth and strong team integration WHAT “EMBEDDED" MEANS AT ENNOBLE CARE This is not a remote or call-center role. As an Embedded Care Coordinator, you are physically on-site in one or more partnered long-term care facilities, working alongside providers and facility staff. You build consistent relationships with residents and families and become a trusted, familiar presence within the facility -- supporting care the way a traditional family practice would, but in the long-term care setting. REQUIREMENTS Legally authorized to work in the United States of America Active, unrestricted clinical certification or licensure, such as: Patient Care Technician (PCT) Certified Nursing Assistant (CNA) Medical Assistant (MA) / Certified Medical Assistant (CMA) Licensed Practical Nurse (LPN) Registered Nurse (RN) Or comparable credential Minimum 1 year of patient-facing experience in a long-term care, skilled nursing, or similar clinical setting Comfortable communicating proactively and professionally throughout the day via Microsoft Teams, email, phone, and in person Cultivate and maintain positive, approachable relationships with residents, families, providers, and facility staff, while demonstrating a consistent, dependable presence within the long-term care setting Well-developed organizational and time-management skills, paired with an optimistic approach and initiative-driven mindset Strong working knowledge of healthcare terminology and care coordination principles Proficiency with Microsoft 365, including Outlook, Word, and Excel Ability to work on-site, full-time, Monday through Friday, 8:30 a.m. to 5:00 p.m. EST, in an on-site role, based in the Atlanta, Georgia area with a primary focus on the Douglasville/Southwest Atlanta region No weekends No on-call Daytime hours Seven (7) company-paid holidays annually Transportation criteria: Valid, unencumbered driver’s license Reliable personal vehicle Current auto insurance, with the ability to provide proof Please note, travel between facilities may be required Ability to pass a background check and drug screen Full-time benefits eligibility with a variety of options, including a Wellness Pet Plan for your furry family members! Please answer all application questions thoroughly. We appreciate your interest in joining Ennoble Care, where To Care is an Honor❤️ #red Full-time employees qualify for the following benefits: Medical, Dental, Vision and supplementary benefits such as Life Insurance, Short Term and Long Term Disability, Flexible Spending Accounts for Medical and Dependent Care, Accident, Critical Illness, and Hospital Indemnity. Paid Time Off Paid Office Holidays All employees qualify for these benefits: Paid Sick Time 401(k) with up to 3% company match Referral Program Payactiv: pay-on-demand. Cash out earned money when and where you need it! Candidates must disclose any current or future need for employment-based immigration sponsorship (including, but not limited to, OPT, STEM OPT, or visa sponsorship) before an offer of employment is extended. Ennoble Care is an Equal Opportunity Employer, committed to hiring the best team possible, and does not discriminate against protected characteristics including but not limited to - race, age, sexual orientation, gender identity and expression, national origin, religion, disability, and veteran status.

Responsibilities

This role involves maintaining a daily physical presence in assigned long-term care facilities to engage with residents, serve as a liaison between providers and staff, and support care plans. Key duties include clinical communication, coordinating care to prevent hospitalizations, monitoring vital signs, and facilitating RPM/CCM services.