Clinical Care Coordinator at MASC Medical

, California, United States -

Full Time

Start Date

Immediate

Expiry Date

14 Feb, 26

Salary

90000.0

Posted On

16 Nov, 25

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Care Coordination, Discharge Planning, Case Management, Interdisciplinary Collaboration, Patient Education, Documentation, Communication, Organizational Skills, Problem Solving, Health Plan Coordination, HIPAA Compliance, Quality Improvement, Transportation Coordination, Community Partnerships, Clinical Knowledge, Social Services

Industry

Staffing and Recruiting

Description

Clinical Care Coordinator Los Angeles, CA (Hybrid) The Clinical Care Coordinator – LTAC Transitions facilitates safe, timely, and well-coordinated transitions of patients from Long-Term Acute Care (LTAC) settings to lower—but medically appropriate—levels of care, including skilled nursing facilities, subacute units, or home and community-based programs. Working within a hybrid model, the Coordinator spends designated days on-site at partner LTACs to participate in care rounds, engage with discharge planners, and coordinate directly with facility teams, while performing administrative and follow-up tasks remotely on non-onsite days. This position serves as the operational bridge between LTAC staff, Presidium providers, external facilities, and community partners—ensuring continuity, compliance, and strong communication across all transitions of care. Compensation & Schedule Compensation: $60,000 – $90,000 annually Schedule: Full-time Benefits: 3 weeks paid time off (2 weeks + 6-7 federal holidays), 401K, Medical, Dental, and Vision. Onsite (LTAC-Facing) Responsibilities Attend scheduled onsite days (typically 2–3 per week) at assigned LTAC facilities. Participate in interdisciplinary rounds and discharge planning meetings on behalf of Presidium. Serve as the point of contact for LTAC case managers, social workers, and clinical staff regarding patients attributed to Presidium. Review provider discharge readiness decisions and ensure orders, documentation, and authorizations are initiated promptly. Identify barriers to discharge (e.g., authorization delays, placement availability) and escalate to the Director of Care Management or supervising provider. Support family and caregiver education on post-discharge instructions, follow-up appointments, and care continuity resources. Remote (Administrative & Follow-Up) Responsibilities Complete discharge documentation, coordination notes, and communication logs in the EHR or designated coordination platform. Arrange logistics including transportation, DME, pharmacy coordination, home health orders, and post-discharge appointments. Communicate with SNFs, home health agencies, and community partners to ensure readiness to receive the patient. Confirm successful transfers and monitor members for 30-day readmission or escalation risk. Conduct post-transition outreach calls to verify continuity and patient satisfaction. Coordinate with internal ECM and Community Supports teams for warm handoffs into ongoing wraparound programs. Cross-Functional Collaboration Collaborate closely with Presidium providers and interdisciplinary teams to align discharge plans with the patient’s clinical needs and social circumstances. Communicate proactively with health plans or managed care organizations to confirm authorizations or clarify next-level placement requirements. Participate in internal quality-improvement initiatives focused on readmission prevention and transition efficiency. Maintain compliance with HIPAA, CMIA, and all internal privacy and data security policies. Documentation and Reporting Ensure all transition and coordination notes are entered within 24 hours of activity. Track and report transition status metrics (timeliness, barriers, outcomes) through dashboards or assigned templates. Support monthly performance review meetings by providing updates on active transitions, resolved barriers, and quality indicators. Education & Licensure Requirements Preferred: Licensed Vocational Nurse (LVN) or equivalent clinical training. Minimum: Associate degree in Nursing, Health Sciences, Social Services, or related field; or equivalent combination of education and healthcare coordination experience. Desirable: Bachelor’s degree (BSN, BA/BS in Health Administration, Public Health, or Social Work). Valid California driver’s license and reliable transportation (for travel to partner LTAC facilities). Experience Requirements Minimum 3 years’ experience in care coordination, discharge planning, or case management within LTAC, acute hospital, SNF, or managed-care environment. Experience coordinating services and authorizations with health plans, providers, and community partners. Familiarity with CalAIM, ECM, or Community Supports preferred. Strong interpersonal skills with the ability to communicate effectively across clinical and administrative teams. Highly organized with the ability to manage multiple transitions and shifting priorities in a fast-paced environment. #MASC105

Responsibilities

The Clinical Care Coordinator facilitates safe and timely transitions of patients from LTAC settings to lower levels of care. This role serves as the operational bridge between various healthcare teams to ensure continuity and compliance during transitions.