Proactively track patient movement across care settings to identify risks and drive timely intervention
Connect with patients post-discharge to reinforce care plans and help prevent unnecessary hospital visits
Support value-based care initiatives through accurate tracking, insights, and communication
Partner across clinical, intake, and operational teams to ensure seamless patient transitions
Surface and help resolve barriers to care, including access, support systems, and social determinants

LPN or strong care coordination/case management experience
Background in home health, population health, or value-based care
Experience with care coordination or data platforms (Bamboo, Olio, CRM tools, etc.)
Strong communication, critical thinking, and ability to work independently

Care Coordination, Data Support Specialist

Key skills