Care Coordinator

• Own 100% of assigned patient cases and manage the patient journey from HUB enrollment through post-fill follow-up
• Serve as the primary point of contact for patients, caregivers, and healthcare providers regarding reimbursement and access support
• Educate patients, caregivers, and healthcare providers on reimbursement, access, and coverage
• Conduct benefits investigation and verification, including calls with payers and patients
• Explain out-of-pocket costs, deductibles, copays, reimbursement programs, maximizers, and accumulators
• Verify product and baseline-test coverage across pharmacy benefit managers and major medical insurance
• Oversee prior authorization submissions, verification, and appeals support
• Coordinate appointments, baseline assessments, patient testing, and provider confirmations
• Administer Interim Care, extended Interim Care, voucher, and copay programs
• Triage vouchers, paid prescriptions, and Interim Care fills in Polaris
• Conduct post-prescription follow-ups at 10 and 45 days
• Manage case records, documentation, secure messages, texting, faxing, and prescription triage in Polaris
• Coordinate with HUB partners, Pfizer colleagues, Patient Support Program employees, and third-party vendors
• Manage patient consents through DocuSign and correspondence through Kiteworks encrypted email
• Report adverse events and comply with company safety, regulatory, confidentiality, and content-control requirements
• Work cross-functionally to improve the patient access journey and address access barriers

Care Coordinator – Secondment

• Develop, assess, and coordinate holistic care management activities for long-term care members
• Develop or assist with personalized service care plans/service plans
• Educate members and families/caregivers on available services, benefits, procedures, provider instructions, service options, referrals, and healthcare benefits
• Evaluate member needs and available resources and recommend or facilitate the best outcome
• Develop ongoing long-term care plans and identify providers, specialists, and community resources
• Coordinate between members/families/caregivers and care provider teams to ensure services are accessible
• Provide resource support for employment, housing, participant direction, independent living, justice, and foster care needs
• Monitor care plans, member status, and outcomes and recommend updates based on member needs
• Interact with long-term care providers and partners to meet member needs
• Collect, document, and maintain member information and care management activities for regulatory compliance
• Perform on-site visits as needed to assess member needs and collaborate with providers/resources
• Provide feedback to leadership on improving quality of care and cost-effective service delivery
• Perform other duties as assigned

LTSS Service Care Coordinator

• Work with administration, Care Managers, patients, and family members to reach healthcare goals and maintain communication
• Support non-clinical duties and provide additional support to clinicians, case managers, and members related to patient care
• Serve as a resource contact and education source to patients, families, providers, and staff
• Provide telephonic follow-up with members, including post-hospital discharge and chronic condition management
• Complete assigned Care Coordination tasks
• Generate tasks for the assigned RN Case Manager
• Direct patients and families to appropriate resources, including community resources
• Assist, under RN Case Manager direction and supervision, with member goals, education, resource access, and follow-up care arrangements
• Maintain quality service according to organizational standards
• Assist with data entry, faxes, filing, and other clerical duties
• Handle inbound and outbound calls and obtain information as requested by licensed staff

• Coordinate care for patients by ensuring access to eligible resources/programs and assisting with referrals and provider appointments
• Perform outbound calls and respond to inbound calls from patients, providers, and Village resources
• Complete non-clinical screenings and pathways under the guidance of the Manager; escalate to Integrated Care Nurse as needed
• Assist the clinical team with moving patients through the continuum of care by completing directed tasks
• Identify eligible resources for members and collaborate with Integrated Care Nurses, dialysis clinics, health plans, and other stakeholders to help members enroll in programs
• Communicate directly with patients in a timely and professional manner
• Maintain accurate, complete, and confidential documentation
• Demonstrate exceptional two-way oral and written communication
• Act in alignment with DaVita’s mission and values to deliver high-quality patient care
• Commute to DaVita clinics 2–4 times per week and work the remaining time from home
• Work a full-time Monday–Friday schedule with a daily start time between 7:00–8:00 AM