Job Description

  • Job LocationUS-AZ-SCOTTSDALE
    Requisition ID
    01 - Days
    Care Management
    Innovation Care Partners
    Position Type
    Regular Full-Time
    Physical Work Location and New Employee Orientation Location : Address
    Work Hours
  • Overview

    HonorHealth is a non-profit, local healthcare organization known for community service and outstanding medical quality. HonorHealth encompasses five acute care hospitals with approximately 11,500 employees and 4,500 volunteers, over 70 primary and specialty care practices, clinical research, medical education, an inpatient rehabilitation hospital, an Accountable Care Organization, two foundations, and extensive community services.

    HonorHealth is a leader in medical innovation, talent and technology with a genuine commitment to your growth. The health system's vibrant careers take place in an environment filled with opportunity and respect because we see the HONOR in you.


    High School Diploma or GED Required

    1 year outpatient, ambulatory care, specialty care, or community healthcare experience Required

    Licenses and Certifications
    Basic Life Support (BLS) CPR Card 7 Days Required
    Fingerprint Clearance Card - State Current State of Arizona Finger Print Clearance Card within 8 weeks from date of hire for those employees who conduct home visits. Required


    Job Summary
    The Care Coordinator collaborates with the primary physician and other health care team members in the development of patient centered goals and actions, ensuring the formulation of a realistic and definitive goal that represents the total care needs and resources of the patient/client and family. The Care Coordinator acts as patient advocate through the continuum and is available to the physician, patient and family as a resource to facilitate communication. Responsible for providing coaching and care coordination to assigned patients to ensure effective transitions as patients move through the health care continuum to include the ambulatory care setting, hospital, home environment and skill nursing facilities. Serves as an embedded care resource with focus on the health and wellness and care coordination needs of the patient population.
    • Coaches and guides patients and their caregivers in addressing critical issues and self-management tasks to assist patients in their recovery efforts. Utilize active listening, Behavioral Motivational Interviewing, guided care goal setting, and home visits to ensure face to face communication and relationship building. Ensures accurate and complete documentation is recorded for every patient encounter.
    • In conjunction with clinical practitioners such as home health RNs, doctors, physician assistants, etc. coordinates and reviews patients’ progress and ability to manage health care issues. Strives to meet goals in educating and empowering the patients and their caregivers in their health care in order to prevent the need for additional resources and possible hospital admissions. Performs outbound calling, home visits, appointment scheduling as necessary.
    • Assists patients with their medication reconciliation, coordination of post-discharge home care needs, self-management support, follow-up care, supportive care, advanced care planning, community resources, and long-term planning needs. Reports patients’ compliance/non-compliance with medical care instructions to appropriate clinical staff. Communicates professionally and using all modalities (email, technology, written, and verbal) with clinical team, patients, and care givers in a way that is clear and concise.
    • Ensures safe handoff of care for hospitalized / post-acute care patients from Transitional Care Managers to Care Coordinators. Coordinates follow-up care with PCP/ Specialists regarding outpatient follow-up appointment and plan of care. Coordinates care with internal and external providers and healthcare team members involved in the care. Builds and maintains working relationships with patients and their care givers and other health care partners.
    • Maintains and manages their caseloads working independently with a minimum of direction, anticipate and organize work flow, work with a high volume caseload, and deal with rapidly changing priorities. Works collaboratively with HonorHealth staff, social service organizations and community resources, as needed, to meet each patient’s needs. Maintains a working knowledge of applicable laws and regulations, government (Medicare, Medicaid, SSI, and SSDI) and insurance benefits. Performs other duties as assigned.

    It is the policy of HonorHealth to provide equal opportunity in employment. Selection and employment of applicants will be made on the basis of their qualifications without regard to race, color, religion, creed, national origin, age, disability, sexual orientation, marital status, veteran status or any other legally protected status.

    Please review the Equal Employment Opportunity poster.

    Please review the Equal Employment Opportunity Poster.HonorHealth wants all interested and qualified candidates to apply for employment opportunities. If you are an applicant with a disability who is unable to use our online tools to search and apply for jobs, please contact us at . Please indicate the specifics of the assistance needed. This option is reserved only for individuals with disabilities that are unable to use the online tools and is not intended for other purposes.

    Application Instructions

    Please click on the link below to apply for this position. A new window will open and direct you to apply at our corporate careers page. We look forward to hearing from you!

    Apply Online