Care Coordinator, Embedded

About This Role

Serve as an embedded Care Coordinator providing on-site support within long-term care facilities in the Atlanta, GA area, focusing on Union City/Jonesboro. This role facilitates clinical coordination, documentation, and patient engagement to ensure high-quality, patient-centered care.

Responsibilities

• Maintain a consistent, reliable daily presence within assigned facilities 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 for clear communication and continuity of care
• 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 routine and urgent vital sign collection to ensure timely clinical insight and patient safety
• Facilitate enrollment in Remote Patient Monitoring (RPM) for eligible facility-based patients
• Identify and engage appropriate patients for Chronic Care Management (CCM) services, ensuring accurate documentation and billing compliance
• Coordinate and support urgent telehealth visits for facility-based patients
• Facilitate clinical onboarding for new facility-based patients and expedite time to first visit

Requirements

• Legally authorized to work in the United States of America
• Active, unrestricted clinical certification or licensure (PCT, CNA, MA, CMA, LPN, RN, or comparable)
• Minimum 1 year of patient-facing experience in a long-term care, skilled nursing, or similar clinical setting
• Comfortable communicating proactively and professionally via Microsoft Teams, email, phone, and in person
• Well-developed organizational and time-management skills
• Strong working knowledge of healthcare terminology and care coordination principles
• Proficiency with Microsoft 365 (Outlook, Word, Excel)
• Ability to work on-site, full-time, Monday through Friday, 8:30 a.m. to 5:00 p.m. EST, in the Atlanta, GA area (Union City/Jonesboro region)
• Valid, unencumbered driver’s license
• Reliable personal vehicle
• Current auto insurance
• Ability to pass a background check and drug screen

Qualifications

• Minimum 1 year of patient-facing experience in a long-term care, skilled nursing, or similar clinical setting

Skills

* Required skills

Benefits

Certifications