Fortify Care Coordinator

The Fortify Cares Care Coordinator utilizes their skills and knowledge base to support the optimal health and wellness of the pediatric patient. Through telephonic outreach, the care coordinator will communicate with patients’ families to complete assessments and develop individualized care plans that best support the medical and social needs of the patient and family. Highly developed written and verbal communication skills that facilitate patient/family understanding of health needs is essential. The Fortify Care Coordinator provides education, support, referrals, advocacy, and ongoing care coordination to support patient and family wellness. This position requires strong organizational skills in order to multi-task and prioritize referrals, assignments, and requests. The successful candidate has a demonstrated track record of building respectful rapport and trust with patients, families, providers and community partners; completing assessments of physical and psychosocial needs; identifying appropriate healthcare and community resources; collaborating with team members. This position requires confidentiality, discretion, and collaboration.Provides care that is inclusive and respectful of socioeconomic status, race, ethnicity, age, mental or physical disability, religion, gender, sexual orientation, or national originBuilds open, trusting, respectful relationships with diverse patients and families both remotely and in personEngages critical thinking skills to support the development and execution of Individualized Plans of CareAnticipates and responds to patient and family needsCommunicates effectively with diverse audiences both orally and in writingWorks with interdisciplinary teams to improve patient, family, and community outcomesElectronically documents care according to industry and institutional standards, including HIPAA-compliant documentationThe job includes the following essential functions:Assisting with biopsychosocial assessments and identification of medical and social needs for patients and families.Reading and implementing an Individualized Plan of Care and evaluating progress towards identified goals.Engaging in ongoing communication to interdisciplinary care team members and other partners to provide progress on care needs, referrals, barriers, and outcomesIdentifying relevant community resources to benefit patients and familiesCompleting and following-up on referrals to community resources to optimize effective and efficient care outcomes in collaboration with other members of the multidisciplinary teamBuilding relationships with schools and other community partners to facilitate seamless referral and care coordinationEngaging in continued professional education regarding Care Management best practicesConsistent documentation that meets care, regulatory and accreditation requirementsIn addition to the above job responsibilities, other duties may be assigned.MINIMUM REQUIREMENTS Education: Bachelor’s degree in a Health or Human Services field.Experience: 2+ years of relevant professional experience, preferably in care coordination or social work. Strong understanding of care coordination best practices. Experience working with children, families, community partners. Strong organizational skills and the ability to work independently. Excellent communication skills and the ability to interact with diverse individuals; Bilingual a plus. Prior experience working with Medicaid populations. Experience conducting medication reconciliation with patients and identifying discrepancies. Comfort working in a fast pace and dynamic “startup” environment.Licensure: NonePhysical Demands:
Normal office environment with little exposure to excessive noise, dust, temperature and the like..Position Compensation Range: $43,894.00 – $87,788.00 AnnualBenefits Comprehensive Benefits Package: Medical, Dental, and Vision InsurancePaid Time Off, Long-term and Short-term Disability, Retirement SavingsHealth Saving Plans, and Flexible Spending AccountsCertification and education supportGenerous Paid Time Offis a world-class Magnet Recognized academic medical center and health system with a level 1 trauma center. 2023-2024 rates UVA Health University Medical Center as “High Performing” in 5 adult specialties and 14 conditions/procedures. We are one of 70 National Cancer Institute designated cancer centers. is named by as the best children’s hospital in Virginia with 9 specialties ranked among the best in the nation. Our footprint also encompasses 3 community hospitals and an integrated network of primary and specialty care clinics throughout Charlottesville, Culpeper, Northern Virginia, and beyond.

University of Virginia