CNA / CMA Care Coordinator, Embedded (Prince Georges County, MD)

div]:border-0.5 [&_pre>div]:border-border-400 [&_.ignore-pre-bg>div]:bg-transparent [&_.standard-markdown_:is(p,blockquote,h1,h2,h3,h4,h5,h6)]:pl-2 [&_.standard-markdown_:is(p,blockquote,ul,ol,h1,h2,h3,h4,h5,h6)]:pr-8 [&_.progressive-markdown_:is(p,blockquote,h1,h2,h3,h4,h5,h6)]:pl-2 [&_.progressive-markdown_:is(p,blockquote,ul,ol,h1,h2,h3,h4,h5,h6)]:pr-8"> _*]:min-w-0 gap-3 standard-markdown"> Coordinate care for patients residing in skilled nursing and rehabilitation facilities using Ennoble Care's EMR Facilitate transitional care management, ensuring services with the Housecalls division are initiated immediately upon a patient's discharge from the hospital Expedite time to first provider visit for newly transitioned patients in accordance with established guidelines Monitor patients attentively, communicate changes in condition promptly to the provider, initiate appropriate interventions, and escalate care as clinically indicated, including CCM-billable activities Consistently support care coordination efforts to reduce avoidable emergency department visits and hospital readmissions Collaborate daily with providers and facility staff to ensure care plans are kept current and acted on On-Site Clinical Support Maintain a consistent and reliable daily on-site presence in assigned facilities Build ongoing relationships with residents and their families, maintaining a consistent presence that reinforces trust and continuity of care over time Conduct routine and urgent vital sign collection as needed Perform regular patient check-ins to support care plans, follow-ups, and clinical stability Identify changes in patient condition and promptly communicate concerns to the clinical team Communication & Collaboration Serve as a key liaison between Ennoble Care providers, facility staff, residents, families, and the Housecalls team Collaborate closely with Ennoble Care providers within the skilled nursing or long-term care setting Provide timely, accurate clinical updates to providers to support informed decision-making Ability to convert two (2) eligible patients per day to Ennoble Care's Housecalls program Serve as a steady communication bridge between residents, families, the facility team, and our Housecalls division Function as a reliable communication bridge to ensure accurate, timely exchange of clinical information Documentation & EMR Management Accurately document patient interactions, assessments, and care coordination activities in Ennoble Care's EMR Perform chart reconciliation to ensure accuracy and continuity of clinical records between Ennoble and facility records Follow established workflows, documentation standards, and escalation protocols Team Support & Leadership Support onboarding and training of new Embedded Care Coordinators Serve as a clinical mentor and resource for newly hired coordinators Promote best practices in transitional care, communication, and facility-based care coordination Contribute positively to team collaboration and foster strong partnerships with facility staff Work Environment & Expectations Embedded, on-site role within assigned skilled nursing and/or rehabilitation facilities Requires consistent daily presence and strong relationship-building with facility staff Fast-paced, patient-facing role requiring clinical judgment, adaptability, and proactive engagement CORE COMPENTACIES Patient-centered care Clinical judgment and escalation Care coordination and continuity Communication and collaboration Documentation accuracy and compliance Relationship-building and teamwork COMPENSATION & BENEFITS Starting pay rate is $18.00-$19.00 hourly Quarterly bonus opportunities based on performance Mileage reimbursement eligibility when traveling between facilities Full-time benefits eligibility after 30 days of employment, including a range of supplemental insurance options and elective benefits -- and yes, even a Wellness Pet Plan for your furry family members Please answer all application questions thoroughly. Thank you for your interest in joining the Ennoble Care team! #brown Full-time employees qualify for the following benefits: Medical, Dental, Vision and supplementary benefits such as Life Insurance, Short Term and Long Term Disability, Flexible Spending Accounts for Medical and Dependent Care, Accident, Critical Illness, and Hospital Indemnity. Paid Time Off Paid Office Holidays All employees qualify for these benefits: Paid Sick Time 401(k) with up to 3% company match Referral Program Payactiv: pay-on-demand. Cash out earned money when and where you need it! Candidates must disclose any current or future need for employment-based immigration sponsorship (including, but not limited to, OPT, STEM OPT, or visa sponsorship) before an offer of employment is extended. Ennoble Care is an Equal Opportunity Employer, committed to hiring the best team possible, and does not discriminate against protected characteristics including but not limited to - race, age, sexual orientation, gender identity and expression, national origin, religion, disability, and veteran status.