Remote Primary Care Coordinator

Welcome to Pine Park Health! About Us Pine Park Health is a value-based primary care practice that is redesigning how residents of senior living communities get or stay healthy and lead a life they love. We're on a mission to dramatically improve healthcare for seniors by building a new model of care that's designed around everyone involved — patients, families, community staff members, providers, and payers. We've started by providing regular prevention and screening, care for chronic conditions, lab work, and diagnostic testing to patients in their apartments. We visit each community frequently to see patients and collaborate on patient health needs with staff. We also make it easier for patients to get care urgently with same-day or next-day care, helping them avoid unnecessary trips to the ER or hospital. Over 185 communities across Arizona, California, and Nevada work with Pine Park Health today and we're growing quickly to expand our reach and impact. Investors include First Round Capital, Google's AI fund, Canvas Ventures, Foundation Capital, Y Combinator, and Susa. If you're a determined and mission-oriented person who is looking to build the future of healthcare for seniors, join us! The Opportunity The Primary Care Liaison serves as the strategic care coordination hub for our geriatric primary care team, supporting comprehensive care delivery for a panel of 500-600 patients in partnership with nurses and Primary Care Providers. This role requires excellent clinical judgment, exceptional organizational skills, and the ability to manage complex patient needs across multiple senior living communities. You'll serve as a trusted liaison between patients, families, facility staff, and our clinical team while maintaining the highest standards of communication, documentation, and patient experience. Key Responsibilities: Act as the primary point of contact and care advocate for patients, families, facility partners, and providers across your assigned patient panel Proactively manage patient care coordination, including appointment scheduling, follow-up care, and interdisciplinary communication Maintain comprehensive and accurate patient documentation within our Electronic Medical Record system, ensuring clinical accuracy and regulatory compliance Triage and prioritize urgent care requests, STAT tasks, and time-sensitive clinical communications Serve as a clinical liaison between our care team and community partners, specialty providers, and facility staff Lead new patient onboarding and enrollment processes, ensuring seamless integration into our care model Participate in after-hours on-call rotation to support continuity of care Contribute to quality improvement initiatives and operational efficiency projects Key Evaluation Metrics: Success will be measured in the following focus areas: Patient Communication Responsiveness: Maintain a 95% answer rate for inbound patient calls within 60 seconds (approximately 30 calls daily) Achieve average caller wait times under 30 seconds; maximum wait time not to exceed 2 minutes Resolve urgent voicemails within 1 hour; return non-urgent calls within 1 business day Address after-hours voicemails within 2 hours of the next business day Care Coordination Task Management: Respond to 95% of clinical messages and emails within 2 hours Complete routine care coordination tasks within 7 days; STAT tasks within 24 hours Contact all newly enrolled patients within 24 hours to schedule their welcome visit Complete 100% of daily visit reminder calls (approximately 20 calls per day) Clinical Documentation Quality: Ensure accurate documentation of all patient encounters for chronic care management programs Log a minimum of 6 hours daily of care coordination activities using our proprietary tracking software Support quality improvement and process optimization initiatives Maintain patient satisfaction scores of 8.5/10 or higher Requirements: Bachelor's degree required ... (truncated, view full listing at source)