Care Coordinator

Job Description

Job Description

PBACO supports independent physicians with the tools, services, and incentives to thrive—without giving up control. We collaborate with like-minded hospital systems and

PBACO supports independent physicians with the tools, services, and incentives to thrive—without giving up control. We collaborate with like-minded hospital systems and care centers to create a seamless, integrated experience that improves outcomes and lowers costs.

About the Role

Palm Beach Accountable Care Organization (PBACO) is seeking a Care Coordinator to serve as the primary point of contact for physicians, post-acute facilities, and patients participating in our High Needs REACH program. This role combines care transition support with provider engagement and performance improvement to ensure patients experience seamless care, facilities achieve measurable outcomes, and providers receive data-driven insights.

The ideal candidate will bring strong communication skills, clinical knowledge of post-acute care and Medicare benefits, and the ability to interpret and present data to multiple audiences.

Key Responsibilities

Care Coordination

• Monitor patient ADT (admission, discharge, transfer) alerts to identify risks and opportunities for intervention.
• Support smooth care transitions by facilitating communication between facilities, providers, and patients.
• Promote provider involvement in care planning and use of supportive services (therapy, ancillary care, etc.).

Provider & Facility Engagement

Data & Reporting

Program & Network Support

Performance Goals

Qualifications

Strong Excel and data analysis skills.

Valid driver’s license.

Why Join PBACO?

Apply today to help us improve patient care, reduce readmissions, and transform healthcare delivery!