• Perform comprehensive initial TOC visits. • Conduct a thorough post-discharge assessment of the patient's medical conditions, medications, functional status, and psychosocial needs. • Complete a full post-discharge medication reconciliation — including identifying duplicate, inappropriate, or contraindicated therapy and optimizing guideline-directed medical therapy. • Place appropriate orders (prescriptions, labs, imaging, referrals, home health, DME), provide disease-specific education, and communicate clear contingency plans and red flags for worsening symptoms. • Perform acute / virtual urgent-care TOC visits. • Independently assess, diagnose, and manage new or worsening symptoms in medically complex patients, determine the appropriate level of care, and escalate when needed — with a clear bias to action. • Manage the clinical trajectory across the 30-day window. • Reinforce and adjust each patient's plan of care in response to their evolving clinical picture, their priorities, and the barriers they face — including chronic disease management, symptom management, and timely changes to the medical regimen. • Participate in interdisciplinary TOC rounds to discuss patients at highest risk of readmission, and collaborate closely with RN case managers, care coordinators, social work case managers, pharmacy, and patients' PCPs and specialists. • Enhance team culture by facilitating safe, open communication across roles and supporting clear patient escalations. • Assist with clinical education of the broader team, participate in quality-improvement projects and pilots, and provide feedback to improve our EHR. • Embrace a build environment. As our service needs evolve, this role may expand to support new clinical and organizational initiatives.

• Perform comprehensive initial TOC visits. • Conduct a thorough post-discharge assessment of the patient's medical conditions, medications, functional status, and psychosocial needs. • Complete a full post-discharge medication reconciliation — including identifying duplicate, inappropriate, or contraindicated therapy and optimizing guideline-directed medical therapy. • Place appropriate orders (prescriptions, labs, imaging, referrals, home health, DME), provide disease-specific education, and communicate clear contingency plans and red flags for worsening symptoms. • Perform acute / virtual urgent-care TOC visits. • Independently assess, diagnose, and manage new or worsening symptoms in medically complex patients, determine the appropriate level of care, and escalate when needed — with a clear bias to action. • Manage the clinical trajectory across the 30-day window. • Reinforce and adjust each patient's plan of care in response to their evolving clinical picture, their priorities, and the barriers they face — including chronic disease management, symptom management, and timely changes to the medical regimen. • Participate in interdisciplinary TOC rounds to discuss patients at highest risk of readmission, and collaborate closely with RN case managers, care coordinators, social work case managers, pharmacy, and patients' PCPs and specialists. • Enhance team culture by facilitating safe, open communication across roles and supporting clear patient escalations. • Assist with clinical education of the broader team, participate in quality-improvement projects and pilots, and provide feedback to improve our EHR. • Embrace a build environment. As our service needs evolve, this role may expand to support new clinical and organizational initiatives.

• Perform comprehensive initial TOC visits. • Conduct a thorough post-discharge assessment of the patient's medical conditions, medications, functional status, and psychosocial needs. • Complete a full post-discharge medication reconciliation — including identifying duplicate, inappropriate, or contraindicated therapy and optimizing guideline-directed medical therapy. • Place appropriate orders (prescriptions, labs, imaging, referrals, home health, DME), provide disease-specific education, and communicate clear contingency plans and red flags for worsening symptoms. • Perform acute / virtual urgent-care TOC visits. • Independently assess, diagnose, and manage new or worsening symptoms in medically complex patients, determine the appropriate level of care, and escalate when needed — with a clear bias to action. • Manage the clinical trajectory across the 30-day window. • Reinforce and adjust each patient's plan of care in response to their evolving clinical picture, their priorities, and the barriers they face — including chronic disease management, symptom management, and timely changes to the medical regimen. • Participate in interdisciplinary TOC rounds to discuss patients at highest risk of readmission, and collaborate closely with RN case managers, care coordinators, social work case managers, pharmacy, and patients' PCPs and specialists. • Enhance team culture by facilitating safe, open communication across roles and supporting clear patient escalations. • Assist with clinical education of the broader team, participate in quality-improvement projects and pilots, and provide feedback to improve our EHR. • Embrace a build environment. As our service needs evolve, this role may expand to support new clinical and organizational initiatives.

Role Description Our client is seeking a compassionate, detail-oriented, and highly organized Bilingual Healthcare Coordinator to support the daily operations of a growing healthcare organization serving a rural and relationship-centered community. This role is ideal for someone who is fluent in both Spanish and English, has strong medical administrative experience, and is confident working with AthenaHealth. - Support patient scheduling, patient communication, insurance verification, claims processing, billing support, chronic disease management, telehealth coordination, and administrative workflows. - Professional, proactive, and comfortable communicating with patients, providers, and internal team members. - Flexibility, teamwork, and a willingness to ask questions are essential. - Full-time commitment and strong ownership of tasks required. - Selected candidate should not be working with other clients during scheduled work hours. Qualifications - Fluent in spoken and written Spanish and English. - Hands-on experience using AthenaHealth is required. - Experience with chronic disease management, including follow-ups, patient tracking, and records management. - Previous experience in medical administrative roles such as Medical Receptionist, Medical Biller, Patient Care Coordinator, Provider Support, or similar healthcare role. - Experience with claims processing, insurance verification, billing support, and patient communication. - Strong attention to detail and ability to manage patient records accurately. - Comfortable working in a growing clinic where responsibilities may evolve. - Proactive and willing to ask providers clarifying questions when needed. - Strong customer service and professional communication skills. Requirements - Must be proficient in speaking and writing English very clearly. - Must have relevant work experience. - Must be able to submit an NBI Clearance and/or Local Police Clearance before onboarding (mandatory). - Must be available for video meetings with camera on when required. Benefits - Access to world-class support for questions, guidance, contract matters, and client communication. - Premium VPN Access (Optional): A secure VPN license can be provided upon request to enhance privacy and security for client-related tasks. - HIPAA & Cybersecurity Training + Certification (Provided): Access to our internal HIPAA compliance training, cybersecurity modules, and certification to help you confidently handle PHI for U.S. healthcare clients. - Top 1% VA Performance Training: Access to our proprietary training on communication, client management, productivity systems, and best practices to help you become a top-performing VA and increase long-term client retention. - Client-Approved U.S. Holidays: Contractors may take U.S. holidays off according to the client’s needs and schedule. - Client-Approved Paid or Unpaid Time Off: Time off may be granted by your client. Paid time off is optional and only if offered by the client. - Access to Tools & Resources: Templates, workflow guides, productivity tools, and client-specific SOP support to help you perform at your best. - Optional Performance-Based Incentives: Some clients may offer bonuses, incentives, or increased hours based on your performance.