- Coordinate, schedule, and reschedule clinical appointments across the care team.
- Manage referrals to specialists and external clinical services, and follow up with families to reduce gaps in care and missed appointments.
- Support care transitions and continuity across the interdisciplinary team.
- Provide clinical updates to referring physicians and coordinate lab work and treatment-planning documentation.
- Educate families about chronic condition management, medication regimens, treatment plans, and care goals.
- Respond to patient and family inquiries through messaging and phone.
- Initiate and manage medication prior authorization requests, coordinate with pharmacies, and escalate delays.
- Maintain accurate medication records and document clinical interactions and pharmacy communications across EHR and care management platforms.
- Participate in case conferences, team huddles, and quality improvement meetings, and report patient progress and care gaps.