Pediatric Care Coordinator

Job Description

Location: Boston, MA (Onsite)

We are hiring for a Pediatric Care Coordinator with a pediatric health system located in the US. This position is a full-time, direct hire opportunity.

Responsibilities:

• Serve as primary coordinator for complex pediatric patients with proactive family touchpoints throughout care continuum.
• Conduct comprehensive assessments across clinical, psychosocial, educational, developmental, and financial domains using validated screening tools.
• Develop and maintain individualized care plans with multidisciplinary team, ensuring documented, measurable, family-approved goals.
• Coordinate and track appointments, referrals, testing, imaging, and consultations across internal and external networks.
• Facilitate communication across families, providers, specialists, inpatient teams, schools, and community organizations as central bridge.
• Navigate insurance benefits, prior authorizations, coverage appeals, and financial assistance programs including Medicaid and nonprofits.
• Monitor care plan progress and conduct proactive outreach for appointments, screenings, authorizations, and medication refills.
• Support critical care transitions (NICU discharge, hospital-to-home, ED follow-up, pediatric-to-adult handoffs) with complete clinical context.
• Document care coordination activities, assessments, updates, and communications in Epic per organizational and regulatory standards.

Qualifications:

• Hold Bachelor’s in Nursing, Social Work, Health Sciences, Public Health, or clinical/human services; Master’s preferred.
• Demonstrate 2+ years pediatric care coordination, case management, patient navigation, or clinical care management experience.
• Maintain active RN, LPN, MSW, LSW, LCSW, or equivalent licensure in Massachusetts.
• Demonstrate pediatric condition knowledge: asthma, diabetes, epilepsy, oncology, cardiac disease, autism, cerebral palsy, genetic disorders.
• Demonstrate Epic or EHR proficiency; manage care plans, referrals; population health software experience valued.
• Demonstrate MassHealth, CHIP, commercial managed care, specialty program knowledge; navigate prior authorizations and coverage appeals.

Schedule:

• Full-time, Monday through Friday, standard clinic hours
• On-site in Boston with potential for some hybrid flexibility after onboarding
• Occasional travel to satellite clinic locations within the health system

Salary Range: The salary range for this position is approximately $50,000 – $68,000 annually ($24.04 – $32.69 per hour), based on experience and qualifications.

Interview Process:

• Selected candidates will participate in a multi-step interview process, including an initial screening with TalentLNX followed by interviews with department leadership.

Equal Opportunity Employer: TalentLNX is committed to equal employment opportunity and a diverse, inclusive workforce. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status.