Care Coordinator - Atlanta

Make a Lasting Impact Where History and Healthcare Meet

Join Fortis Care in partnership with Sadie G. Mays Health & Rehabilitation Center
—one of Atlanta’s most historic and deeply cherished skilled nursing institutions. For over 70 years, Sadie G. Mays has served the community with compassion, dignity, and excellence. We are looking for a mission-driven care coordinator to join our team.

The Care Coordinator is a central member of the on-site clinical team, helping ensure that patients with complex medical needs receive coordinated, responsive, and thoughtful care.

Working closely with our Care Coordination Manager, Advanced Practice Provider, physicians, and facility team, you’ll help organize each patient’s care, anticipate needs, and make sure nothing falls through the cracks. You’ll build relationships with patients and families, coordinate appointments and transitions, prepare the clinical team for efficient visits, and follow through on the details that can make the difference between a patient remaining stable in the facility and ending up back in the hospital.

This is an on-site, hourly role with a predictable Monday–Friday, 8:00 a.m.–4:00 p.m with significant flexibility to work remotely in the afternoons, with no evening or weekend requirements. It’s an ideal opportunity for an LPN or experienced Medical Assistant who enjoys patient relationships, thrives on organization and follow-through, and wants to play a meaningful role on a collaborative clinical team.

• Serve as a warm, responsive point of contact for patients and families, answering questions, coordinating needs, and ensuring every request is followed through to resolution.
• Proactively connect with patients and families to understand clinical needs, provide updates, and schedule ongoing follow-up.
• Coordinate with physicians, specialists, pharmacies, hospitals, and other healthcare partners to schedule appointments, obtain records, and keep care moving forward.
• Help identify and prioritize patients who need medical attention each day, build the provider schedule, and prepare charts so clinicians can deliver efficient, high-quality care.
• Partner closely with the on-site Advanced Practice Provider, facility nursing, therapy, social work, and other team members to keep care and communication seamless.
• Monitor hospitalizations and emergency department visits and ensure the Fortis Care team has the information needed for timely follow-up.
• Support transitions of care after hospitalization, including arranging follow-up, confirming medication reconciliation, and reinforcing discharge instructions.
• Provide patients and families with appropriate educational materials and assist with communication related to specialty referrals and appointments.
• Track open items and future follow-ups to ensure patient needs are addressed promptly and consistently.
• Document all care coordination and care management activities accurately and in a timely manner.

You don’t need to know everything on day one. What matters most is that you care deeply about patients, communicate exceptionally well, and take ownership of getting things done.

You’ll be a great fit if you:

• Are warm, professional, and genuinely enjoy working with patients and families.
• Communicate clearly and promptly by phone, in person, and in writing.
• Take pride in being organized and following through on the details.
• Can juggle multiple priorities without losing sight of what matters most.
• Are comfortable working independently while staying closely connected to a clinical team.
• Enjoy solving problems and finding practical ways to make care easier for patients, families, and providers.
• Understand the basics of chronic disease management and…