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Care Management Coordinator

4 months ago

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Job Description

Coordinates and participates in activities related to Care Management services to family members and caregivers.

Job Responsibility

  • Utilizes patient-centered motivational interviewing techniques to build rapport and help patients improve their health.
  • Supports the primary care team by providing panel management to decrease the number of patients lost to care, non-compliant in follow up care or disconnected from primary care. Participates in the development, maintenance, and adjustment of individualized care plans for high-risk patients that address both medical and social barriers to accessing care.
  • Acts as a professional liaison between hospitals, primary care providers, specialists, and community resources on behalf of patients to ensure patient-centered care coordination.
  • Identifies and tracks special populations, including high-risk patients and other populations due for preventive or chronic care services.
  • Identifies and tracks patients discharged from the inpatient service or the emergency department.
  • Uses team-based communication strategies to close the loop on referrals, hospital follow-ups and any outstanding items identified in the patient's care plan. Performs outreach activities in primary care sites, homes, hospitals, and neighborhoods.

Job Qualification

  • High School Diploma or equivalent required.
  • 1-3 years of relevant experience, required.
  • Some college in a human services role, preferred


*Additional Salary Detail
The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future.When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity).