Care Management Coordinator
5 days ago
Northwell Health is seeking a skilled Care Management Coordinator to join our team. As a Care Management Coordinator, you will play a critical role in coordinating and participating in activities related to Care Management services to family members and caregivers.
Job Responsibilities:
- Build Rapport and Improve Health: Utilize patient-centered motivational interviewing techniques to build rapport and help patients improve their health.
- Support Primary Care Team: Provide panel management to decrease the number of patients lost to care, non-compliant in follow-up care or disconnected from primary care. Participate in the development, maintenance, and adjustment of individualized care plans for high-risk patients that address both medical and social barriers to accessing care.
- Liaison between Hospitals and Community Resources: Act as a professional liaison between hospitals, primary care providers, specialists, and community resources on behalf of patients to ensure patient-centered care coordination.
- Identify and Track Special Populations: Identify and track special populations, including high-risk patients and other populations due for preventive or chronic care services.
- Perform Outreach Activities: Use team-based communication strategies to close the loop on referrals, hospital follow-ups, and any outstanding items identified in the patient's care plan. Perform outreach activities in primary care sites, homes, hospitals, and neighborhoods.
Job Qualifications:
- High School Diploma or Equivalent: Required.
- 1-3 Years of Relevant Experience: Required.
- Bachelor's or Master's Degree in Social Work or Relevant Field: Strongly preferred.
- Health Home or Care Management Experience: Strongly preferred.
- NYS Driver's License: Strongly preferred.
- Bilingual Spanish: A plus.
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