Case Management Coordinator
4 weeks ago
University of Maryland Medical System is seeking a highly motivated and detail-oriented Case Management Coordinator to join our team.
Job SummaryThe Case Management Coordinator will be responsible for identifying member gaps in care and implementing solutions to remediate them. This role will work closely with the RN Care Manager and other members of the Interdisciplinary Care Team to address post-discharge and post-acute care needs, coordinate referrals, and address social determinants of health.
Key Responsibilities- Contact members by phone, mail, and/or in person to educate them about their healthcare needs, gaps in care, and the importance of closing those gaps.
- Execute tasks for effective care coordination to improve patient care, such as scheduling follow-up visits and labs/tests, communicating with providers and case managers, and facilitating referrals and utilization.
- Prepare documents and various materials, respond to correspondence and telephone inquiries, maintain filing systems, and prepare basic statistical data and reports.
- Utilize various reports and databases to assign cases to members of the care team.
- Assist with health screenings and assessments and support patient education related to social and health needs.
- Provide scripted education/coaching and distribute health education materials to patients and family members, as needed.
- Screen patients using validated tools such as high-risk screeners, social determinants of health, and PHQ 2-9.
- Identify members who could benefit from case management and make appropriate referrals to the CM Program.
- Conduct Transition of Care phone calls to patients experiencing a transition along a care continuum, such as post-emergency department/hospital discharge or post-acute care.
- Work with the Interdisciplinary Care Team to provide support services and coordination of care activities to a defined population.
- Provide education regarding scheduling routine wellness and screening appointments.
- Adhere to standard volume of follow-ups, communicated productivity metrics, including length of call, length of answer time, and the number of calls taken or delivered to achieve first call resolution on every call.
- Perform data entry in accordance with quality standards, including appropriate documentation and communication in accordance with compliance and regulatory requirements.
- Manage a high-volume of inbound or outbound communication verifying and/or securing primary care visits, insurance coverage, etc.
- Document the patient medical record and/or care management application.
- Maintain HIPAA standards and ensure confidentiality of protected health information.
The ideal candidate will have a High School Diploma and a minimum of two (2) years' experience in care management, coaching, or community health work. Certification in Community Health Work, Medical Assistant, Pharmacy Technician, or related health field, or the ability to obtain within one (1) year of start date is preferred. A valid driver's license and reliable transportation may be required for offsite visits.
The University of Maryland Medical System is an equal opportunity employer and welcomes applications from diverse candidates. All applications will be kept confidential according to EEO guidelines.
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