Care Management Specialist
3 weeks ago
Job Summary
At Northwell Health, we are seeking a skilled Care Management Coordinator to join our team. This role is responsible for coordinating and participating in activities related to Care Management services to family members and caregivers.
Key Responsibilities
- Patient-Centered Care
- Utilize patient-centered motivational interviewing techniques to build rapport and help patients improve their health.
- Panel Management
- Support 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.
- Care Planning
- 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 Services
- Act as a professional liaison between hospitals, primary care providers, specialists, and community resources on behalf of patients to ensure patient-centered care coordination.
- Population Identification
- Identify and track special populations, including high-risk patients and other populations due for preventive or chronic care services.
- 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. Performs outreach activities in primary care sites, homes, hospitals, and neighborhoods.
Requirements
- High School Diploma or equivalent required.
- 1-3 years of relevant experience, required.
- Bachelor's or Master's degree in relevant field strongly preferred.
- Health home or care management experience strongly preferred.
- NYS Driver's License strongly preferred.
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