Chronic Care Coordinator

2 weeks ago


Brooklyn, New York, United States Vitability Health Full time
Job Title: Chronic Care Manager

Vitability Health is revolutionizing the way patients receive quality care.

Key Responsibilities:
  • Manage a caseload of patients with chronic conditions, including those with mental health issues.
  • Collaborate with healthcare providers to identify patients who would benefit from care management.
  • Develop relationships with patients and their families to ensure comprehensive care.
  • Provide follow-up support to patients to ensure adherence to their care plans.
  • Respond to urgent and emergency calls during working hours.
  • Anticipate patient needs and ensure necessary documentation and pre-visit planning is completed.
  • Empower patients to manage their health and independence.
  • Determine and coordinate referrals as needed.
  • Work with patients and their care teams to develop individualized treatment plans.
  • Monitor patient progress and report to healthcare providers.
  • Assist patients in setting SMART goals and teaching self-management skills.
  • Identify barriers to treatment and develop strategies to overcome them.
  • Participate in team meetings and peer review activities.
  • Promote collaborative teamwork and work effectively in a team environment.
  • Collaborate with payer case managers to secure additional services.
  • Maintain a list of medical supplies and community resources available to patients.
  • Make recommendations for policies and procedures to ensure timely preventive services.
  • Provide follow-up support during transitions of care.
  • Coordinate disease registry activities.
  • Conduct home visits with physicians to assess patient safety and medication compliance.
Qualification Requirements:

To succeed in this role, the individual must possess the following knowledge, skills, and abilities:

  • Knowledge of the Patient-Centered Medical Home model and insurance industry practices.
  • Understanding of chronic disease and preventive care measures.
  • Bachelor's degree in healthcare administration, health informatics, or a related field.
  • Licensure as a Licensed Practical Nurse or Registered Nurse.
  • Experience working with patients with mental health issues is preferred.


  • Brooklyn, New York, United States Vitability Health Full time

    Job SummaryVitability Health is revolutionizing the way patients receive quality care. We are seeking a skilled Chronic Care Manager to join our team.Key ResponsibilitiesManage a caseload of patients with chronic conditions, including those with mental health issues.Collaborate with physicians, providers, and practice staff to identify patients for care...


  • Brooklyn, New York, United States Vitability Health Full time

    Job SummaryVitability Health is revolutionizing the way patients receive quality care. We are seeking a skilled Chronic Care Manager to join our team.Key ResponsibilitiesManage a caseload of patients with chronic conditions, including those with mental health issues.Collaborate with physicians, providers, and practice staff to identify patients for care...

  • Chronic Care Manager

    2 weeks ago


    Brooklyn, New York, United States Vitability Health Full time

    Job Title: Chronic Care ManagerVitability Health is leading the change in how patients receive quality care.Essential Duties and Responsibilities:Manage a caseload of assigned patients with chronic conditions, including those with mental health issues.Collaborate with physicians, providers, and practice staff to identify patients for care management.Develop...

  • Nurse Practitioner

    3 weeks ago


    Brooklyn, New York, United States United Surgical Partners Full time

    Job SummaryWe are seeking a highly skilled Nurse Practitioner to join our team in providing high-quality care to patients with chronic medical conditions. As a key member of our interdisciplinary team, you will be responsible for managing a panel of patients, conducting assessments, and coordinating care to improve health outcomes.Key...

  • Care Coordinator

    2 days ago


    Brooklyn, New York, United States Community Home Care Full time

    Intake Coordinator OpportunityCommunity Home Care is seeking a skilled Intake Coordinator to join our team. As an Intake Coordinator, you will play a critical role in processing incoming referrals of patients referred to our agency for homecare services.Key Responsibilities:Verify patient insurance to determine eligibilityEducate patients on services we...

  • Nurse Practitioner

    2 weeks ago


    Brooklyn, New York, United States United Surgical Partners Full time

    Job SummaryWe are seeking a highly skilled Nurse Practitioner to join our team in providing high-quality, patient-centered care to our patients with chronic medical conditions. As a Nurse Practitioner, you will be responsible for managing a panel of patients, conducting office or telehealth assessments, and performing post-discharge visits to ensure seamless...


  • Brooklyn, New York, United States Fidelis Care Full time

    Job SummaryWe are seeking a skilled Clinical Care Coordinator to join our Medical Management/Health Services team. As a key member of our team, you will play a critical role in ensuring our members receive the necessary services to achieve optimal health outcomes.This is a field-based position that requires RN licensure in NYS. You will be visiting members...

  • Care Coordinator

    2 weeks ago


    Brooklyn, New York, United States Ultimate Care Full time

    About the RoleUltimate Care is seeking a skilled Intake Specialist to join our team. As an Intake Specialist, you will play a crucial role in educating consumers about available services and assisting them in the process to get approved.Key ResponsibilitiesCollaborate with internal teams to ensure a smooth intake process for clients seeking home care...


  • Brooklyn, New York, United States True Care Full time

    Job Title: Home Care Staffing CoordinatorAt True Care, we are seeking a highly skilled and compassionate Home Care Staffing Coordinator to join our team. As a key member of our care team, you will play a vital role in coordinating caregiver placement and visit confirmations between our patients and their caregivers.Responsibilities:Strategically coordinate...


  • Brooklyn, New York, United States True Care Full time

    Job Title: Home Care Staffing CoordinatorAt True Care, we are seeking a highly skilled and compassionate Home Care Staffing Coordinator to join our team. As a key member of our staff, you will play a vital role in coordinating caregiver placement and visit confirmations between our patients and their caregivers.Responsibilities:Strategically coordinate...


  • Brooklyn, New York, United States Ultimate Care Full time

    About the RoleUltimate Care is seeking a skilled Care Coordination Specialist to join our team.Key ResponsibilitiesCollaborate with internal teams to ensure a seamless intake process for clients seeking home care services.Conduct thorough intake assessments to determine client needs and eligibility for services.Educate and inform consumers about the range of...


  • Brooklyn, New York, United States True Care Full time

    Job SummaryWe are seeking a highly skilled and compassionate Home Care Staffing Coordinator to join our team at True Care. As a key member of our care coordination team, you will play a vital role in ensuring our patients receive the highest quality home healthcare services.Key ResponsibilitiesCoordinate the placement of caregivers with patients in their...

  • Care Coordinator

    3 weeks ago


    Brooklyn, New York, United States Ultimate Care NY Full time

    About the RoleUltimate Care NY is seeking a skilled Intake Specialist to join our team. As an Intake Specialist, you will play a crucial role in educating consumers about available services and assisting them in the process to get approved.Key ResponsibilitiesCollaborate with various teams internally to ensure a smooth intake process for clients seeking home...

  • Care Coordinator

    2 weeks ago


    Brooklyn, New York, United States Ultimate Care NY Full time

    {"title": "Intake Specialist", "description": "Job SummaryUltimate Care NY is seeking a skilled Intake Specialist to join our team.Key ResponsibilitiesCollaborate with internal teams to ensure a seamless intake process for clients seeking home care services.Conduct intake assessments to determine client needs and eligibility for services.Educate and inform...

  • Nurse Practitioner

    1 week ago


    Brooklyn, New York, United States Chai urgent care Full time

    Job Title: Family Nurse PractitionerWe are seeking a skilled and compassionate Family Nurse Practitioner to join our team at Chai Care. As a Family Nurse Practitioner, you will be responsible for delivering high-quality primary medical care to a diverse range of patients. Your expertise will be essential in providing comprehensive care, from routine...

  • Care Coordinator

    4 weeks ago


    Brooklyn, New York, United States Good Shepherd Services Full time

    About the RoleGood Shepherd Services is a leading youth development, education, and family service agency seeking a dynamic and compassionate Care Coordinator to support youth at our Brooklyn Center. In this role, you will guide program enrollees and their caretakers through the healthcare system by assisting with access issues, developing relationships with...


  • Brooklyn, New York, United States True Care NY Full time

    Job Title: Home Care Staffing CoordinatorAt True Care NY, we are seeking a highly skilled and bilingual Home Care Staffing Coordinator to join our team. As a key member of our coordination department, you will play a vital role in ensuring the seamless delivery of high-quality home care services to our clients.Job Summary:The Home Care Staffing Coordinator...


  • Brooklyn, New York, United States True Care NY Full time

    Company Overview: Empowering Health, Enriching Lives: True Care's Enduring MissionAt True Care, we stand as a beacon of compassion and excellence in home healthcare. With a profound commitment to enhancing the quality of life for individuals and families, our mission is to provide holistic, personalized care that empowers health and enriches lives.Every day,...


  • Brooklyn, New York, United States Ultimate Care NY Full time

    About the RoleUltimate Care NY is seeking a skilled Care Coordination Specialist to join our team.Key ResponsibilitiesCollaborate with Cross-Functional Teams: Work closely with various departments to ensure a seamless intake process for clients seeking home care services.Conduct Comprehensive Assessments: Conduct thorough intake assessments to determine...

  • Wound Care Specialist

    4 weeks ago


    Brooklyn, New York, United States ReNew Wound Care Full time

    Job SummaryWe are seeking a highly skilled Wound Care Specialist to join our team at ReNew Wound Care. As a key member of our healthcare team, you will be responsible for providing advanced wound care services to patients in skilled nursing facilities.Key ResponsibilitiesAssessment and Treatment: Conduct thorough assessments of patient wounds, which may be...