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Care Management Specialist

2 months ago


Manhasset, New York, United States Northwell Health Full time
Job Summary

Northwell Health is seeking a highly 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.

Key Responsibilities
  • Utilize patient-centered motivational interviewing techniques to build rapport and help patients improve their health.
  • 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.
  • 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.
  • 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, including high-risk patients and other populations due for preventive or chronic care services.
  • Identify and track patients discharged from the inpatient service or the emergency department.
  • 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.
Requirements
  • High School Diploma or equivalent required.
  • 1-3 years of relevant experience, required.
  • Bachelor's or Master's degree in a relevant field strongly preferred.
  • Health home or care management experience strongly preferred.
  • NYS Driver's License strongly preferred.