Care Management Coordinator

About This Role

This role coordinates and participates in activities related to Care Management services for family members and caregivers. You will utilize patient-centered motivational interviewing techniques to improve patient health and support the primary care team.

Responsibilities

• Coordinate and participate in activities related to Care Management services to family members and caregivers
• 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 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
• Act as a professional liaison between hospitals, primary care providers, specialists, and community resources on behalf of patients
• 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 inpatient service or the emergency department
• Use team-based communication strategies to close the loop on referrals, hospital follow-ups, and outstanding items in the patient's care plan
• Perform outreach activities in primary care sites, homes, hospitals, and neighborhoods

Requirements

• High School Diploma or equivalent
• 1-3 years of relevant experience

Qualifications

• High School Diploma or equivalent required. Bachelor's or Master's degree in relevant field strongly preferred.
• 1-3 years of relevant experience, required.

Nice to Have

• Bachelor's or Master's degree in relevant field
• Health home or care management experience
• NYS Driver's License