Care Management Coordinator
Northwell Health · Oaks, OK · Yesterday
OTHRFull-time
About the role
Coordinates and participates in activities related to Care Management services for family members and caregivers.
Responsibilities
- Utilizes patient-centered motivational interviewing techniques to build rapport and help patients improve their health.
- Supports 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.
- Participates in the development, maintenance, and adjustment of individualized care plans for high-risk patients that address both medical and social barriers to accessing care.
- Acts as a professional liaison between hospitals, primary care providers, specialists, and community resources on behalf of patients to ensure patient-centered care coordination.
- Identifies and tracks special populations, including high-risk patients and other populations due for preventive or chronic care services.
- Identifies and tracks patients discharged from the inpatient service or the emergency department.
- Uses 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.
Schedule
- Monday: 11am–7pm
- Tuesday: 10am–6pm
- Wednesday: 8am–4pm
- Thursday: 11am–7pm
- Friday: 10am–6pm
Pay
The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget, and internal equity).