Case Management Coordinator

Essential Duties & Responsibilities

• Conduct member outreach to schedule post-discharge follow-up appointments and support transition of care.
• Complete Health Risk Assessments (HRAs), identify member needs, and refer cases to Nurse Case Managers as appropriate.
• Support Care Management and Disease Management programs through member engagement and coordination activities.
• Maintain and track case management data, including eligibility, active census, productivity, and outcomes reporting.
• Aid in report preparation, discharge list compilation, and data analysis for program performance.
• Provide operational support including managing member mailings, responding to phone inquiries, and maintaining resource materials.
• Serve as a liaison for case management systems and external portals.
• Assist with referral processing and provide clerical support such as documentation, faxing, mailing, and medical record retrieval.

Knowledge, Skills & Abilities

• Knowledge of medical terminology and healthcare office operations.
• Strong communication and customer service skills.
• Effective problem-solving and decision-making abilities.
• Ability to work independently and manage multiple priorities.
• Strong organizational and data tracking skills.
• Proficiency in computer systems and clinical applications.
• Ability to support team development and foster a positive work environment.
• Adaptability and change management skills.
• Professionalism and reliability.

Education / Certification

• High school diploma or GED required.
• Coursework in medical terminology or healthcare office management preferred.

Experience

• One (1) year of experience in a medical office, hospital, or healthcare setting required.

Pay

The compensation for this role includes a base pay range of $42K- 64K, with the actual pay determined by factors such as skills, experience, education, certifications, geographic location, and internal equity. Additional compensation may be available through shift differentials, bonuses, and other incentives. Base pay is only a portion of the total rewards package.