Discharge Care Management Coordinator

Job Description

The Case Management Coordinator provides onsite support to patients and hospitalists to facilitate transitions from the hospital to the appropriate next level of care. This role is responsible for patient scheduling, outreach, data tracking, and maintaining accurate documentation to support transition-of-care workflows.

• Helps ensure patients are scheduled timely to receive appropriate follow-up care as they move from the hospital to post-acute or community-based services.
• Coordinates communication between hospitalists, patients, and relevant service providers to support smooth care transitions.
• Maintains accurate logs and documentation related to patient scheduling, outreach activities, follow-up status, and transition-of-care metrics.
• Tracks and reports key transition-of-care indicators in alignment with departmental guidelines.
• Escalates patient scheduling barriers or concerns to supervisors in a timely manner.
• Prepares, organizes, and maintains handouts, forms, and materials necessary for discharge and follow-up workflows.
• Supports hospitalist workflow by ensuring timely responses to messages, updates to logs, shared documents, and tracking tools.
• Performs administrative duties including faxing, document preparation and record maintenance and data entry related to patient transitions.
• Upholds organizational values of Respect, Integrity, Stewardship, and Excellence.
• Maintains strict confidentiality of patient and employee information in accordance with HIPAA and organizational policies.

Essential Duties And Responsibilities

• Provides on-site support to patients and hospitalists to facilitate transitions from the hospital to the appropriate next level of care.
• Educates patients on the importance of discharge follow up and ensures they receive necessary information for their appointment.
• Coordinates communication between hospitalists, patients, and relevant service providers to support smooth care transitions.
• Maintains accurate logs and documentation related to patient scheduling, outreach activities, follow-up status, and transition-of-care metrics.
• Tracks and reports key transition-of-care indicators in alignment with departmental guidelines.
• Escalates patient scheduling barriers or concerns to supervisors in a timely manner.
• Prepares, organizes, and maintains handouts, forms, and materials necessary for discharge and follow-up workflows.
• Supports hospitalist workflow by ensuring timely responses to messages, updates to logs, shared documents, and tracking tools.
• Performs administrative duties including faxing, document preparation and record maintenance and data entry related to patient transitions.

Knowledge, Skills & Abilities

• Knowledge of medical terminology and healthcare office operations.
• Strong customer service and communication skills.
• Strong decision making and problem-solving abilities.
• Ability to foster teamwork and promote a positive, inclusive environment.
• Change management and workflow improvement skills.
• Proficiency in computer systems and clinical applications.
• Ability to work independently.
• Professionalism, accountability, and reliability.

Education / Certification

• A high school diploma or GED is required.
• Courses in medical terminology or healthcare office management are preferred.

Experience

• A minimum of one year of medical office or hospital experience is required.

Benefits

• Comprehensive medical, dental, and vision benefits that include healthcare navigation assistance.
• Access to a mental health benefit at no cost.
• Employer provided life and disability insurance.
• $5,250 Tuition Reimbursement per year.
• An immediate 401(k) match.
• 40 hours paid volunteer time off.
• A culture committed to community engagement and social impact.
• Up to 12 weeks parental leave at 100% pay and a financial benefit for adoption and surrogacy for non-physician team members once eligibility requirements are met.

Pay

The compensation for this role includes a base pay range of $20.59 - $30.88, 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.