Specialist, Care Management

About the role

Reporting to the Care Management Team Lead, the Care Management Specialist assists Nurse Care Managers and Chronic Disease Managers in coordinating and delivering high-quality care to patients. This role involves patient outreach, support for non-clinical needs, obtaining medical records, administrative support tasks, and ensuring seamless care transitions and optimal patient outcomes.

Responsibilities

• Conducts outreach to patients to address non-clinical needs, coordinate care, provide support, and connect with internal resources.
• Coordinates services such as follow-up visits, confirming durable medical equipment (DME) deliveries, confirming home health care services are initiated, coordinating transportation for medical appointments, and other non-clinic needs.
• Works collaboratively with Nurse Care Managers, Chronic Disease Managers, healthcare providers, and center teams to provide patient support and address non-clinical needs.
• Maintains accurate and detailed documentation on outreach, interventions, and outcomes including communication with patients, nurse care managers, healthcare providers, and clinic teams.
• Works collaboratively with the Care Management department to ensure progress toward departmental and organizational goals.
• Provides administrative support to the Nurse Care Manager and Chronic Disease Manager.

Requirements

• High school diploma or equivalent required.
• Medical Assistant (MA), Licensed Practical Nurse (LPN), or Certified Nursing Assistant (CNA) certification preferred.
• A minimum of 5 years experience as an MA, LPN, or CNA, preferably in care management or acute care facility, community-based clinic, public health department, or specialization with the senior population or value-based care.
• Proficient PC skills.
• Excellent customer service and patient-centric problem solving.

Skills

• Strong organizational skills, excellent communication abilities, proficiency in documentation in EHR systems, and attention to detail.
• Empathetic, patient-focused, and able to work collaboratively in a team environment.
• Ability to effectively leverage business and organizational knowledge within and across functional areas.
• High degree of emotional intelligence and integrity, driven and focused work ethic.
• Continuous desire to learn and embrace new methods; ability to adapt and be resilient.
• Self-starter with the ability to think creatively and work effectively.
• Ability to build relationships and work effectively with various seniorities and diverse populations.
• Willingness and ability to travel, up to 20%.
• Fluency in Spanish or other languages spoken by people in the communities we serve is desirable, but not required.