Care Management Coordinator - VIVOHealth

Northwell•Village of Lake Success, NY
•$44,450 - $69,340

About The Position

The Care Management Coordinator coordinates and participates in activities related to Care Management services for family members and caregivers. The role uses patient-centered approaches to support patients, primary care teams, and coordination across healthcare and community services.

Requirements

  • High school diploma or equivalent required.
  • 1–3 years of relevant experience required.

Responsibilities

  • Use patient-centered motivational interviewing techniques to build rapport and help patients improve their health.
  • Support the primary care team through panel management to reduce the number of patients lost to care, non-compliant with follow-up care, or disconnected from primary care.
  • Participate in developing, maintaining, and adjusting individualized care plans for high-risk patients, addressing medical and social barriers to accessing care.
  • Serve as a professional liaison among hospitals, primary care providers, specialists, and community resources to ensure patient-centered care coordination.
  • Identify and track special populations, including high-risk patients and populations due for preventive or chronic care services.
  • Identify and track patients discharged from inpatient services or the emergency department.
  • Use team-based communication strategies to close the loop on referrals, hospital follow-ups, and outstanding items in patients’ care plans.
  • Perform outreach activities in primary care sites, homes, hospitals, and neighborhoods.
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