Care Management Coordinator

Catholic Health•Melville, NY

3d•$25 - $30

About The Position

The Care Manager Coordinator assists clinical staff in the collaborative process of assessment, planning, implementation and evaluation, to engage and educate patients/employees within CH’s health plan in obtaining or maintaining optimal health status.

Requirements

High School graduate or above.
2-5 years of experience in a Health Care environment or equivalent background with a strong understanding of the medical field.
Computer literacy, including Microsoft Office, data entry, retrieval and report generation.
Ability to communicate medical information to health care professionals and care coordination over the telephone
Knowledge of formal and informal community agencies and resources, or knowledge of how to research.
Working knowledge of multi- system outreach programs relate to health care delivery, clinical education, and health-related services
Experience with Electronic Health Records applications.
A team player that can follow protocols to achieve a common goal.
Strong interpersonal and communication skills and the ability to work effectively with a wide range of constituencies in a diverse community
Confidence to outreach to other health care organizations and personnel.
Must have private, secured workplace
Sensitivity to cultural diversity

Responsibilities

Filters/scrubs population to identify high risk patients/employees, and forward to appropriate clinical team member.
Completes initial phone contact and intake form.
Maintains patient population for ongoing outreach and follow up (low and rising risk patients with a score of 5 and below on initial intake). Identifies and escalates quality of care issues under the guidance of a Registered Nurse.
Utilizes motivational interviewing skills to ensure maximum member engagement and promote lifestyle/behavior changes to achieve optimal health status.
Provides coaching, information and support to empower the member to make ongoing independent healthy lifestyle choices.
Educate healthcare professionals and providers on opportunities for improving and understanding the social determinants of health that may be impacting beneficiary’s health and treatment plan through various communication channels.
Influence medical care providers as needed to adjust interventions based on beneficiary’s cultural, ethnic, or religious preferences.
Monitoring, evaluation and documentation of care according to established workflow guidelines
Refers patient/employees to appropriate resources and provides telephonic case management to medically and psychosocially stable patients.
Reviews inpatient list, outreaches to hospitals and practices for employee/patient information.
Engage employees/patients with chronic conditions to reinforce following the care plan, adjusting tasks to fit with the patient’s culture, language, and religion, improve access to care, identify health care needs, and reduce unnecessary hospitalizations and emergency department visits.
Work to reduce cultural and socio-economic barriers between clients and institutions.
Assist beneficiaries to identify socio-economic issues that affect their overall health and develop health/social management plans and goals
Telephonic and onsite work days.
CH Hospital onsite rounds as needed
Identifies Gaps in Care and monitor for closure of gap.