Care Management Coordinator

Westchester Institute for Human Development•Valhalla, NY

14h•$27 - $32•Hybrid

About The Position

We are seeking an experienced skilled clinical Care Coordinator to join our Chronic Care Management (CCM) program. This is a fast-paced, patient-centered role that requires strong communication skills, excellent organization, and the ability to manage multiple priorities across several patients each day. This role is ideal for a clinician who thrives in proactive care coordination, complex chronic disease management, and patient outreach. The Westchester Institute for Human Development (WIHD) provides the broadest array of heath services and medical specialties in Westchester County and beyond to serve the needs of individuals with intellectual and developmental disabilities. In addition to primary care, we offer many behavioral health resources including psychiatry, neurology behavioral psychology. We are seeking a detail-oriented and proactive Care Coordinator to support our Chronic Care Management (CCM) program. In this role, you will work directly with patients, caregivers, and providers to help close care gaps, improve health outcomes, and ensure patients receive timely, coordinated care. You will be responsible for conducting structured CCM outreach calls, reviewing patient charts, coordinating follow-up care, and documenting all interventions in the electronic medical record (EMR).

Requirements

Active licensure, registration, or certification in a related healthcare field (such as Nursing or Certified Clinical Medical Assistant) is required and must be maintained in good standing.
2+ years of experience in a healthcare or administrative clinical setting
2+ Experience with medical scheduling, referrals, or patient coordination
Working knowledge with electronic medical records (EMR) systems
Strong attention to detail and documentation accuracy
Excellent communication skills (written, phone, email, and patient-facing interaction)
Ability to work independently while following structured workflows
Strong clinical judgment, chart review skills, and EMR proficiency
Ability to manage high-volume patient panels independently

Nice To Haves

Experience in Chronic Care Management (CCM) or care coordination
Experience working with patients with chronic conditions or complex care needs
Knowledge of medical terminology and healthcare workflows
Experience with insurance, referrals, or prior authorizations

Responsibilities

Conduct scheduled Chronic Care Management calls with assigned patients
Review patient charts prior to each call to identify care gaps and outstanding needs
Follow up on appointments, referrals, labs, imaging, and provider recommendations
Support patients in understanding and following their care plans
Assist patients with scheduling appointments during outreach calls when possible
Track missed, overdue, or pending healthcare services
Coordinate with providers, specialists, and internal care teams
Ensure continuity of care following hospital or emergency visits
Review medication lists for updates or discrepancies
Identify refill needs and coordinate with providers
Document medication-related concerns and patient adherence issues
Accurately document all CCM encounters in the EMR
Ensure notes are patient-specific, detailed, and reflect actions taken
Track all follow-up items until resolution
Maintain compliance with CCM program requirements
Review provider notes, orders, and patient history prior to each call
Identify overdue appointments, referrals, and diagnostic tests
Confirm chart accuracy and care plan status before outreach