Case Management Coordinator

University of Maryland • Linthicum Heights, MD

265d • $23 - $33

About The Position

Responsible for identifying member gaps in care and implementing solutions to remediate them. Work closely with the RN Care Manager and other members of the Interdisciplinary Care Team to address post discharge and post-acute care needs, coordinate referrals and address social determinants of health. Provide a variety of administrative services to an assigned organizational unit. Work is performed under moderate supervision. Director report to the Nurse Manager, Population Health.

Requirements

• High School Diploma.
• Associate degree in a healthcare related field preferred.
• Minimum two (2) years' experience in care management, coaching or community health work.
• Minimum two (2) years' experience working in a client service environment.
• Certification in Community Health Work, Medical Assistant, Pharmacy Technician, or related health field, or the ability to obtain within one (1) year of start date.
• Valid driver's license and reliable transportation (may be required to use personal vehicle for offsite visits).

Responsibilities

• Contact members by phone, mail and/or in person to educate them about their health care needs, gaps in care and the importance of closing those gaps.
• Execute tasks for effective care coordination to improve patient care such as scheduling follow-up visits and labs/tests, communicating with providers and case managers, and facilitating referrals and utilization.
• Prepare documents and various materials, respond to correspondence and telephone inquiries, maintain filing systems, and prepare basic statistical data and reports.
• Utilize various reports and databases to assign cases to members of the care team.
• Assist with health screenings and assessments and support patient education related to social and health needs.
• Provide scripted education/coaching and distribute health education materials to patients and family members, as needed.
• Screen patients using validated tools such as high-risk screeners, social determinants of health and PHQ 2-9.
• Identify members who could benefit from case management and make appropriate referrals to the CM Program.
• Conduct Transition of Care phone calls to patients experiencing a transition along a care continuum such as post Emergency Department/hospital discharge, or post-acute care.
• Work with the Interdisciplinary Care Team to provide support services and coordination of care activities to a defined population.
• Provide education regarding scheduling routine wellness and screening appointments.
• Adhere to standard volume of follow-ups, communicated productivity metrics, including length of call, length of answer time, and the number of calls taken or delivered to achieve first call resolution on every call.
• Perform data entry in accordance with quality standards, including appropriate documentation and communication in accordance with compliance and regulatory requirements.
• Manage a high-volume of inbound or outbound communication verifying and/or securing primary care visits, insurance coverage, etc.
• Document the patient medical record and/or care management application.
• Maintain HIPAA standards and ensure confidentiality of protected health information.
• Perform other duties as assigned.

What This Job Offers

• Industry: Educational Services
• Education Level: High school or GED