Analys, Case Management, Field
Core
Care Management Coordinator driving care coordination and case management for assigned members to facilitate appropriate healthcare outcomes.
Role type
Care Management Coordinator (IC)
Builds
Care plans and member engagement strategies
Domain
Healthcare / Managed Care
Required skills
Care management, Motivational interviewing, Documentation, Case resolution, Referral management, Care plan monitoring
Preferred skills
Discharge planning, Maternity/NICU experience, Managed care experience
Technologies
Microsoft Office 365, EHR portals, VPN
Responsibilities
Complete comprehensive member evaluations and recommend case resolution approaches; Identify high-risk factors and refer to clinical case management or crisis intervention; Provide coaching and support to empower members for independent medical and lifestyle choices; Coordinate and implement assigned care plan activities; Consult with clinical care managers and providers to overcome barriers to care goals; Present cases at multidisciplinary conferences; Facilitate clinical hand-offs during transitions of care; Educate members about available resources and services.
Seniority
Mid-level, hands-on IC