Case Management Coordinator (68015)
On-siteBoynton Beach, Florida, United States or Palm Beach, Queensland, Australia
Job Summary
Conduct timely post-discharge outreach within 24-72 hours, reviewing discharge summaries and medication lists to assess member needs and confirm understanding of medical instructions. Coordinate follow-up appointments and post-acute services by collaborating with primary care providers, specialists, and community resources to ensure seamless continuity of care. Develop and implement individualized care plans based on assigned program categories, identifying early signs of complications or risk factors to manage chronic conditions effectively. Educate members and caregivers using motivational interviewing techniques, providing guidance on red-flag symptoms and self-management strategies to empower patients and reduce over-utilization. Document all interactions, assessments, and clinical interventions in the care management platform accurately and timely to maintain compliance with organizational policies.
Required Qualifications
- High school diploma or equivalent
- Graduation from a nationally accredited Medical Assistant (MA) program
- Proven experience in clinical case management, care coordination, utilization review, or population health management within a healthcare setting
- Active MA national certification
- CPR/BLS for Healthcare Providers
- Strong, demonstrated understanding of chronic disease management, evidence-based medical guidelines, and post-acute care processes
- Proficiency in motivational interviewing techniques to effectively educate and empower members and their caregivers
- Excellent verbal and written communication skills to interact effectively with patients, interdisciplinary care teams, and community partners
- Strong critical thinking and clinical problem-solving skills to identify barriers to care, risk factors for readmission, and appropriate transition plans
- Ability to accurately and timely document assessments and interventions in care management platforms or Electronic Medical Records (EMR)
- Advanced English
Desired Qualifications
- Certified Case Manager (CCM) credential or similar certification in care coordination/utilization review
- Bilingual (English and Spanish) to effectively serve diverse member populations
- Bilingual Spanish/Creole
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