Case Management Coordinator - Edward Hospital

Overview

Position Highlights:

• Full-Time, 40 Hours/Week
• Hours: Monday-Friday 8am-4:30pm
• Location: Edward Hospital
  
  

Benefits

• Comprehensive medical, dental, and vision benefits that include healthcare navigation assistance and medical coverage at 100% (after deductible) when utilizing a Duly provider.
• Employer provided life and disability insurance.
• $5,250 Tuition Reimbursement per year.
• Immediate 401(k) match.
• 40 hours paid volunteer time off.
• A culture committed to Diversity, Equity, and Inclusion (DEI) and Social Impact.
• Up to 12 weeks parental leave at 100% pay and a financial benefit for adoption and surrogacy for non-physician team members once eligibility requirements are met.
  
  

Responsibilities

The Case Management Coordinator will be supporting Edward Hospital, on-site, collaborating with Case Management assisting in scheduling follow up appointments at the bed-site as patients are discharged from the hospital. This individual will provide support to the Nurse Case Managers for Health Plan members enrolled in disease management and case management programs.This role also assists in making outreach calls to members to conduct HRAs, appointment scheduling, mailings, etc.

• Maintains all internal data and reporting for Case Management team within the UM Department, including but not limited to:
• Validating monthly member reports to identify potential members for Complex Case Management, Case Management, and Disease Management services.
• Tracking active case management and disease management census on the designated logs.
• Providing assistance with outcomes reporting to quantify the impact of case management services on member population health.
• Logging weekly productivity of Case Management staff by payer and client.
• Coordinating other special case management projects and data collection and analysis as needed.
• Assists the Nurse Case Managers in:
• Preparing monthly Clarity and other Case Management reports.
• Compiling discharge lists for post dc follow up calls.
• Making outreach calls to complete Health Risk Assessment tools and conducts initial interviews to evaluate members' eligibility and needs.
• Referring identified cases to the Nurse Case Manager for follow up.
• Provides member outreach support to CM/DM members by:
• Overseeing mailings of introductory letters and resources as needed.
• Compiling and updating written and electronic resources.
• Responding to inquiries on the designated case management phone line.
• Serving as point of contact for MXO Tech Case Management and other IPA portals as needed.
• May assist in the processing of ambulatory referrals to meet member needs as directed by Case Management Nurses.
• Provides clerical support to the Case Managers, including faxing, mailing, obtaining medical records from portals, document preparation as needed.
  

Qualifications

• Associate's degree in Health Care, Business, or a related field preferred.
• Previous scheduling experience preferred.
  
  

The compensation for this role includes a base pay range of $20.59-30.89, with the actual pay determined by factors such as skills, experience, education, certifications, geographic location, and internal equity. Additional compensation may be available through shift differentials, bonuses, and other incentives. Base pay is only a portion of the total rewards package.