Case Management Coordinator

Job Title: Case Management Coordinator

Position Type: Contract (Hybrid)

Pay Range: $40–$45/hour (W2)

Location: New York, NY 10004

Shift: Monday–Friday | 9:00 AM – 5:00 PM

Hours: 35 Hours/Week

On-Call: No

Patient Facing: No

Equipment: Microsoft Office Suite, DCMS (Disease Care Management System)

Required Education & Certifications (Mandatory)

• Bachelor’s Degree (REQUIRED)

• No Licensure/Certification Required

Required Skills & Experience (Mandatory)

• Minimum 2 years of experience in healthcare and customer service (REQUIRED)

• Bilingual: English & Spanish (REQUIRED)

• Strong proficiency in Microsoft Office (Word, Excel, PowerPoint, Outlook)

• Ability to navigate multiple systems and web-based applications

• Experience with data entry and tracking systems (DCMS or similar)

• Strong organizational and time management skills

• Ability to prioritize and manage changing priorities under pressure

• Excellent written and verbal communication skills

• Strong problem-solving and analytical skills

Preferred Skills & Experience

• Experience in case management / care coordination

• Familiarity with Medicare MOC requirements and transitions of care processes

• Experience working with PCPs, acute care facilities, SNFs, and home care settings

Job Description / Project

The Transitions of Care Coordinator plays a critical role in ensuring compliance with Medicare Model of Care (MOC) requirements and maintaining continuity of care across healthcare settings.

Key responsibilities include:

• Ensuring plans of care (POCs) are sent to acute care facilities for admitted members

• Notifying Primary Care Physicians (PCPs) of admissions and discharge updates

• Tracking and managing POCs sent and received

• Performing accurate and timely data entry in DCMS

• Collaborating with Business Analysts to generate POC tracking and reporting metrics

• Providing excellent customer service to providers and facility staff

• Supporting coordination between acute care, skilled nursing facilities, and home care

• Performing additional administrative and coordination duties as required

Additional Requirements

• Hybrid work environment

• Strong attention to detail and accuracy

• Ability to work in a fast-paced healthcare environment

• High level of professionalism, integrity, and confidentiality

• Ability to multitask across systems and deadlines

Pride Global Benefits

Pride Global offers eligible employee’s comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance, and hospital indemnity), 401(k)-retirement savings, life & disability insurance, an employee assistance program, legal support, auto, home insurance, pet insurance, and employee discounts with preferred vendors.