Care Management & Coordination Specialist

Northwell Career Site; Melville (NY); On-site; USD 55,000 - 85,000; Full time

Job summary

Northwell Career Site seeks a Care Management Specialist to coordinate care for high-risk patients and engage families and caregivers using patient-centered interviewing. You will support the primary care team with panel management, develop plans addressing medical and social barriers, and coordinate with hospitals, PCPs, specialists, and community resources to ensure seamless, patient-centered care.

The role requires a High School diploma with 1–3 years of relevant experience; Bachelor's or

Qualifications

• High School Diploma or equivalent required.
• 1-3 years of relevant experience, required.
• Bachelor's or Master's degree in relevant field strongly preferred.
• Health home or care management experience strongly preferred.
• NYS Driver's License strongly preferred.
• Bilingual Spanish, preferred.

Responsibilities

• Utilizes patient-centered motivational interviewing techniques to build rapport and help patients improve their health.
• Supports the primary care team by providing panel management to decrease the number of patients lost to care, non-compliant in follow up care or disconnected from primary care. Participates in the development, maintenance, and adjustment of individualized care plans for high-risk patients that address both medical and social barriers to accessing care.
• Acts as a professional liaison between hospitals, primary care providers, specialists, and community resources on behalf of patients to ensure patient-centered care coordination.
• Identifies and tracks special populations, including high-risk patients and other populations due for preventive or chronic care services.
• Identifies and tracks patients discharged from the inpatient service or the emergency department.
• Uses team-based communication strategies to close the loop on referrals, hospital follow-ups and any outstanding items identified in the patient's care plan. Performs outreach activities in primary care sites, homes, hospitals, and neighborhoods.

Skills

Motivational interviewing

Care coordination

Communication

Team collaboration

Patient advocacy

Education

Bachelor's degree

Master's degree

High School diploma

Job description

Northwell Career Site seeks a Care Management Specialist to coordinate care for high-risk patients and engage families and caregivers using patient-centered interviewing. You will support the primary care team with panel management, develop plans addressing medical and social barriers, and coordinate with hospitals, PCPs, specialists, and community resources to ensure seamless, patient-centered care.

The role requires a High School diploma with 1–3 years of relevant experience; Bachelor's or