Care Management Coordinator (Queens)

Northwell Health; Melville (NY); On-site; USD 60,000 - 90,000; Full time

Job summary

Northwell Health seeks a Care Management professional to coordinate services for patients and families, focusing on high-risk individuals and those with barriers to access.

You will work with the primary care team using motivational interviewing, manage panels to reduce missed follow-ups, and liaise with hospitals, specialists, and community resources to ensure seamless, patient-centered care.

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 to build rapport and help patients improve their health.
• Supports panel management to decrease lost to care and non-compliance; develops individualized care plans for high-risk patients.
• Acts as liaison between hospitals, primary care providers, specialists, and community resources for patient-centered care coordination.
• Identifies and tracks high-risk populations and others due for preventive or chronic care services.
• Identifies and tracks patients discharged from inpatient service or the emergency department.
• Uses team-based communication to close the loop on referrals and follow-ups; conducts outreach in clinics, homes, hospitals, and neighborhoods.

Skills

Motivational interviewing

Panel management

Care coordination

Communication

Spanish language

Education

High School Diploma or equivalent

Bachelor's degree

Master's degree

Job description

Job Description

Coordinates and participates in activities related to Care Management services to family members and caregivers.

Job Responsibility

• 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.

Job Qualification

• 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.

*Additional Salary Detail
The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future.When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity).