Care Transition & Chronic Condition Manager

Sanitas; Florida; On-site; USD 42,000 - 64,000; Full time

Job summary

Sanitas in Orlando, FL is seeking a Case Management Coordinator to manage the transition of care for members post-discharge and those with chronic conditions. You will coordinate follow-up care, create personalized care plans, and educate patients and caregivers to prevent readmissions and improve health outcomes.

Responsibilities include timely post-discharge outreach, coordinating appointments with providers and home health services, and documenting all interventions in the EMR to ensure

Qualifications

• Experience in clinical case management, care coordination, utilization review, or population health.
• Knowledge of chronic disease management and post-acute care processes.
• Ability to document assessments and interventions in EMR.

Responsibilities

• Conduct timely post-discharge outreach to assess member needs and gaps in care.
• Coordinate follow-up appointments with providers and home health services.
• Develop and implement individualized care plans and escalate clinical issues as needed.
• Educate members and caregivers using motivational interviewing to reduce over-utilization.
• Document all interactions in the care management platform accurately and timely.

Skills

Clinical knowledge

Patient engagement

Communication

Problem solving

EMR documentation

Education

High school diploma or equivalent

MA program completion

Active MA national certification

CPR/BLS certification

Job description

Sanitas in Orlando, FL is seeking a Case Management Coordinator to manage the transition of care for members post-discharge and those with chronic conditions. You will coordinate follow-up care, create personalized care plans, and educate patients and caregivers to prevent readmissions and improve health outcomes.

Responsibilities include timely post-discharge outreach, coordinating appointments with providers and home health services, and documenting all interventions in the EMR to ensure