Care Transitions & Chronic Care Coordinator

Sanitas Medical Centers; Palm River (FL); On-site; USD 52,000 - 74,000; Full time

Job summary

Sanitas Medical Centers is seeking a Case Management Coordinator to oversee transition of care for post-discharge members and those with chronic conditions. You will coordinate follow-up care and develop personalized care plans to prevent readmissions and optimize health outcomes.

You will educate patients and caregivers, using motivational interviewing techniques, and ensure timely documentation in the care management platform in alignment with guidelines.

Qualifications

• Experience coordinating post-discharge care and follow-up.
• Ability to educate patients and caregivers on care plans.
• Strong documentation and record-keeping skills.

Responsibilities

• Manage transition of care for post-discharge members and those with chronic conditions.
• Coordinate follow-up appointments and services across care providers.
• Create individualized care plans and identify rising risks or complications.
• Educate patients and caregivers using motivational interviewing techniques.
• Document all interactions accurately in the care management system.

Skills

Care coordination

Discharge planning

Patient education

Motivational interviewing

Documentation

Job description

Sanitas Medical Centers is seeking a Case Management Coordinator to oversee transition of care for post-discharge members and those with chronic conditions. You will coordinate follow-up care and develop personalized care plans to prevent readmissions and optimize health outcomes.

You will educate patients and caregivers, using motivational interviewing techniques, and ensure timely documentation in the care management platform in alignment with guidelines.