Care Transitions Coordinator

Sanitas Medical Centers; Wellington (FL); Presencial; USD 60 000 - 75 000; Tempo integral

Resumo da oferta

Sanitas Medical Centers 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 to prevent readmissions and improve health outcomes.

This role emphasizes collaboration with providers, home health agencies, and community resources, and requires documenting all interactions in the care management platform in alignment with clinical

Responsabilidades

• Conduct timely post-discharge outreach within 24-72 hours to assess needs and ensure understanding of medical instructions.
• Coordinate follow-up appointments and post-acute services with PCPs, specialists, home health, and community resources to ensure continuity of care.
• Develop and implement individualized care plans for chronic conditions and escalate clinical issues as needed.
• Educate members and caregivers using motivational interviewing to empower self-management and reduce over-utilization.
• Document all interactions and clinical interventions in the care management platform to maintain compliance with policies and guidelines.

Descrição da oferta de emprego

Sanitas Medical Centers 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 to prevent readmissions and improve health outcomes.

This role emphasizes collaboration with providers, home health agencies, and community resources, and requires documenting all interactions in the care management platform in alignment with clinical