Clinical Care Coordinator - Complex Case Management

Jefferson Health; Philadelphia, Northern (Philadelphia County, KY); Hybrid; USD 75,000 - 95,000; Full time

Job summary

Jefferson Health is seeking a qualified Care Management professional to coordinate care for members with chronic conditions, ensuring alignment with NCQA standards. The role emphasizes patient-centered planning, collaboration with primary care and specialists, and coordination with behavioral health services.

The position requires an Associate’s Degree (Bachelor’s preferred), and a PA license as RN/LPN/LSW with at least 3 years of clinical/case management experience.

Qualifications

• Associate’s Degree required.
• Bachelor’s Degree preferred.
• 3 years current clinical/case management experience.
• RN, LPN, or LSW license in PA required.

Responsibilities

• Conduct telephonic outreach to members with chronic conditions to coordinate care.
• Coordinate with primary care and specialty offices to manage care plans.
• Collaborate with Behavioral Health and MCO to implement interdisciplinary care plans.
• Educate members about health options, including available community resources.
• Assist with documentation of barriers to care, goals, and follow-up plans.

Skills

Case management

Communication

Clinical documentation

Organization

Education

Associate's Degree

Bachelor's Degree

Job description

Jefferson Health is seeking a qualified Care Management professional to coordinate care for members with chronic conditions, ensuring alignment with NCQA standards. The role emphasizes patient-centered planning, collaboration with primary care and specialists, and coordination with behavioral health services.

The position requires an Associate’s Degree (Bachelor’s preferred), and a PA license as RN/LPN/LSW with at least 3 years of clinical/case management experience.