Disease Management & Care Coordination Lead

SYSTEM West Virginia University Health System; United States; On-site; USD 60,000 - 90,000; Full time

Job summary

The Disease Management Coordinator at WVU Medicine collaborates with patients and primary care providers to ensure quality, efficient, and cost-effective healthcare services. You will coordinate services, monitor outcomes, and collaborate across inpatient and outpatient teams to optimize transitions and care plans.

Responsibilities include risk stratification, utilization and financial management, and ongoing performance improvement using data to drive decisions.

Qualifications

• RN license in the state where services will be provided.
• BLS certification within 30 days of hire.
• State/federal background checks as required for regulated areas.

Responsibilities

• Ambulatory Utilization Management and Quality Screening for assigned patients.
• Identifies the targeted population and risk stratifies all patients to prioritize needs and direct interventions.
• Collaborates with inpatient and outpatient case management to implement the discharge plan and coordinate a safe transition to the next level of care.
• Works with physicians/providers, patients, and families to ensure safe and efficient transitions of care.
• Designs individualized care plans with the healthcare team for coordinated services.
• Monitors clinical and financial indicators to drive continuous improvement.

Skills

Care coordination

Discharge planning

Interdisciplinary communication

Education

Bachelor's Degree in Nursing

Associate’s Degree in Nursing

Job description

The Disease Management Coordinator at WVU Medicine collaborates with patients and primary care providers to ensure quality, efficient, and cost-effective healthcare services. You will coordinate services, monitor outcomes, and collaborate across inpatient and outpatient teams to optimize transitions and care plans.

Responsibilities include risk stratification, utilization and financial management, and ongoing performance improvement using data to drive decisions.