Track Case Manager

Your Health; Greenville (SC); On-site; USD 65,000 - 90,000; Full time

Benefits offered by this job

Competitive compensation package

Employer matched 401K

HDHP insurance plan

Employer matched HSA

Generous PTO package

Career development & growth

Job summary

Your Health in Greenville seeks a Licensed Nurse to join as Track Case Manager (Clinical Scheduler). This full-time role oversees patient scheduling, care coordination, and follow-ups for high-risk patients in the Greenville area, working seven days on, seven days off on a 12-hour schedule.

The position is based in the Greenville office daily with a focus on seamless communication among care teams, patients, and referral sources within Your Health’s care model.

Qualifications

• A licensed nurse is required; license must be in good standing.
• Minimum of two years of clinical experience.
• Experience in a medical or healthcare setting, preferably scheduling or admin.
• Familiar with medical terminology and insurance verification processes.
• Strong organizational and time management skills; multitasking ability.
• Ability to read and communicate effectively.
• Strong written and verbal communication skills.
• Basic computer knowledge.
• Ability to lead and work with others in a team.
• Flexible hours and travel between offices; licensed driver with insured vehicle.

Responsibilities

• New Patient Triage: evaluate referrals and determine service needs.
• Coordinate care pathways with the care team and facilities.
• High-Risk Patient Management: scheduling, follow-ups, and care coordination.
• Manage scheduling buckets by region and transitional care needs.
• Address acute/urgent patient cases in a timely manner.
• Monitor track partner tasks to prevent delays in care.
• New Patient Intake: screenings, eligibility checks, and scheduling.
• Document and communicate patient history and care requirements with providers.
• Assess place of service needs (home vs. clinic) based on medical necessity.
• Prompt appointment scheduling for Service Model adherence; follow frequency guidelines.
• Maintain ongoing communication with patients, families, and referral sources.
• Manage phone/voicemail; return calls promptly to address needs.
• Delegate follow-ups to regional team and track timely completion.
• Verify insurance coverage prior to scheduling.
• Collaborate with care teams; participate in monthly meetings for smooth ops.

Skills

Licensed RN

Clinical experience

Medical terminology

Organizational skills

Communication skills

Computer literacy

Leadership

Interpersonal skills

Team player

Flexible hours

Driver license

Education

Registered Nurse (RN) license

Tools

EHR software

Job description

We are seeking a Licensed Nurse to fill our Track Case Manager (Clinical Scheduler) position to assist with all clinical scheduling needs for our Greenville patients. The Track Case Manager is responsible for overseeing and managing patient scheduling, care coordination, and follow-up for high-risk, acute, and transitional care patients within their assigned region. This role requires close monitoring of scheduling buckets, addressing urgent patient needs, and ensuring seamless communication between the care team, patients, and referral sources. The Track Case Manager will work a seven-day track schedule, provide comprehensive case management coverage and ensure that patient care is aligned with Your Health’s care model.

This position will be working in the Greenville office daily. This is a full-time, salary-based 12-hr position Monday-Sunday (7:00AM-7:00PM) 7days on, 7 days off schedule.

About

We are a leading physician group serving South Carolina and Georgia, dedicated to delivering quality healthcare directly to patients in care facilities, homes, clinics, and virtual visits. Our services include comprehensive primary care, specialty services, and pharmacy support, tailored to meet diverse patient needs. Committed to excellence and innovation, our team collaborates closely with facilities and families to ensure accessible, coordinated, and compassionate care.

Why Choose a Career at Your Health?

Providing high quality care for our patients is the center of what we do, and we provide the same care for our employees. Here are some of the benefits that are available to our employees.

• Competitive Compensation Package with Bonus Opportunities
• Employer Matched 401K
• Free Visit & Prescriptive Services with HDHP Insurance Plan
• Employer Matched HSA
• Generous PTO Package
• Career Development & Growth Opportunities

What Are We Looking For?

Reasonable accommodations may be made, in accordance with applicable law, to enable individuals.

With Disabilities To Perform The Essential Functions

The following is a list of essential functions, which may be subject to change at any time and without notice. Management may assign new duties, reassign existing duties, and/or eliminate function(s).

Areas Of Responsibility

• New Patient Triage: Evaluate and prioritize new patient referrals to determine appropriate service needs based on medical history, presenting conditions, and provide availability.
• Work closely with the care team to ensure patients are placed in the correct care pathway.
• High-Risk Patient Management: Review and manage care for high-risk patients, including scheduling appointments and follow-ups.
• Scheduling Buckets: Closely monitor and manage appropriate scheduling buckets, including region and transitional care management scheduling buckets
• Acute/Urgent Case Management: Address all new patient cases, acute/urgent requests, TCM patient cases, and other high-risk scenarios promptly.
• Track Partner Collaboration: Monitor and address tasks in the track partners bucket, ensuring no delays in patient care.
• New Patient Intake & Scheduling: Conduct initial screenings for new patients to assess care needs, verify eligibility, and coordinate timely scheduling.
• Ensure appropriate documentation and communication with providers regarding patient history, concerns, and special care requirements.
• Evaluate the patient to determine the most appropriate place of service for care, such as in-home services or clinic-based care, based on medical necessity, provider recommendations, and patient preference.
• Appointment Scheduling: Schedule patients promptly according to the Care Model, including TCM visits, acute cases, and follow-ups per frequency guidelines.
• Patient and Family Communication: Maintain strong communication, follow-up, and follow through with patients, families, and referral sources.
• Phone and Voicemail Management: Monitor incoming new patient calls during shift and promptly address voicemails by returning calls and ensuring the patient needs are promptly addressed.
• Assign follow-up calls to appropriate regional case management team members and monitor for timely completion.
• Insurance Verification: Prompt insurance verification when scheduling patients to ensure coverage and eligibility.
• Team Coordination: Collaborate with care teams, review care group chats, and attend required monthly meetings to ensure seamless operations.

Qualifications

• A licensed nurse is required. Nursing license must be in good standing.
• A minimum of two (2) years of clinical experience is required.
• Previous experience in a medical or healthcare setting, preferably a scheduling or administrative role.
• Familiar with medical terminology, procedures, and insurance verification processes.
• Strong organizational and time management skills, with the ability to multitask and prioritize responsibilities effectively.
• Ability to read and communicate effectively.
• Strong written and verbal skills.
• Basic computer knowledge.
• Ability to manage and demonstrate effective leadership skills.
• Should demonstrate good interpersonal and communication skills under all conditions and circumstances.
• Ability to foster a cooperative work environment.
• Team player with ability to manage multiple responsibilities and demonstrate sound judgment.
• Must be able to work flexible hours and travel between offices, facilities, etc. Must be a licensed driver with an automobile that is insured in accordance with state and/or organizational requirements and is in good working order.