University of Maryland Medical System · 1 month ago
Case Management Coordinator, (CHW Certified)
The University of Maryland Medical System (UMMS) is an academic health system focused on delivering high-quality care and innovation. The Case Management Coordinator is responsible for identifying member gaps in care, coordinating referrals, and addressing social determinants of health while working closely with the Interdisciplinary Care Team.
Hospital & Health Care
Responsibilities
Contact members by phone, mail and/or in person to educate them about their health care needs, gaps in care and the importance of closing those gaps
Execute tasks for effective care coordination to improve patient care such (e.g., schedule follow-up visits and labs/tests, communicate with providers and case managers, and facilitate referrals and utilization, etc.)
Prepare documents and various materials, responds to correspondence and telephone inquiries, maintains filing systems, and prepares basic statistical data and reports
Utilize various reports and data bases to assign cases to members of the care team
Assist with health screenings and assessments and supports patient education related to social and health needs
Provide scripted education/coaching and distribute health education materials (utilizing department approved resources) to patients and family members, as needed
Screen patient using validated tools such as high-risk screeners, social determinants of health and PHQ 2-9
Identify members who could benefit from case management and make appropriate referrals to the CM Program
Conduct Transition of Care phone call to patients experiencing a transition along a care continuum such as post Emergency Department /hospital discharge, or post-acute care
Work with the Interdisciplinary Care Team to provide support services and coordination of care activities to a defined population (e.g., post discharge phone calls, outreach phone calls to moderate and rising risk patients for screening into services, wellness checks, and education and follow up on care plan goals, etc.)
Provide education regarding scheduling routine wellness and screening appointments
Adhere to standard volume of follow-ups, communicated productivity metrics, including length of call, length of answer time, and the number of calls taken or delivered to achieve first call resolution on every call
Perform data entry in accordance with quality standards, including appropriate documentation and communication in accordance with compliance and regulatory requirements
Manage a high-volume of inbound or outbound communication verifying and/or securing primary care visits, insurance coverage, etc
Document the patient medical record and/or care management application
Maintain HIPAA standards and ensure confidentiality of protected health information
Perform other duties as assigned
Qualification
Required
High School Diploma
Minimum two (2) years' experience in care management, coaching or community health work
Minimum two (2) years' experience working in a client service environment
Certification in Community Health Work, Medical Assistant, Pharmacy Technician, or related health field, or the ability to obtain within one (1) year of start date
Valid driver's license and reliable transportation (may be required to use personal vehicle for offsite visits)
Working knowledge of basic medical terminology and concepts used in care management
Working knowledge of population, demographics, assets, and needs
Working knowledge of chronic health conditions and associated self-care
Working knowledge of social determinants of health disparities
Working knowledge of applicable federal, state, and local laws, rules, and regulations (e.g., HIPPA)
Ability to educate members regarding community resources
Ability to think critically and follow a plan of care
Advanced customer service skills
Proficient documentation skills to maintain client records
Ability to analyze, compare, contrast, and validate work with keen attention to detail
Effective interviewing, listening, and coaching skills
Demonstrated resourcefulness, with ability to anticipate needs, prioritize responsibilities and take initiative
Effective skill to influence, negotiate and persuade to reach agreeable exchange and positive outcomes
Effective analytical, critical thinking, planning, organizational, and problem-solving skills
Ability to communicate effectively in person, by phone, and by email
Ability to work independently and as part of a team
Advanced verbal, written and interpersonal communication skills
Advanced skill in the use of Microsoft Office Suite (e.g., Outlook, Word, Excel, PowerPoint)
Preferred
Associate degree in a healthcare related field preferred
Benefits
Review the 2025-2026 UMMS Benefits Guide
Company
University of Maryland Medical System
The University of Maryland Medical System (UMMS) was created in 1984 when the state-owned University Hospital became a private, nonprofit organization.
Funding
Current Stage
Late StageRecent News
2023-06-30
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