Case Management Coordinator

 Posted 2 hours ago
     
 $42000 - $64000 per year
  
0-2 years experience
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AI Summary

Coordinate member outreach and schedule post-hospital follow-up appointments to support care transitions. Maintain case management data and provide operational support for Disease Management programs.

At Duly Health and Care, you are supported to do your best work and make a meaningful impact every day. You will be part of a collaborative, physician-led team that works as one and puts patients at the center of everything we do.

With a connected network of providers, care teams, and services across primary and specialty care, surgery centers, imaging, lab, and therapy, you are part of a system designed to deliver high-quality, coordinated care. Together, we create an environment where you can grow, contribute, and help improve the experience and outcomes for every patient we serve.

Benefits:

• Comprehensive medical, dental, and vision benefits that include healthcare navigation assistance.
• Access to a mental health benefit at no cost.
• Employer provided life and disability insurance.
• $5,250 Tuition Reimbursement per year.
• Immediate 401(k) match.
• 40 hours paid volunteer time off.
• A culture committed to community engagement and social impact.
• Up to 12 weeks parental leave at 100% pay and a financial benefit for adoption and surrogacy for non-physician team members once eligibility requirements are met.

BCBS Delegated Case Management Coordinator

  • Full - time, Monday-Friday -8am-5pm
  • Remote

The BCBS Delegated Case Management Coordinator supports the Case Management (CM) and Disease Management (DM) programs by coordinating member outreach, scheduling post-hospital follow-up appointments, and maintaining program data and reporting. This role works closely with Nurse Case Managers to ensure timely engagement of members, facilitate care transitions, and support overall population health management efforts. 

 

Essential Duties & Responsibilities 

  • Conduct member outreach to schedule post-discharge follow-up appointments and support transition of care. 

  • Complete Health Risk Assessments (HRAs), identify member needs, and refer cases to Nurse Case Managers as appropriate. 

  • Support Care Management and Disease Management programs through member engagement and coordination activities. 

  • Maintain and track case management data, including eligibility, active census, productivity, and outcomes reporting. 

  • Assist with report preparation, discharge list compilation, and data analysis for program performance. 

  • Provide operational support including managing member mailings, responding to phone inquiries, and maintaining resource materials. 

  • Serve as a liaison for case management systems and external portals. 

  • Assist with referral processing and provide clerical support such as documentation, faxing, mailing, and medical record retrieval. 

 

Knowledge, Skills & Abilities 

  • Knowledge of medical terminology and healthcare office operations 

  • Strong communication and customer service skills 

  • Effective problem-solving and decision-making abilities 

  • Ability to work independently and manage multiple priorities 

  • Strong organizational and data tracking skills 

  • Proficiency in computer systems and clinical applications 

  • Ability to support team development and foster a positive work environment 

  • Adaptability and change management skills 

  • Professionalism and reliability 

 

Education / Certification 

  • High school diploma or GED required 

  • Coursework in medical terminology or healthcare office management preferred 

 

Experience 

  • Preferred one (1) year of experience in a medical office, hospital, or healthcare setting required 

 
If you are committed to putting our patients first and helping shape the future of care, you belong at Duly.

The compensation for this role includes a base pay range of $42K- 64K, with the actual pay determined by factors such as skills, experience, education, certifications, geographic location, and internal equity. Additional compensation may be available through shift differentials, bonuses, and other incentives. Base pay is only a portion of the total rewards package.

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