What are the responsibilities and job description for the Case Management Coordinator - Remote position at Duly Health and Care?
Overview
Responsibilities
Qualifications
Case Management Coordinator - Remote
- Full-Time, 40 hours.
- Monday-Friday; Hours will vary.
- Location - Remote, Must reside in IL.
The Case Management Coordinator provides support to the Nurse Case Managers for Health Plan members enrolled in disease management and case management programs. The Coordinator is responsible for data tracking, data analysis, reporting, and submission of required documents to the Health Plans to ensure compliance with payer Case Management delegation and CMS requirements. This role also assists in making outreach calls to members to conduct HRAs, appointment scheduling, mailings, etc.
Responsibilities
- Maintains all internal data and reporting for Case Management team within the UM Department, including but not limited to:
- Validating monthly member reports to identify potential members for Complex Case Management, Case Management, and Disease Management services.
- Tracking active case management and disease management census on the designated logs.
- Providing assistance with outcomes reporting to quantify the impact of case management services on member population health.
- Logging weekly productivity of Case Management staff by payer and client.
- Coordinating other special case management projects and data collection and analysis as needed.
- Assists the Nurse Case Managers in:
- Preparing monthly Clarity and other Case Management reports.
- Compiling discharge lists for post dc follow up calls.
- Making outreach calls to complete Health Risk Assessment tools and conducts initial interviews to evaluate members' eligibility and needs.
- Referring identified cases to the Nurse Case Manager for follow up.
- Provides member outreach support to CM/DM members by:
- Overseeing mailings of introductory letters and resources as needed.
- Compiling and updating written and electronic resources.
- Responding to inquiries on the designated case management phone line.
- Serving as point of contact for MXO Tech Case Management and other IPA portals as needed.
- May assist in the processing of ambulatory referrals to meet member needs as directed by Case Management Nurses.
- Provides clerical support to the Case Managers, including faxing, mailing, obtaining medical records from portals, document preparation as needed.
Qualifications
EDUCATION:
- Associate's Degree in Health Care, Business, or related field preferred.
EXPERIENCE:
- Three years of experience in a Managed Care, Case Management, or Medical Office environment preferred.
- Experience within a multi-tasking environment required.
- Typing 30-35 WPM recommended.
