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Care Coordination Program Manager

FAIR HAVEN COMMUNITY HEALTH CLINIC INC
New Haven, CT Full Time
POSTED ON 4/2/2025
AVAILABLE BEFORE 5/28/2025

Job purpose

The Care Coordination Program Manager is responsible for the day-to-day oversight of the Care Coordination Program including managing human resources duties for care coordinator direct reports, as well as the managing the daily triage schedule, template utilization, and workflow adherence. 

Duties and responsibilities

 

Reporting to the Director of Programs, the Care Coordination Program Manager is accountable for program development and implementation, and will train, coach, and manage a growing staff.  This position will carry a reduced caseload to provide support to the team, as well as maintain competencies with patient facing work.  The Care Coordination Program Manager will support Fair Haven’s mission to improve the health and social well-being of the communities we serve through equitable, high quality, patient-centered care that is culturally responsive.

Primary responsibilities include but are not limited to:

  • Monitor staff schedules to ensure optimal utilization, manage and adjust triage schedules as needed, assign referrals in Epic, and manage the Care Coordination Support Pool. 
  • Run monthly performance reports in Epic to ensure workflow optimization and adherence to program policies; 
  • Monitor workflows and look for ways to improve efficiency, ensuring optimal patient touches. 
  • Be available for questions from direct reports, as well as other staff that pertain to care coordination duties and responsibilities. 
  • Assist the Director of Programs with the growth and development of Care Coordination Services as the landscape of healthcare changes, with an emphasis on the organization’s strategic goals and how Care Coordination can support those goals.
  • Maintain consistent communication with FHCHC and external service providers to raise awareness of care coordination and patient support services and to ensure the quality delivery of these services.
  • Conduct monthly chart reviews to ensure that designated direct reports are delivering and documenting services in a manner consistent with agency and program policies and procedure.  Including adherence to Epic workflows and documentation standards, as well as ensuring HIPAA compliance.
  • Review and assign referrals based on caseload, monitors the Care Coordination Support Pool in Epic and assigns tasks accordingly.
  • Act as organizational liaison for MTM, HUSKY’s Non-Emergency Medical Transportation Provider.
  • Lead case review discussions, fosters an environment of learning by mentoring care coordination staff, and sharing knowledge of care coordination practices and community-based organizations.
  • Conducts social determinant of health assessments through in-person and telephonic visits and delivers patient-centered care to address barriers to care; links clients to appropriate services; ensures follow-up and makes reminder phone calls. 

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