Care Management Coordinator

General Position Summary:
The Care Management Coordinator assists the Care Manager with working with the patient
population and other Johnson Health Center (JHC) staff to support a patient-centered model of
care. Under direct supervision of the Director of Care Management, the Care Management
Coordinator assists care managers with identification of patients with complex issues and/or
those needing additional screening, as well as providing additional assistance, outreach, and
follow-up.

Essential Duties and Responsibilities:
1. Assists Care Managers with identification of patients who have complex medical issues (such
as those having several diagnosis, chronic illnesses, complicated treatments, multiple
providers) to aid in care coordination.
2. Assists Care Managers in managing patient caseload and identifying patients that require
additional assistance with barriers to care.
3. Ensures that patients have appropriate follow-up after ED/Hospital Discharge to decrease
hospital re-admissions.
4. Reaches out to patients on Insurance Care Gap report to meet required value-based measures.
5. Participates in patient care team meetings to maintain patient-focused care and coordinates
workflow processes.
6. Works under the guidance of Director of Care Management.
7. Performs other duties and responsibilities as assigned by the Director of Care Management.
Other Functions:

1. Employee will abide by the Code of conduct as documented in the Corporate Compliance
Manual.

2. Must demonstrate a person and professional commitment to Johnson Health Center and its
mission.
3. Treats all patients and staff with dignity and respect, mindful of the cultural differences of the
diverse population we serve.
4. Management may modify, add or remove any job functions as necessary, or as changing
organizational needs require.

Qualifications:
1. Must be a Registered or Certified Medical Assistant.
2. Minimum 1-3 years' experience as a Medical Assistant.
3. Detail-oriented with well-developed oral and written communication skills.
4. Maintains certification status as directed by governing agency and maintain the appropriate
continued education criteria.
5. Ability to work a flexible schedule.

Physical Demand and Working Environment:
Fast paced office setting with travel to other offices often. Lifting and/or exerting force up to 15
pounds occasionally, with frequently moving of objects. Work requires speaking, sitting,
bending, walking, standing, hearing, and stooping, kneeling, and repetitive motion with certain
activities. Up to 10 hours of constant computer usage. OSHA _low_ risk position.