Discharge Care Management Coordinator

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. **JOB DESCRIPTION -** **Onsite Location: Elmhurst hospital** **Hours: Monday through Friday 8a - 4:30p** The Case Management Coordinator provides onsite support to patients and hospitalists to assist with safe and efficient transitions to the next level of care. This role is responsible for patient scheduling, outreach, data tracking, and maintaining accurate documentation to support transition-of-care workflows. The coordinator helps ensure patients are scheduled timely to receive appropriate follow-up care as they move from the hospital to post-acute or community-based services. The role requires foundational knowledge of care coordination workflows, medical terminology, and proficiency with clinical systems. Strong communication, partnership, and problem-solving skills are essential. ESSENTIAL DUTIES AND RESPONSIBILITIES - Provides on-site support to patients and hospitalists to facilitate transitions from the hospital to the appropriate next level of care. - Educates patients on the importance of discharge follow up and ensures they receive necessary information for their appointment - Coordinates communication between hospitalists, patients, and relevant service providers to support smooth care transitions. - Maintains accurate logs and documentation related to patient scheduling, outreach activities, follow-up status, and transition-of-care metrics. - Tracks and reports key transition-of-care indicators in alignment with departmental guidelines. - Escalates patient scheduling barriers or concerns to supervisors in a timely manner. - Prepares, organizes, and maintains handouts, forms, and materials necessary for discharge and follow-up workflows. - Supports hospitalist workflow by ensuring timely responses to messages, updates to logs, shared documents, and tracking tools. - Performs administrative duties including faxing, document preparation and record maintenance and data entry related to patient transitions. - Upholds organizational values of Respect, Integrity, Stewardship, and Excellence. - Maintains strict confidentiality of patient and employee information in accordance with HIPAA and organizational policies. - Performs additional duties and project work as assigned. KNOWLEDGE, SKILLS & ABILITIES - Knowledge of medical terminology and healthcare office operations. - Strong customer service and communication skills. - Strong decision making and problem-solving abilities. - Ability to foster teamwork and promote a positive, inclusive environment. - Change management and workflow improvement skills. - Proficiency in computer systems and clinical applications. - Ability to work independently. - Professionalism, accountability, and reliability. EDUCATION / CERTIFICATION - High school diploma or GED required. - Courses in medical terminology or healthcare office management are preferred. EXPERIENCE -…