Case Management Coordinator

Case Management Coordinator

Houston Region
- Ft Bend
- Katy, TX 77494

Position Type Full Time Job Shift On Site Travel Percentage Up to 5% Category Medical Technicians

Sanitas is a global healthcare organization expanding across the United States. Our services include primary care, urgent care, nutrition, lab, diagnostic, health care education and resources for our patients. We strive to attract professionals who believe in our mission, vision and are dedicated to the service of our patients and their families creating a memorable experience through compassion, respect, and kindness.

Job Summary

The Case Management Coordinator manages the transition of care for members post-discharge and those with chronic conditions, coordinating follow-up care, creating personalized care plans, and educating patients and caregivers, to prevent hospital readmissions, reduce over-utilization, and improve overall health outcomes.

Essential Job Functions

• Conduct timely post-discharge outreach (within 24-72 hours), reviewing discharge summaries, medication lists, and follow-up recommendations, to assess member needs, confirm understanding of medical instructions, and identify immediate gaps in care.
• Coordinate follow-up appointments and post-acute services, collaborating with primary care providers, specialists, home health agencies, and community resources, to ensure seamless continuity of care across the continuum.
• Develop and implement individualized care plans based on assigned program categories, identifying early signs of complications or risk factors, to manage chronic conditions effectively and escalate clinical issues appropriately.
• Educate members and caregivers using motivational interviewing techniques, providing guidance on red-flag symptoms and self-management strategies, to empower patients and reduce patterns of over-utilization (e.g., frequent ED visits).
• Document all interactions, assessments, and clinical interventions in the care management platform accurately and timely, to maintain compliance with organizational policies, advocate for member needs, and ensure alignment with clinical guidelines.

Supervisory Responsibilities

This position currently has no supervisory responsibilities

Required Education

• High school diploma or equivalent.
• Graduation from a nationally accredited Medical Assistant (MA) program

Required Experience

Proven experience in clinical case management, care coordination, utilization review, or population health management within a healthcare setting.

Required Licenses and Certifications

• Active MA national certification.
• CPR/BLS for Healthcare Providers is required.

Required Knowledge, Skills, and Abilities

• Clinical Knowledge:
  Strong, demonstrated understanding of chronic disease management, evidence-based medical guidelines, and post-acute care processes.
• Patient Engagement:
  Proficiency in motivational interviewing techniques to effectively educate and empower members and their caregivers.
• Communication:
  Excellent verbal and written communication skills to interact effectively with patients, interdisciplinary care teams, and community partners.
• Problem-Solving:
  Strong critical thinking and clinical problem-solving skills to identify barriers to care, risk factors for readmission, and appropriate transition plans.
• Technical
  
  Skills:
  
  Ability to accurately and timely document assessments and interventions in care management platforms or Electronic Medical Records (EMR).

Preferred Qualifications

• Certified Case Manager (CCM) credential or similar certification in care coordination/utilization review.
• Bilingual (English and Spanish) to effectively serve diverse member populations.

Financial Responsibilities

This position currently has no financial responsibilities.

Budget Responsibilities

This position currently has no budget responsibilities.

Languages

• Advanced English is required.
• Bilingual Spanish/Creole is preferred.

Travel

This position does not currently require travel.

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.

Includes corporate and medical center…