Overview The Population Health Case Manager plays a key role in patient progression at UVA Health. Responsibilities include reviewing patient charts, scheduling appointments, calling patients weekly, conducting screenings, and connecting patients with community resources. This role involves interacting with patients telephonically, collaborating with healthcare teams, emergency room and clinical care teams, and external partners. The position delivers comprehensive care coordination, aiming to enhance patient outcomes and elevate the overall quality of healthcare services. Committed to VDH (Virginia Department of Health) standards, they collaborate with healthcare teams for a patient-centered approach, contributing to holistic and efficient healthcare experiences.
Responsibilities Review patient medical records.
Assist with appointment scheduling and rescheduling.
Document work in the medical record.
Submit reports on productivity and patient progression.
Ensure compliance with hospital and department policies.
Coordinate care with health system team members and care teams in the community.
Conduct weekly phone calls with patients to review post-discharge plans and address concerns.
Prepare patients/families for discharge and engage care team.
Assist Population Health clinicians/social workers with care plans.
Coordinate with external agencies for service continuity.
Enhance quality of patient care and identify ongoing support needs.
Review discharge instructions, ensuring patient understanding.
Place orders for vital signs monitoring and coordinate with providers.
Conduct standardized screenings such as SDOH (Social Determinants of Health), PHQ, and Digital Health Literacy.
Assist patients with screening documentation for financial assistance.
Follow up on referrals for appointments, DME, and home health services.
Other duties as assigned.
Minimum Requirements Education: Bachelor’s Degree preferred. In lieu of degree 1-3 years of relevant experience may be considered.
Experience: 1 year of experience in a clinical environment is preferred.
Licensure: None.
Physical Demands This is primarily a sedentary job involving extensive use of desktop computers. The job may require traveling some distance to attend meetings and programs.
Position Compensation Range: $21.10 - $42.21 Hourly
Benefits Comprehensive Benefits Package: Medical, Dental, and Vision Insurance
Paid Time Off, Long-term and Short-term Disability, Retirement Savings
Health Saving Plans, and Flexible Spending Accounts
Certification and education support
Generous Paid Time Off
About UVA Health UVA Health is a world-class Magnet Recognized academic medical center and health system with a level 1 trauma center. It is repeatedly recognized by U.S. News & World Report for its hospitals and services, including specialties and pediatric care. UVA Health operates multiple facilities and an integrated network of clinics across Charlottesville, Culpeper, Northern Virginia, and beyond.