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 Minimum of one year of medical office or hospital experience required. If you are committed to putting our patients first and helping shape the future of care, you belong at Duly. The compensation for this role includes a base pay range of $20.59 - $30.88, with the actual pay determined by factors such as skills, experience, education, certifications, geographic location, and internal equity. Additional compensation may be available through shift differentials, bonuses, and other incentives. Base pay is only a portion of the total rewards package. Let’s start with what matters. People. Purpose. Care. At Duly Health and Care, we believe healthcare works best when it’s personal, connected, and led by people who truly care. We are a physician-led medical group built on trusted relationships, teamwork, and a shared commitment to putting patients first in every decision we make. Our team members are caregivers, collaborators, problem-solvers, and leaders. Together, we show up with compassion, act with purpose, and take ownership of the care we deliver and the experience we create. Whether you’re caring directly for patients or supporting the teams who do, your role matters here, and your voice is valued. We listen with intention, work as one, and challenge ourselves to keep improving, not for recognition, but because our patients, families, and communities count on us. Innovation at Duly isn’t about chasing what’s next for its own sake. It’s about finding better ways to deliver high-quality, affordable, and accessible care, today and into the future. If you’re looking for meaningful work, supportive teammates, and the opportunity to help shape the future of care while staying grounded in compassion and community, you’ll find your place at Duly. Current Duly Health and Care team members: Please do not apply through this external site. To be considered, log in to Workday through the OneDuly intranet and click on Career Opportunities to apply. This ensures your application is reviewed appropriately. If you have questions, please connect with your leader or HR Business Partner for support.