Job Title: Case Manager/Medical Assistant – Home Visit Concierge Services Location: 40 Fulton Street NY, NY

Spanish Speaking and experience with HHH software.

Reports To: Sr. Manager of Concierge Services

Position Summary: We are seeking an experienced, highly organized, and proactive Case Manager to join our Home Visit Concierge Services team. This role will oversee the delivery of Chronic Care Management (CCM), Transitional Care Management (TCM), Telehealth, and Behavioral Health Integration services to ensure optimal patient care outcomes. The Case Manager will be responsible for managing clinical and patient schedules, liaising with physicians, specialists, and hospitals, and providing leadership within a dynamic, fast-paced environment. This position is crucial to providing comprehensive, seamless care coordination for our patients.

Key Responsibilities:

• Care Coordination & Management:

o Oversee the care of patients receiving chronic care management, transitional care management, telehealth services, and behavioral health integration.

o Coordinate and communicate with healthcare providers, including physicians, specialists, and hospitals, ensuring timely and efficient care transitions.

o Manage patient and clinical team schedules, ensuring appropriate coverage and optimizing service delivery.

o Act as the primary liaison between patients, families, and healthcare teams, ensuring patients' needs are met.

Leadership & Team Management:

o Lead and support the clinical team to ensure the delivery of high-quality, patient-centered care.

o Provide guidance and direction to team members, including training and mentoring. o Ensure the team adheres to policies, best practices, and care protocols.

o Handle patient and team issues with professionalism, ensuring positive patient outcomes and team collaboration.

• Telehealth & Behavioral Health Integration:

o Monitor the delivery of telehealth services and behavioral health integration, ensuring they meet regulatory and best practice standards.

o Coordinate telehealth visits and assist in troubleshooting as necessary to ensure smooth operations for both patients and clinical teams.

• Data & Reporting: o Monitor and track key performance indicators (KPIs) for patient care outcomes, including readmission rates, patient satisfaction, adherence to care plans, and service utilization.

o Maintain accurate and timely documentation of patient care, services provided, and follow-up actions.

o Prepare and present reports on case management performance and improvement areas to leadership. Quality Assurance & Audits:

o Complete daily and weekly audits of clinical team appointments to ensure adherence to schedules, care plans, and quality standards.

o Perform quality assurance checks on clinical documentation, patient interactions, and service delivery to ensure compliance with company policies and industry standards.

o Identify areas for improvement and collaborate with clinical teams to implement corrective actions.

• Quality & Compliance:

o Ensure compliance with all healthcare regulations and organizational policies regarding patient care and confidentiality.

o Continuously evaluate and improve care processes to enhance patient outcomes and operational efficiency. Qualifications:

• Experience:

o Previous experience in home care or healthcare coordination, with a strong understanding of Chronic Care Management (CCM), Transitional Care Management (TCM), Telehealth, and Behavioral Health Integration.

o Minimum of 3 years of experience in a fast-paced healthcare environment, preferably with leadership experience.

• Skills: o Strong leadership skills with the ability to manage a diverse team and foster a collaborative environment.

o Exceptional organizational skills with the ability to multitask and manage competing priorities.

o Excellent communication and interpersonal skills, capable of working effectively with patients, families, healthcare providers, and internal teams.

o Knowledge of telehealth technologies and their application in care delivery.

o Ability to analyze data and generate reports, with a strong attention to detail.

o Experience in conducting audits and ensuring quality compliance across clinical operations.

• Education:

o A degree in healthcare management, social work, or a related field is preferred. Certifications in case management (e.g., CCM, ACMA) are a plus, but not required. Key Performance Indicators (KPIs):

• Patient Satisfaction Scores: Measured through patient surveys and feedback, focusing on quality of care, communication, and timeliness.
• Care Plan Adherence Rates: Percentage of patients adhering to chronic care and transitional care plans.
• Telehealth Visit Efficiency: Percentage of scheduled telehealth visits completed successfully without technical issues.
• Team Productivity: Timeliness of clinical and patient schedule coordination and case load management.
• Hospital Readmission Rates: Reduction in avoidable hospital admissions among the patient population.
• Referral Follow-Up Completion: Timeliness and success of patient referrals to specialists and follow up actions.
• Quality Assurance Audit Compliance: Percentage of completed daily and weekly audits, identifying areas for improvement and corrective actions. Working Conditions:
• Full-time, in-office and fieldwork required.
• Occasional weekend or evening hours may be necessary based on patient needs and team scheduling.

$22.00 per hour

Job Type: Full-time

Pay: $22.00 per hour

Benefits:

• Employee assistance program

Work Location: In person