Job Summary
The Care Manager plays a vital role in coordinating patient care and ensuring optimal health outcomes. This position involves working closely with patients, families, and healthcare teams to develop and implement individualized care plans. The Care Manager will facilitate communication among various healthcare providers, assist in navigating the healthcare system, and provide support for patients with complex medical needs.

Duties

- Responsible for registry of chronic care management (CCM) patients.

- Validates enrollment of CCM patients based on provider request

- Conducts minimum of one 20 minute of telephone and education per month to each CCM patient on roster.

- Complies with documentation requirements of the Chronic Care Management program by carrying out the care plan with the patient, family/caregiver(s) and providers and recording in the EHR.

- Monitors adherence to care plans, evaluates effectiveness, monitors patient progress on time, and facilitates changes as needed.

- Medication reconciliation with review for adherence

- Reinforce disease self-management education and preventive care guidelines, communicate PCP instruction and advice, and provide patient education materials

- Communicate with and assist patients in a professional and courteous manner.

-Work as part of the healthcare team to assess patient needs, plan and modify care and implement interventions. Communicate with the healthcare team to provide a proactive approach to patient care.

Competencies:

- Knowledge of medical terminology.

- Knowledge of medical office principles, standards, applications and tests.

- Knowledge of medical office safety, cleanliness and infection control policies and regulations.

- Knowledge of medical office equipment uses and maintenance.

- Decision Making – Ability to make critical decisions while following organizational policies and procedures.

- Accuracy – Ability to perform work accurately and thoroughly.

- Communication – Ability to communicate effectively verbally and in writing.

- Computer Skills – Proficient ability to use a computer and electronic medical records.

- Confidentiality – Maintain patient, team member and employer confidentiality. Comply with all HIPAA regulations.

- Customer Service Oriented – Friendly, cheerful and helpful to patients and others. Ability to meet patients and others' needs while following office policies and procedures.

- Detail Oriented – Ability to pay attention to the minute details of a project or task.

- Decision Making – Ability to make critical decisions while following organizational policies and procedures.

- Flexibility – Ability to adapt easily to changing conditions and work responsibilities.

- Positivity – Display a positive attitude and is a positive agent for change.

- Teamwork – Work as part of a team and collaborate with co-workers.

- Working Under Pressure – Ability to complete assigned tasks in stressful situations.

- A reliable high-speed broadband internet connection is required for this role to ensure seamless communication and task execution.

The position is mainly remote but occasional visit to the office may be required a few days a week.

Certification and Licensures:

- Valid MA certification license required

Job Type: Full-time

Pay: $18.00 - $20.00 per hour

Expected hours: 40 per week

Benefits:

• Paid time off

Schedule:

• 8 hour shift
• Monday to Friday

Work Location: In person