Job Description

Position:  CCM Coordinator / Manager

Description Summary:  Stoney Batter Family Medicine Associate P.A. CCM program provides quality outreach for patients with multiple chronic condition.  On a daily basis, CCM Case Manager will coordinate care, outreach to patients providing care management services and accurate and timely documentation.

Essential Duties:

The duties listed below are the essential functions of this position, and they may change as the needs of the company demand. All CCM Coordinator / Care Managers are expected to do what is necessary to get the work done and to cooperate fully with their supervisors requests for additional or altered duties.

• Identifies and implements the appropriate level of intervention based upon the members needs and clinical progress
• Maintain proper documentation including
• Patient notes
• Messaging
• Care Plans
• Medication Reconciliation
• Scheduling notes

• Coordinate with Provider on
• Goals
• Patient Needs
• requirements
• Shares goals with the member and family as appropriate
• Schedules follow up calls as necessary
• Keeps a calendar and f/u on issues
• If meds were changed
• BP calls back in a week
• Depression meds call back in a week
• Documents progress towards meeting goals and resolving problems
• Coordinates care and services with other offices as needed
• Schedule visits
• Assist provider on AWVs by completing the assessment portion
• Orders DME
• Provide virtual visit to patient when necessary
• Check voicemails multiple times a day
• Support other case managers at times of absences including
• Patient Contact
• Call coverage
• Messaging
• Participate in regularly scheduled meetings as needed
• Access Aledade APP daily for
• Admission data on covered patients to avoid readmissions
• Care Gap
• Graduates and defers pts when needed
• Other duties as assigned

   

  Job Requirements

  Education/Training/Experience:

  • 1-3 years of experience
  • Strong competency in professional Health Care services industry
  • Must have strong written and verbal skills in English.
  • Experience using Associated software Hospital based systems
  • Must have knowledge of a variety of computer software applications

  Skills & Abilities Required:

  • Organized
  • Attention to detail
  • Ability to multitask
  • Strong communication skills
  • Deadline oriented
  • Ability to work with minimal supervision
  • Basic use of Microsoft Produces
  • Ability to work in a team environment
  • Customer service mentality
  • Strong written & verbal communication skills in English
  • Uses critical thinking to assess potential issues and does not focus on just the POC when speaking
  • Be a team player

  Physical Requirements:

  • Ability to sit and/or stand for extended periods
  • Ability to perform work on a computer for extended periods
  • Ability to attend work and meetings with excellent attendance and punctuality
  • Ability to bend and lift up to 25 lbs
  • No travel required

  Job Type:  Full-Time / Part Time

  Pay:   Based on Credentialing and experience

  Benefits:

  • Health insurance
  • Paid time off

  Schedule:

  • 8-hour shift
  • Monday to Friday
  • Flex time available

   

  Ability to commute/relocate or work from home:

  Education:

  • Certified Medical Assistant
  • Licensed Practical Nurse
  • Certified Registered Nurse
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