Care Manager - RN, CMA, LPN or LSW

About the role

The Care Manager plays a crucial role in the medical home team, focusing on proactive care processes for clinic patients. This role involves facilitating communication, coordinating services, addressing barriers, and tracking patient health.

Responsibilities

• Delivers team-based care in assigned clinics.
• Utilizes registries, electronic reports, and provider schedules to proactively assess and coordinate preventive screenings, care coordination, and communication.
• Maintains patient health status and needs through monitoring with clinical evidence-based care guidelines.
• Tracks immunization status and follows up with patients as needed.
• Collaborates with team members for referral tracking, follow-up, and scheduling.
• Assists in patient education, support, and care coordination with external providers and community resources.
• Evaluates patients' readiness to change and addresses barriers related to healthcare systems, finances, and psychosocial factors.
• Uses behavioral strategies to help patients adopt healthy behaviors, improve self-care, and manage chronic diseases.
• Affirms patient eligibility for Medicaid, SSI, etc., and coordinates enrollment with service agencies.
• Reminds patients of upcoming appointments and notifies schedulers about Medicare annual wellness visits.
• Analyzes Medicare, Medicaid, and payer reports and coordinates care accordingly.
• Collects, manages, and reviews data to develop reports for quality improvement programs.
• Participates in FHS meetings and committees as assigned.
• Performs other duties as directed.

Requirements

• RN, LPN, CMA, or LSW license required.
• Minimum 2 years of experience in health, public health, or social service fields, with an emphasis on community and population health and care coordination.
• Fluency in written and spoken English; bilingual English/Spanish preferred.
• $19.00 - $32.25 per hour, with the potential for a quarterly bonus up to $520.
• Excellent organizational skills, strong written and verbal communication, and strong computer skills, particularly in Microsoft Office.
• Knowledge of EHR systems is preferred.
• Ability to build and maintain effective partnerships internally and externally, with an awareness of community resources.
• Experience working with patient/client groups or membership organizations.
• Ability to work independently and collaboratively as a member of a team, with a professional demeanor and pleasant manner.
• Analytical skills to manage and prioritize multiple tasks.

Qualifications

• Strong organizational and communication skills.
• Proficiency in Microsoft Office.
• Experience with EHR systems.
• Ability to build and maintain effective partnerships.
• Experience working with patient/client groups or membership organizations.
• Ability to work independently and collaboratively.
• Professional demeanor and pleasant manner.
• Analytical skills to manage and prioritize tasks.

Skills

• Excellent organizational and communication skills.
• Strong computer skills, particularly in Microsoft Office.
• Experience with EHR systems.
• Ability to build and maintain effective partnerships.
• Experience working with patient/client groups or membership organizations.
• Ability to work independently and collaboratively.
• Professional demeanor and pleasant manner.
• Analytical skills to manage and prioritize tasks.

Benefits

Employee can receive up to $520 on the quarterly bonus.

Pay

$19.00 - $32.25 per hour, DOE.

Schedule

Full-time position.