Remote Care Manager- RN/ Colorado

Job Description Job Description CCM/RPM The ideal candidate works in collaboration and continuous partnership with chronically ill patients and their family/caregiver(s), clinic/hospital/specialty provider and staff, and community resources in a team We are seeking a bilingual and remote care manager to join our rapidly growing team at Preventel Health performing Chronic Care Management (CCM), Remote Patient Monitoring (RPM) and Behavioral Health Integration (BHI) by telephonically delivering health and wellness calls to assigned patients. Responsibilities Remotely providing basic patient coaching and care to improve patient outcomesDevelop a care plan with the patient, family/caregiver(s) and providerMonitor patient outcomes, adherence to care plans, evaluate effectiveness, monitor patient progress in a timely manner and facilitate changes as neededCoaching and educating patients on improving their Chronic Conditions, preventive care and physician directivesTelephone outreach to English and Spanish-speaking patientsFacilitate CCM, RPM and BHI program enrollmentConcise and accurate documentationCultivate and support the primary care providers with timely communication, inquiry follow-up, and integration of information into the care plan regarding transitions-in-care and referral Requirements Must be mininally licensed RN COLORADOMust have good customer service skillsPrefer Bilingual (Spanish)Knowledgeable with Microsoft OfficeReliable Computer with internet COMPENSATION: Based on a base plus incentive model.