Care Manager - Certified Medical Assistant

The Care Manager is responsible for supporting the following : Remote Patient Device Program ("RPM"), Chronic Care Management ("CCM") and Principal Care Management ("PCM") for patients and Value Based Care teams for all KCC Clinics. The Care Manager also ensures that all eligible patients are enrolled in all applicable programs by being a liaison between the corporate team and the clinic team.

PRIMARY ACTIVITIES / DUTIES :

• Care Managers assist patients with managing their blood pressure and other chronic health conditions by daily monitoring and calls.
• Care Managers will have an assigned group of patients to follow up with monthly via phone.
• Conversations include reviewing daily vitals, medical history and assisting patients to support the plan of care established by their provider.
• Verify and record the patient's demographics, medical issues, medications, and risk management factors to create a clinical summary using specialized medical software.
• Contact patients when blood pressure exceeds established parameters to evaluate the situation.
• Communicate with Practices and / or Providers, based on established protocols when readings exceed established parameters.
• Help provide the patient with a means to make timely contact with healthcare practitioners in the practice who can address any urgent needs about their chronic medical condition.
• Responsible for registering chronic care management and principal care management.
• Comply with documentation requirements of the Medicare RPM, CCM and PCM programs by carrying out the care plan with the patient, family / caregiver and Providers as well as recording the data in the Electronic Medical Record ("EMR").
• Monitor adherence to care plans, evaluate effectiveness, monitor patients' progress in a timely manner and facilitate changes as needed.
• Provide patient health counseling, education, and instruction based on established protocols.
• Handle potentially difficult conversations calmly and professionally
• Participate in individual & group projects as directed by management.
• Complete audits of Chronic Kidney Disease Patients to ensure patients have appointments scheduled.
• Participate in operational meetings for the KCC Care Coordination Program.
• Audit care plans to ensure accuracy and compliance.
• Participate in continuing education seminars.
• Assist patients with software connection, including mobile application usage and enrollment procedures.
• Ensure the program operates in compliance with applicable guidelines and regulations.
• Assist in compliance monitoring to maintain and ensure program integrity.
• Other duties, as assigned.

PAY RANGE :

Medical Assistant : $21-23 / hr

QUALIFICATIONS :

PHYSICAL REQUIREMENTS :

CUSTOMER SERVICE :

EDUCATION :

WORK EXPERIENCE :

SKILLS :

LANGUAGE :

WORK SCHEDULE :

JOB TYPE :