Location: Stoney Batter Family Medicine Associate
Position: CCM Coordinator / Manager
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 supervisor’s requests for additional or altered duties.
• Identifies and implements the appropriate level of intervention based upon the member’s 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 AWV’s 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