Chronic Care Management Specialist

3 weeks ago


Chandler, Arizona, United States BRAIN AND SPINE CENTER PLC Full time
Job Overview
The Brain and Spine Center PLC is seeking a dedicated Chronic Care Management Specialist to join our team. As a key member of our healthcare staff, you will play a pivotal role in coordinating care, educating patients, and ensuring they have access to the resources necessary to manage their chronic health conditions effectively.

About the Role
This challenging and rewarding position involves providing essential support to patients with chronic health conditions by delivering consistent, high-quality, and proactive care management. The ideal candidate will possess excellent communication and interpersonal skills to effectively engage with patients, as well as strong organizational skills and attention to detail. Proficiency in using EMR systems and Microsoft Office applications is also essential.

Responsibilities
  • Patient Outreach and Engagement:
    • Conduct regular check-ins with enrolled patients via phone to monitor their health status, assess needs, and offer support.
    • Educate patients on chronic disease management, including lifestyle changes, medication adherence, and self-care practices.
  • Care Coordination:
    • Develop and maintain individualized care plans for patients, in collaboration with healthcare providers.
    • Coordinate and schedule appointments, including follow-ups, labs, referrals, and preventive services.
    • Serve as a liaison between patients and healthcare providers, assisting with communication and information sharing.
  • Documentation and Record-Keeping:
    • Accurately document all patient interactions, interventions, and updates to care plans in the electronic medical record (EMR) system.
    • Track patient outcomes, monitor key metrics, and prepare reports to evaluate the effectiveness of care management.
  • Patient Advocacy and Support:
    • Assist patients in accessing community resources, financial assistance programs, and other services to support their care plans.
    • Act as a patient advocate to ensure they receive the care and resources they need.
  • Compliance and Quality Assurance:
    • Ensure all activities comply with relevant healthcare regulations, such as HIPAA and Medicare guidelines.
    • Maintain up-to-date knowledge of best practices in chronic care management and participate in ongoing training.

Estimated Salary: $55,000 - $65,000 per year

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