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Healthcare Coordination Manager
2 months ago
EMrecruits is seeking a dedicated Clinical Care Manager to enhance our patient care services. This role is essential in providing comprehensive care coordination for individuals facing both physical and mental health challenges.
The Clinical Care Manager is responsible for overseeing care for patients with multiple chronic conditions, ensuring they comprehend their treatment plans and effectively manage their health. This position also targets patients who frequently utilize emergency services, focusing on transitional care that includes medication management, disease education, and discussions regarding hospital visits to improve overall health outcomes.
Key Responsibilities- Collaborate with Primary Care Providers (PCP) and community resources to ensure a holistic approach to patient care, considering individual social and cultural factors.
- Evaluate patients for issues that can be addressed through community-based care management.
- Serve as a bridge between the PCP, local health authorities, social services, hospitals, and community organizations to coordinate necessary health services.
- Work with network providers to ensure optimal client management.
- Establish and nurture relationships with community service providers through collaboration and participation in community events.
- Assist patients in addressing their health concerns through referrals and communication with the healthcare team.
- Maintain accurate client records in the Electronic Health Record (EHR) system.
- Create and implement personalized care management plans for identified patients.
- Conduct follow-up and outreach services through various methods including home visits, phone calls, or mail.
- Educate patients and their families on the significance of effective medical care management and how to navigate the healthcare system.
- Provide information on disease management, medication adherence, and preventive care strategies.
- Ensure compliance with hospital discharge instructions for high-risk patients to maintain continuity of care.
- Act as a liaison to healthcare providers to promote the use of Evidence-Based Practices.
- Support providers in coordinating services for high-risk patients by implementing best practices.
- Develop and deliver healthcare education programs and training sessions.
- Advocate for patients to access services that enhance their health status.
- Review patient care plans to eliminate unnecessary services and manage costs effectively.
- Conduct audits and compile data to support disease management initiatives.
- Ensure patient and family confidentiality in accordance with HIPAA regulations.
- Perform additional duties as required.
- Degree in Nursing (RN or LPN) or Registered Medical Assistant (RMA).
- Preferred experience in direct patient care or managed care settings.
- Valid driver's license and personal vehicle for travel between locations.
- Experience with HEDIS Quality Measures.
- Strong communication and customer service skills.
- Proficiency in Microsoft Word, Excel, and PowerPoint.
- Ability to work independently while collaborating with team members.
- Self-motivated with strong prioritization skills and a commitment to improving processes.
