Case Manager

24 hours ago

Tampa, Florida, United States AaNeel Infotech Full time

Job description

AaNeelCare is a healthcare delivery platform that connects patients, physicians and other healthcare professionals to have seamless integration on extensive medical, claims and financial records with the support of the 14+ modules facilitating integration of care throughout the continuum. Through the use of this platform, care managers will assist partner ACO/MSO physician groups in all population management efforts.

Full Job description

The Care Manager will be instrumental in executing the strategy to manage the assigned population of Medicare beneficiaries and/or members through a series of outreach efforts and interventions including but not limited to:

  • Chronic Care Management (CCM)
  • High-Risk Patient Management
  • High-Utilizer patient management
  • Utilization Management and Transitional Care Management (TCM)

The Care Manager on behalf of the treating physician will be responsible for facilitating care coordination between the beneficiaries/members, specialists, ancillary services and/or care givers as needed through activities that will include:

  • Review of electronic health records
  • Phone calls or messaging
  • Contact with other providers, services, vendors or care givers as needed

ESSENTIAL JOB FUNCTIONS/RESPONSIBILITIES

  • Care /Case managers will be assigned to a population of Medicare beneficiaries/members
  • Care/Case managers will communicate with the Medicare beneficiaries/members via phone, review Electronic Health Records and coordinate care with other treating providers and care givers
  • Ability to create and review care plans as needed
  • Adheres to CMS guidelines, quality, compliance and case management policies and procedures.
  • Adapts to changes in policies, procedures, new guidelines and additional responsibilities
  • Self-motivated and team player work ethics with ability to assist in the growth and development of the Health Services Department and Company.
  • Excellent organizational skills with the ability to manage multiple priorities

POSITION QUALIFICATIONS

  • Must have clinical background (MA, CNA or similar)

· 1 year of care management experience preferred

  • Experience with ACO, Managed Care and / or physician practices preferred
  • Bilingual/Spanish-speaking preferred
  • Must be familiar with medical terminology related to care management
  • Demonstrates excellent observation, verbal and written communication skills
  • Must be passionate, kind and comfortable while speaking with seniors
  • Computer proficient and familiar with Microsoft Office applications, especially Excel.
  • Ability to prioritize responsibilities and adapt to change in business and Medicare requirements

Job Type: Full-time

Job Type: Full-time

Pay: $ $22.00 per hour

Expected hours: 40 per week

Benefits:

  • 401(k)
  • 401(k) matching
  • Dental insurance
  • Health insurance
  • Life insurance
  • Paid time off
  • Vision insurance

Work Location: In person

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