Patient Care Clinical Case Manager

Job Overview

We are in search of a seasoned Clinical Case Manager to become a vital member of our healthcare team. This position presents a unique opportunity for individuals who are deeply committed to enhancing the health of underserved communities. As a Clinical Case Manager, you will play a crucial role in fostering quality patient care and collaborating with healthcare providers and families to effect positive change in patients' lives.

Key Responsibilities

• Act as a patient advocate, assisting individuals in navigating the complexities of the healthcare system.
• Engage in quality improvement initiatives aimed at enhancing patient outcomes.
• Identify and address gaps in care by coordinating services and ensuring appropriate follow-ups.
• Collaborate with external healthcare facilities to ensure continuity of care during transitions, including admissions, discharges, and specialty referrals.
• Support patients and families during transitions of care, particularly following hospital visits and referrals.
• Co-manage care for high-risk patients, especially those with multiple chronic conditions, in collaboration with the Clinical Care Management team.
• Tackle Social Determinants of Health (SDOH) by evaluating screenings and providing community-based resources to those in need.
• Maintain effective communication with the healthcare team through thorough chart documentation and team discussions.
• Contribute to the collection of data and health outcomes reporting related to Patient-Centered Medical Home initiatives.
• Aid in the formulation of clinical tools and procedures to boost patient care efficiency.
  
  

Required Skills

• Active LPN certification (CMA experience is an advantage).
• Strong communication skills essential for educating patients and collaborating with their families.
• Proficiency in Microsoft Office (Excel, Word) and intermediate computer skills.
• Excellent interpersonal abilities and customer service skills, fostering a positive team environment.
• Strong problem-solving capabilities, with the ability to effectively escalate issues to providers when required.
• Self-motivated, detail-oriented, and reliable.
• Capacity to manage a caseload of approximately 300 patients monthly.
• Ability to thrive in a fast-paced environment and adeptly handle stress and conflict.
• Commitment to maintaining confidentiality and adhering to all relevant policies and procedures.
  
  

Qualifications

• A minimum of 1-2 years of relevant experience in case management or a comparable healthcare role.
• Familiarity with electronic medical records (EMRs); experience with Athena is a plus.
• Proven success in collaborating with medical providers to coordinate patient care plans.
• Experience in engaging with insurance companies to obtain patient data and resources.
  
  

Career Growth Opportunities

This position offers significant opportunities for professional development, allowing you to engage in impactful healthcare initiatives while enhancing your skills and expertise in a collaborative environment. You will be part of a team that is dedicated to continuous improvement in patient outcomes, which fosters both personal and professional growth.

Join our organization and contribute to transformative healthcare initiatives that directly impact the well-being of the community!

Employment Type: Full-Time