Care Management Assistant

Description

Job Summary:

We are seeking a highly skilled and compassionate Care Management Assistant to join our outpatient neurology practice. As a Care Management Assistant, you will support the Care Manager Specialist and RN Manager in ensuring that our patients receive the highest quality of care and support throughout their treatment journey. Your primary role will be to coordinate and manage care for patients with neurological disorders, including those with multiple comorbidities.

Duties and Responsibilities

• Structured recording of patient health information:
  • Performs administrative tasks that streamline the process of onboarding patients,  determine which care management services are warranted, by working with ordering providers and assistants in placing orders for care management services.
  • Receives Chronic Care Management orders from physicians, accesses patient charts and imports information into Care Management dashboard systems (MemberCare, prevounce, Allscripts).
  • Documents appropriately in the CCM dashboard and EMR.
  • Enters encounters details and reports at month-end for physicians to sign off.
  • Abides by all HIPAA and confidentiality regulations and policies.
• Maintaining comprehensive electronic care plans:
  • Facilitates and maintains care plans in conjunction with provider and patient.
  • Ensure patient care plan compliance.
• Managing care transitions and other care management services:
  • Assists patients with coordination of appointments and other care management needs related to their chronic conditions.
  • Assists with transitional care management when the patient has been discharged from a hospital.
• Coordinating and sharing patient health information promptly within and outside the practice:
  • Ensures sharing and gathering records with the patients’ primary care physician.
  • Ensures sharing and gathering of records from patients’ other health care providers.
  • Gathers hospital records when applicable.
• Supports the patient with chronic diseases in achieving health goals:
  • Works closely with patients, families, and providers to ensure coordinated and effective care in accordance with care plan.
  • Assists with referral management.
  • Maintains communications with patients via various methods and escalates urgent concerns to the clinic care team (physician/Medical Assistant) via the proper channels.
• Patient and caregiver engagement:
  • Assesses patient and caregiver needs.
  • Educates and guides patients to understand the benefits and requirements of care management services as needed.
  • Assist patients, families and caregivers with accessing community resources.

• Revenue cycle:
  • Learns and understands the requirements for CCM billing.
  • Works with authorization specialist on determining insurance eligibility and authorization requirement for care management support.
  • Maintains communication with patients monthly or as needed to fulfill billing requirements.
  • Able to meet monthly metrics as determined by Care Manager Specialist and management.
  • Provides any other duties and responsibilities as determined by management and physician leadership.

Qualifications

Required Education:
- High school diploma or equivalent required.

- Community Health Worker certification preferred.
- Associate's degree in healthcare administration or a related field preferred.

Required Experience:
- Minimum of 1 year of experience in a healthcare setting, preferably in a neurology practice.
- Experience with electronic health records (EHR) systems is essential.
- Previous experience in a care management or patient coordination role is highly desirable.

Required Skills and Abilities:
- Strong organizational and multitasking skills with the ability to manage multiple priorities in a fast-paced environment.
- Excellent communication skills, both verbal and written, for effective interaction with patients, families, and healthcare professionals.
- Proficiency in Microsoft Office Suite (Word, Excel, Outlook) and comfort with technology and software applications.
- Demonstrated ability to work independently as well as collaboratively within a team.
- High attention to detail with a commitment to maintaining patient confidentiality and data integrity.
- Compassionate and patient-centered approach to care, with a focus on providing exceptional customer service.