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Chronic Care Manager

Sun River Health
Bronx, NY Full Time
POSTED ON 2/19/2025
AVAILABLE BEFORE 4/18/2025

Will provide telephonic care coordination services to Medicare eligible patients. These services will include coordination of medication refills, referral and diagnostic imaging results. This position will be responsible for documenting all services in eCW as well as communication with internal clinical or behavioral health team. This position will assist in linking patients to services for daily activities, food insecurity and home care assistance.

  • Ability to complete referral process and documentation in eCW.
  • Provides supportive services to the patients for issues related to social determinants of health, including but not limited to food resources, heat assistance and day care programs.
  • Ability to provide instruction to patients on use of the portal.
  • Determines and confirms eligibility of patients who are able to receive the CCM services.
  • Provides basic health information and education to patients through the portal and telephonic sessions.
  • Completes 200-20 minute claims monthly, appropriately document the time logs and CCM documentation.
  • Participates in all trainings and meetings associated with the CCM program.
  • Knowledge of eCW basics for insurance, appointment setting, referral management and some clinical documentation

Education: High School Graduate/GED -Required

Sun River Health is a network of over 40 Federally Qualified Health Centers (FQHCs) providing primary, dental, pediatric, OB-GYN, and behavioral health care to over 245,000 patients annually. With a dedicated staff of 2,000 doctors, nurses, and health care professionals, we pride ourselves on delivering high-quality, affordable care to those who need it most. Sun River Health started in 1975 when four African American mothers spearheaded efforts to open our first health center in Peekskill, New York to deliver accessible, high-quality, affordable services to patients in need no matter their race, religion, income, or insurance status. Today, after 45 years of service, Sun River Health is still delivering on that promise to communities across the Hudson Valley, New York City, and Long Island.

Job Type: Full-time

Pay: $23.00 - $25.00 per hour

****** $1500 Sign On Bonus- Terms and Conditions Apply****

Expected hours: 35 per week

Responsibilities:

Relation to Mission
The mission of Sun River Health is to increase access to comprehensive primary and preventive health care and to improve the health status of our community, especially for the underserved and vulnerable.

Equal Employment Opportunity
Sun River Health provides equal employment opportunities to all qualified individuals without regard to race, creed, color, religion, national origin, age, sex, marital status, sexual preference, or non-disqualifying physical or mental handicap or disability in each aspect of the human resources function.

Americans with Disabilities Act
Applicants as well as employees who are or become disabled must be able to perform the essential job functions either unaided or with reasonable accommodation. The organization shall determine reasonable accommodation on a case-by-case basis in accordance with applicable law.

Job Responsibilities
The following statements reflect the general duties, responsibilities and competencies considered necessary to perform the essential functions of the job and should not be considered as a detailed description of all the work requirements of the position. Sun River Health may change the specific job duties with or without prior notice based on the needs of the organization.

Salary : $23 - $25

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