Chronic Care Case Manager

Company: Harris Computer Systems
Location: Plano
Posted on: June 13, 2021

Job Description:

We are looking for an exceptional, credentialed nurses to join our team as a Chronic Care Management (CCM) Case Manager for contract employment. As the Chronic Care Case Manager you will be comfortable providing telephonic Chronic Care Management (non-face-to-face) services as an extension of the clinical staff of physician practices managing patients with 2 or more diagnosed chronic conditions.

This role includes constructing a proprietary comprehensive care plan, and providing a range of care coordination services, including but not limited to, monthly health interviews with patients, coordination with family members and caregivers, and working with community services to ensure access to care.

What your impact will be:

• Properly interview and enroll patients in the CCM program.
• Attend regularly scheduled meetings (i.e. morning huddles, weekly updates, etc.). These "mandatory" meetings will be important to define the current scope of work.
• Implements clinical interventions and protocols based on risk stratification and evidence-based clinical guidelines.
• Become a subject matter expert in CCM fulfillment and billing requirements
• Meet production goals based on part-time or full-time hours.
• HIPAA compliant use of computer access (need to know only) to facilitate patient care.
• Create and maintain a comprehensive, proprietary patient care plan.
• Coordinate transitional care from an inpatient service to other settings as per care plan.
• Use proprietary care plan to guide patient interaction and direction.
• Utilize chronic condition specific scripts to guide conversation.
• Review individual care plans and make monthly phone calls to CCM enrolled patients.
• Communications with external agency & community service providers on behalf of patient.
• Calls will include:
• Assess current health status
• Medication reconciliation & compliance assessment
• Appointment reminders
• Appropriate patient education regarding care & condition management at home
• Review orders, labs, consults, and associated documentation
• Encourage preventative health services
• Thorough documentation in care plan reflecting updated information, test results, social.
• Manage the flow of information to/from providers office.
• Facilitate three-way call when necessary.
• Helping patients understand their condition and treatment options, providing education and literature about their diagnosis
• Reviewing treatment goals with patients
• Other duties, as needed

What we are looking for:

• Graduate from an accredited School of Nursing. (LPN, LVN, RN, BSN, etc.)
• Current license to practice as an RN/ LVN/LPN in current state and gain licensure in other states.
• Minimum 1-year experience in homecare or clinical setting.
• Knowledge of medical terminology.
• Critical thinking skills.
• Ability to assess status of conditions remotely.
• Demonstrated communication/listening skills.
• Ability to navigate effectively in multiple computer programs.
• HIPAA compliant area in home to conduct Chronic Care Management duties.
• High Speed Internet.
• Desktop or Laptop computer

What will make you stand out:

• Quickly recognize condition-related warning signs.
• Organized, thorough documentation skills.
• Self-directed. Ability to prioritize responsibilities. Demonstrated time management skills.
• Clear diction. Applies exemplary phone etiquette to every call.
• Committed to excellence in patient care and customer service.

What we offer:

• This is a contract position with no benefits
• Autonomous Environment
• Equipment responsibility of candidate
• Opportunities to learn and grow
• Community Involvement and Social Responsibility
• Flexible work environment

About us:

For over 20 years GEMMS has been the leader in Cardiology Specific EHR technology. The product was developed in a "living laboratory" of a large Cardiology Enterprise with over 40 physicians in 28 locations. For single physician offices to large cardiovascular centers that include a diagnostic centers, ambulatory surgical center, and peripheral vascular offerings.

When physicians and Administrators evaluate GEMMS ONE, they are often impressed with the vast clinical cardiovascular knowledge content and operational aspects found in GEMMS ONE. GEMMS ONE EHR provides a rich array of functionality spanning the entire cycle of patient care. With everything from a patient portal to e-prescribing to clinical documentation to practice management including cardiovascular specific quality measurements and MIPS patient dashboard. GEMMS ONE EHR System provides all the medical records software tools needed to complete your daily tasks in the most efficient way possible.

GEMMS ONE is a fully interoperable and integrated application that allows "real time" merging of clinical processes and revenue cycle management. It also can seamlessly connect to external revenue cycle management programs that might be used in larger enterprises so that you can get the efficiency of Cardiovascular Clinical workflow while supporting the revenue cycle requirements of larger enterprises. Complying with governmental regulations and payer requirements will be simplified, while enhancing your operational and financial performance.

Harris is an Equal Opportunity/Affirmative Action Employer. We consider applicants without regard to race, color, religion, age, national origin, ancestry, ethnicity, gender, gender identity, gender expression, sexual orientation, marital status, veteran status, disability, genetic information, citizenship status, or membership in any other group protected by federal, state or local law.

If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact us at (1)-613-226-5511 or at HarrisTalentAcquisition@harriscomputer.com. This contact information is for accommodation requests only and cannot be used to inquire about the status of applications.

Keywords: Harris Computer Systems, Plano , Chronic Care Case Manager, Other , Plano, Texas