New Jersey Chronic Care Management (CCM): MA/LPN Care Coordinator Local Talent ONLY

About us

Gen By Gen Health provides turn-key CCM/RPM solutions to physician practices.

Job Overview:

We are seeking a dedicated professional experienced in Chronic Care Management (CCM) to join our team. The Care Manager (MA or LPN/LVN) is responsible for providing comprehensive, coordinated care to patients with multiple chronic conditions through technology and clinical service model. This role requires excellent communication, clinical skills, and a strong commitment to improving patient health outcomes. The Care Manager plays a crucial role in maintaining patient health and filling the gaps between their doctor’s appointments. If you are able to build a trusting relationship with patients and have excellent task management skills, we would love to hear from you.

Skills and Qualifications: • LPN/LVN/CNA/MA: New Jersey Licensure in good standing - Required • Minimum 1 year of experience with CCM - Required • Fluency in English and Spanish - Required • Minimum 2 years of experience in the healthcare industry; preferably in a primary care provider’s office - Required • Billing/RCM or health coach experience may be considered. • Knowledge of Medicare's CCM program guidelines and requirements • Experience with and comfortable in assessing the status of patients remotely. • Working knowledge of disease processes for common chronic illnesses (eg: Hypertension, Diabetes, COPD, CHF) with demonstrable ability to communicate issues related to it over the phone. • Clinically sound and accurate documentation skills. • Experience with and comfortable learning health portals and software applications. • Superior task management skills: organized, self-directed, and detail oriented. • Enterprising to find solutions when faced with problems. • Ability to work collaboratively with a team and manage multiple priorities and reliably meet deadlines. • Quiet setting without interruptions to work from. Reliable internet service and electricity.

Duties & Responsibilities
• Execute care plans for patients with chronic conditions in collaboration with the healthcare team.
• Proactive patient management via text, call, and electronic medical records.
• Triage patient conditions and respond accordingly in a timely manner
• Work closely with in-office providers and staff for guidance with management of day-to-day calls related to condition, medication, referral, and community resource management.
• Engage patients about their health by providing guidance, education, and encouragement.
• Coordinate care with other healthcare professionals, ensuring timely communication and collaboration.
• Actively review patient charts to identify care gaps and determine resolutions based on provided workflow
• Escalate patient care promptly according to pre-approved algorithm
• Advocate for patients' needs and preferences.
• Accurately and timely document patient interactions, interventions, and progress in the electronic health record system.

Job Type: Full-time

Expected hours: No less than 40 per week

Application Question(s):
• Do you have a quiet place to work from home with reliable internet and electricity
• Are you local to New Jersey?

Experience:
• Chronic Care Management: 1 year (Required)
• Direct Patient care: 2 years (Required)

Language:
• English (Required)
• Spanish (Required)

License/Certification:
• CMA, LPN, LVN (Required)

Work Location: Remote

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