Care Manager, Clinical

🕒 il y a 1 mois

🇺🇸 États-Unis – Télétravail

💵 $18 / heure

⏰ Temps Plein

🟡 Intermédiaire

🟠 Senior

👔 Manager

👻 Score fantôme 2%

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🗣️🇺🇸🇬🇧 Anglais requis

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Logo of Guideway Care

Guideway Care

201 - 500 employés

Fondée en 2017

🏥 Santé

☁️ SaaS

🤖 Intelligence artificielle

Healthcare • SaaS • Artificial Intelligence

Guideway Care est une entreprise spécialisée dans les soins de santé qui propose une plateforme d'activation des patients basée sur des preuves, combinant une orchestration assistée par l'IA et des agents d'activation de patients formés. En utilisant son cadre exclusif de Motivation Patient Guidance (MPG), Guideway guide les patients à travers l'accès, les orientations, les transitions de soins et la gestion des maladies chroniques afin d'améliorer l'adhérence, réduire l'utilisation évitable, et améliorer la satisfaction et les résultats financiers pour les hôpitaux, les systèmes de santé, les payeurs/ACO, les FQHC et les fournisseurs de dispositifs médicaux. L'entreprise met l'accent sur l'impact clinique et financier mesurable — moins de réadmissions, une meilleure observance des rendez-vous, de meilleurs scores HCAHPS et un retour sur investissement solide — tout en abordant les déterminants sociaux de la santé et les obstacles opérationnels.

Description

• Manage and support patients’ healthcare needs via telephonic outreach • Conduct and document visits using several technology platforms and EHRs • Monitor adherence to care plans and evaluate their effectiveness • Monitor patient progress in a timely manner and facilitate changes as needed • Facilitate patient access to appropriate medical and specialty providers • Educate patients and family/caregivers about relevant community resources • Coordinate continuity of patient care with external healthcare organizations and facilities • Coordinate transitions from primary care providers to specialty care providers • Support patient self-management of disease and behavior modification interventions • Provide patient health counseling, education and instruction • Use computer applications • Make and answer phone calls for the majority of the shift • Welcome patients • Review patient medical records • Code and fill out insurance forms • Schedule appointments • Arrange hospital admissions and laboratory services • Handle correspondence, billing, and bookkeeping • Escalate patient concerns or needs to the appropriate provider • Perform other duties necessary to drive company values and fulfill the mission

🎯 Exigences

• CMA Certification • Maintaining a Certification is an ongoing requirement of this role • Minimum of 1 year work experience in a healthcare setting involving patients with complex chronic disease states preferred • Chronic Care Management experience required (CCM, PCM, APCM) • Proficiency with a personal computer • Technical and analytical skill set • Excellent communication, organizational, and interpersonal skills • Experience with Microsoft Excel preferred • Able to work remotely at home in a private HIPAA compliant workspace • Able to house company equipment needed to perform job • Broadband Internet access • Internet download speed must be at least 24 mbps and upload speed at least 4 mbps • Must successfully complete a background check, drug screening, and identity verification process prior to employment • Immigration or work visa sponsorship will not be provided • Ability to hear in normal range and wear a headset / earpiece • Good visual acuity to read computer screens, scripts, forms etc. • May sit 100% of the time when taking calls • Access to the electronic medical record (EMR) system may require the use of a personal mobile device for authentication purposes

🏖️ Avantages

• Medical Insurance • Vision Insurance • Dental Insurance • Flexible Spending Account (FSA) • Company paid short- and long-term disability • Employee Assistance Program • Life Insurance • Accident insurance • Other voluntary benefit programs for employees and their eligible dependents • 401(k) retirement plan with a company match • Remote work at home in a private HIPAA compliant workspace • Company equipment needed to perform the job • Broadband Internet Access

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