New Jersey Chronic Care Management (CCM): MA/LPN Care Coordinator Local Talent ONLY
Posted 2025-03-14About 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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