Care Manager

ESSENTIAL FUNCTIONS

• Assists withoverseeing the daily inbound calls/tasks and emails for the department.

• Ensurespatient is progressingtoward desired outcomes by continuouslymonitoringpatient care through assessment and evaluation.

• Identifiesand resolves barriers that hinder effective patient care.

• Improves quality and completeness of documentation.

• Collaborates with patients families nurses physicians and other members of the team building consensus around issues and appropriately resolvesin a timely manner.

• Documents in a clear complete concise and organized manner.

• Monitors clinicallyhigh riskand complicated cases and institutes necessary actions to promote quality care andappropriate integration.

• Accepts referrals andidentifiespatients who meet the criteria for care management.

• Analyzes current operations policies systems procedures and develops and implements necessary and innovative changes.

• Adheres to and supports team members in exhibitingHOPCosvalues and mission.

• Assistswith program planning development and evaluation.

• Performs related duties as assigned

• Performs other CIN duties as assigned

EDUCATION

• Bachelors or Doctorate in Nursing orMasters in Physician Assistant studiesrequired

EXPERIENCE

• Minimumthree (3) years of clinical nursing therapy or case management experience isrequired.

• One-year experience in a medical business office physicians office or hospital environment is preferred.

• Experience in value-based care / population health is preferred.

• Experience in orthopedic or musculoskeletal specialty isrequired.

KNOWLEDGE

• Knowledge of patient confidentiality state laws HIPAA regulations and medical records procedures.

• Knowledge of medical practices terminology and reimbursement policies.

• Knowledge of Microsoft Office applications.

SKILLS

• Skill in follow-up with patients and responding to inquiries promptly.

• Skill and professionalism when interacting with providers patients family members and the public.

• Skill in understanding patient education needs by effectively sharing information with patients and families.

• Skill in problem-solving and time management.

• Skill in evaluating the effectiveness of existing methods and procedures.

• Skill in verbal and written communication.

ABILITIES

• Ability to readinterprets andappliespolicies and procedures.

• Ability to set priorities among multiple requests.

• Ability to interact with patients medical and administrative staff and the nurse case manager effectively.

• Ability to work in a fast-paced environment.

ENVIRONMENTAL WORKING CONDITIONS

• The positionprovidesan option to work from home. If working from homemusthave a designated workspace.

• Use of standard office equipment including computers copiers printers etc.

PHYSICAL/MENTAL DEMANDS

• Requires sitting and standing associated with a normal office environment.

• Some bending and stretching arerequired.

• Manual dexterity using a calculator and computer keyboard.

ORGANIZATIONAL REQUIREMENTS

• HOPCoMission Vision and Valuesmust beacknowledged and adhered to

This description is intended to provide only basic guidelines for meeting job requirements. Responsibilities knowledge skills abilities and working conditions may change as needs evolve.

Required Experience:

Manager