Care Managment Assistant

We are a fast-growing health care company with Medicare Advantage health plans in multiple states.  We have plans to grow through acquisitions and new startup operations in additional markets over the next few years.  This growth and added complexity of our operation is requiring a significant investment in human resources as well and as a result we have a new opening for a CMA. 

The Care Management Assistant assists the clinical Care Manager in both Utilization and Disease Management for the integration and coordination of a members care. GOAL: To maximize the components of CareContact tools, criteria and protocols under the direct supervision of the licensed clinical Care Manager to: assist in providing members with chronic conditions the support, education and assistance in the prevention and/or maintenance of their disease and/or health and wellness state; assist in supporting member compliance with treatment plans; assist in the collaborative coordination of care to reduce waste and inefficiency

 

Responsibilities:Provides telephonic follow up with members for Care Management services to include post hospital discharge and chronic condition management. Care Management Assistant reports to and is under the direct supervision of the licensed clinical Care Manager.Coordinates with the CareContact team, and Provider,(when indicated by the Care Manager) to assist in the attainment of members goals by: Working with member, physician, other Health care providers and the care manager, meeting the member’s individual needs based on protocols and referrals.Calling to the identified member to offer a review of the Care Contact Disease Management program.Supporting the member education goals regarding their specific chronic condition based on the Plan of Care.Informing the member how to access the CareContact program resourcesAssisting in the arrangement of Provider follow-up appointments
mailing of approved educational and informational materialsAssisting in the performance of “Welcome Home� calls to members post discharge from inpatient or other levels of care as directed and supervised by the licensed Care ManagerSupporting the monitoring and evaluation of interventions as set and directed by the clinical Care Manager in the Plan of Care by periodic telephonic contact with members based upon data received pertinent to members chronic conditions or other risk triggers, ie; ED visits, IP acute stay, referral for out patient cardiac procedure.

·  Has direct responsibility for compliance with the Sarbanes-Oxley Act in matters of financial and operational controls and disclosure requirements as mandated by the Act. This includes strict adherence to the company’s Business Conduct Statement and Code of Ethics. The emphasis will be on compliance with financial procedures and protocol, internal controls, and maintaining the highest level of workplace behavior.

 

Experienced Required:Healthcare related experience preferred. 

Skills:Strong organizational and time management skills, able to work with little supervision while handling numerous projects at once. Excellent written/verbal communication skills, especially the ability to communicate telephonically in a professional and effective manner. Computer literacy in Word, Excel.

 

Education/Certifications:

·  High school graduate or equivalent

Travel Required:

·  None

 

Physical Demands/Work Environment: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.

 

Work is performed in a professional office setting, business casual dress environment. Working extended hours may be required as needed.  Extended periods of sitting and or standing, telephone work and/or computer work, as well as interactions with other staff members. The noise level in the work environment is usually moderate. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

 

EOE, Competitive Compensation 

Please apply online at http://hostedjobs.openhire.com/epostings/jobs/submit.cfm?fuseaction=careeropps&category_id=24851&company_id=15763&version=4&startflag=1&parent=Healthcare&levelid1=24851&CFID=30215469&CFTOKEN=2db7a73-957f3ea1-3bbc-432c-be36-8b8b9e982ca6  You can cut and paste this link into your browser. 

No phone calls, email or faxes accepted.  Only individuals who apply online will be considered candidates.