Do you have a passion for caring for patients? If you are looking for a place where teamwork is a priority and every patient counts, this might be the spot for you. Cedar Point Health is built around the idea of taking care of people. Whether it’s our patients or our staff, putting people first is our top priority. In collaboration with the patient’s healthcare team, a care manager guide patients through their care plans by providing assistance, education, and support.

Cedar Point Health offers competitive pay and comprehensive benefits to full-time employees, including medical, dental, vision, AFLAC, employee life and accidental death insurance, 401k, and Paid Time Off including sick time.

Responsibilities:

• Collaborate in overseeing the practice’s chronic care management program, including Medicare’s CC requirements.
• Assist with and facilitate the transition of care from inpatient settings such as hospital, rehabilitation facilities and skilled nursing facilities to home.
• Develop a comprehensive, collaborative care plan, based on provider treatment plan, evidence-based chronic care guidelines, and patient/family goals for patients in the chronic disease registries, recent discharges, and those in care transition to promote adherence to physician/provider recommendations and instructions.
• Provide individual patient/family education and self-management support that is appropriate based on language, cognitive abilities, literacy level, learning style, cultural norms, patient preference, readiness for change and resources available.
• Address medication adherence and reconciliation.
• Provide education to patients regarding health conditions.
• Communicate changes in patient’s status appropriately with the care team.
• Identify barriers when treatment goals are not met, treatment plan is not being followed or important appointments are missed.
• Identify patients who are overdue for visits, labs and referrals, contact patients and arrange for follow-up services.
• Help the practice and providers meet the requirements and goals for Meaningful Use, PQRS, Quality and other regulatory programs.

Requirements:

• Must be experienced in a physician’s office or equivalent combination of training and experience.
• Must have experience with medical documentation, and EMR’s
• Must have knowledge of examination, diagnostic and treatment room procedures.
• Skilled in developing and maintaining clinical quality assurance.
• Ability to interpret, adapt and apply guidelines and procedures.
• Ability to use good reasoning and judgment and react calmly in emergency situations.
• Ability to establish and maintain effective working relationships with patients, medical staff, coworkers and the public.
• Ability to read, write and communicate effectively orally and in writing.
• Must be able to multi-task.
• Must be punctual, meticulous and reliable.
• Must be able to maintain strict confidentiality.

Education: Medical Assistant Certification, RN, or LPN (Pay will reflect certifications and experience).

Experience: Preferred to have experience in a medical office, nursing home, or inpatient facility. Experience in care management or population health.