**** You must have an active LPN or RN license to apply ****

The MHD Case Manager (MCM) is a pivotal member of the My Home Doctor (MHD) Team. As a Case Manager, you will use critical thinking, written and verbal communication, customer service, and administrative skills to ensure that our providers can focus on delivering the highest level of care to patients. This job is an office based position with telephonic management of patients.

Do you want to make a difference in healthcare?

MHD was created to transform how healthcare is delivered to the most medically vulnerable members in our community. Our medical group provides home-based medical care to chronically ill patients, many of whom are frail, elderly and ill-equipped to navigate our overwhelming healthcare system.

Because many of our patients are frail and elderly, we deliver care primarily in the comfort of their home. Our Care Programs are utilized by health plans for eligible members across multiple lines of business including Medicare Advantage, Medicaid Managed Care and more. At MHD, our teams collaboratively manage our complex patient panels. These teams are led by Physicians, Nurse Practitioners, and Physician Assistants, with supporting care provided by RN Nurse Care Managers, and other employed team members.

The MCM is an integral part of the Care Team and is responsible for the overall care management process for high and moderate acuity engaged patients enrolled in MHD Care Programs. The MCM has oversight for developing patients’ plan of care, providing education, guidance and support. Professionals in this role elicit input from the MHD Provider Team based on initial comprehensive and ongoing assessments of the patient. The MCM uses nursing assessment and evaluation skills to help guide treatment and care decisions of the team and identifies services and vendors for needed care while navigating patient benefit plans.

The MCM ensures that medical services are managed in the most effective and appropriate health care setting according to the patient’s medical condition.

Responsibilities:

• Acts as an advocate for the patient in all activities including nursing assessments, care coordination, care plan development, and communication
• Completes an initial and ongoing patient assessment, including a medical record review where available
• Documents current advance care directive status and ongoing efforts to reconcile patient/caregiver goals with the current clinical status
• Initiates and maintains ongoing communications with clinicians, primary care physician, and specialists
• Engages with families/responsible parties to collaborate on plan of care and discussion of the ongoing management of the patient’s condition
• Coordinates care needs are met across the continuum of care delivery model, as the point of contact for patient/caregiver and clinicians
• Acts as liaison between providers, nursing facilities, hospitals and program staff, including making recommendations about care alternatives or equipment that will aide in the safety of the patient while promoting optimal clinical outcomes
• Monitors patient progress against plan of care goals with an emphasis on patient care needs during transitions and health changes
• Monitors patient during admissions and provides nursing/assisted living facility and provider training on program philosophy and approach to patient care
• Educates patients and/or families/responsible parties on disease processes and ways to manage disease progression as independently as possible
• Identifies and reports any quality-of-care issues and maintains HIPAA compliance as it relates to patient care

Qualifications:

• Current LPN or RN License is required.
• Minimum of two years experience working in a clinical healthcare environment with active patient contact.
• 2 years of clinical practice
• Case management experience highly desired
• Disease management and/or physician office experience desired

• Critical thinking skills.
• Excellent interpersonal and relationship building skills.
• Ability to adapt and be flexible in changing situations.
• Knowledge of MS Office products.
• Experience with following triage protocol a plus.

About Us:

My Home Doctor is helping build the healthcare system we all want to experience by transforming the home into the healthcare hub. We coordinate care holistically across individuals' clinical, social, and behavioral needs so they can enjoy more healthy days at home. By building strong connections to primary care providers, specialists and community resources, we're able to close critical care and social gaps, as well as manage risk for individuals who need help the most. This leads to better outcomes and a better experience for everyone involved.

To learn more about how we're driving outcomes and making healthcare work better, please visit us at www.myhomedoctor.com.

Benefit Conditions:

• Only full-time employees eligible

Full Time Opportunity:

• Yes

COVID-19 Precaution(s):

• Social distancing guidelines in place
• Virtual meetings
• Sanitizing, disinfecting, or cleaning procedures in place

Typical end time:

• 5:30 PM

Typical start time:

• 8:30 AM

Work Remotely

• Temporarily due to COVID-19

Job Type: Full-time

Pay: $52,000.00 - $74,000.00 per year

Benefits:

• Dental insurance
• Health insurance
• Paid time off
• Vision insurance

Schedule:

• Monday to Friday

Experience:

• Case management: 1 year (Required)

License/Certification:

• LPN or RN License (Required)

Work Location: In person