Chronic Care Management Coordinator

Full Time
Atlanta, GA 30315
Posted
Job description

Ready to provide extraordinary customer service?
Come and join the best Doctors with the best outcomes!
Join our team and experience a fulfilling career at a leading Metro-Atlanta Health Care Organization.
ABOUT US
Southside Medical Center, Inc. (SMC) was founded in 1967 as the Atlanta Southside Comprehensive Health Center. We are a federally qualified health center (FQHC) that provides primary health care and related services to the medically underserved and uninsured.
SMC has 13 locations across the state of Georgia. Our main Center is located near the Georgia State Football Stadium in Fulton County. We also have two other locations in Fulton County: one at Dobbs Elementary School and the other in East Point. We have two locations in Dekalb County on Gresham Road and in Decatur, and three locations in Clayton County in Lovejoy, Riverdale and Forest Park. One location in Gwinnett County in Norcross, and a location in both Spalding and Butts Counties, Duluth and our newest location, Cleveland Family Medicine in East Point.
Southside Medical Center, Inc. is a leader in organizing, providing and supporting affordable health care and related services to the public through diversified business activities. Our mission is that we are committed to providing exceptional primary health care and related services to the medically underserved of Metropolitan Atlanta.

Job description

The ideal candidate is comfortable providing telephonic Chronic Care Management (non-face-to-face) services as an extension of the clinical staff of physician practices managing patients with 2 or more diagnosed chronic conditions.

This role includes navigating multiple EMR platforms, constructing a proprietary comprehensive care plan, and providing a range of care coordination services, including but not limited to, monthly health interviews with patients, coordination with family members and caregivers, and working with community services to ensure access to care.

This position works under the supervision and guidance of the Director of Nursing.

Responsibilities

  • Meet production goals based on full-time hours.
  • HIPAA compliant use of computer access (need to know only) to facilitate patient care.
  • Create and maintain comprehensive, proprietary patient care plan.
  • Use proprietary care plan to guide patient interaction and direction.
  • Utilize chronic condition specific scripts to guide conversation.
  • Review individual care plans and make monthly phone calls to CCM enrolled patients.
  • Calls may include:
  • Assess current health status
  • Medication reconciliation & compliance assessment
  • Appointment reminders
  • Appropriate patient education re: care & condition management at home
  • Review orders, labs, consults and associated documentation
  • Encourage preventative health services
  • Thorough documentation in care plan reflecting updated information, test results, social.
  • Manage the flow of information to/from provider’s office.
  • Facilitate three-way call when necessary.

Qualifications

  • Medical Assistant certification or higher (LPN, RN, BSN, etc.)
  • Minimum 1-year experience in home-care or clinical setting.
  • Minimum 1-year experience in Chronic Care Management.
  • Knowledge of medical terminology
  • Critical thinking skills.
  • Ability to assess status of conditions remotely.
  • Quickly recognize condition-related warning signs.
  • Organized, thorough documentation skills.
  • Self-directed. Ability to prioritize responsibilities. Demonstrated time management skills.
  • Clear diction. Applies exemplary phone etiquette to every call.
  • Committed to excellence in patient care and customer service.
  • Demonstratedcommunication/listening skills.
  • Ability to navigate effectively in multiple computer programs.
  • HIPAA compliant area in home to conduct Chronic Care Management duties (as needed)

Job Type: Full-time

Schedule:

  • Monday to Friday

Work Location:

  • One location

Benefit Conditions:

  • Waiting period may apply

Work Remotely:

  • No

Job Type: Full-time

Benefits:

  • 401(k) matching
  • 403(b)
  • Dental insurance
  • Disability insurance
  • Employee discount
  • Health insurance
  • Life insurance
  • Paid time off
  • Retirement plan
  • Tuition reimbursement
  • Vision insurance

Schedule:

  • 8 hour shift

COVID-19 considerations:

All staff are required to be fully vaccinated and wear masks at all times.

Ability to commute/relocate:

  • Atlanta, GA 30315: Reliably commute or planning to relocate before starting work (Required)

Experience:

  • telephone and in-person
  • customer service: 1 year (Required)

Work Location: In person

Job Type: Full-time

Benefits:

  • 401(k) matching
  • 403(b)
  • Dental insurance
  • Disability insurance
  • Employee discount
  • Health insurance
  • Life insurance
  • Paid time off
  • Retirement plan
  • Tuition reimbursement
  • Vision insurance

Schedule:

  • 8 hour shift

COVID-19 considerations:
All staff are required to be fully vaccinated and wear masks at all times.

Ability to commute/relocate:

  • Atlanta, GA 30315: Reliably commute or planning to relocate before starting work (Required)

Application Question(s):

  • Are you fully vaccinated against or willing to get fully vaccinated for COVID-19?

Experience:

  • telephone and in-person customer service: 1 year (Required)

Work Location: In person

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