Care Management Coordinator chez NEUROLOGY CONSULTANTS OF DALLAS P A

Duties and Responsibilities

• Structured recording of patient health information:
  • Performs administrative tasks that streamline the process of onboarding patients, determine which care management services are warranted, by working with ordering providers and assistants in placing orders for care management services.
  • Receives Chronic Care Management orders from physicians, accesses patient charts and imports information into Care Management dashboard systems (MemberCare, prevounce, Allscripts).
  • Documents appropriately in the CCM dashboard and EMR.
  • Enters encounters details and reports at month-end for physicians to sign off.
  • Abides by all HIPAA and confidentiality regulations and policies.

• Maintaining comprehensive electronic care plans:
  • Facilitates and maintains care plans in conjunction with provider and patient.
  • Ensure patient care plan compliance.

• Managing care transitions and other care management services:
  • Assists patients with coordination of appointments and other care management needs related to their chronic conditions.
  • Assists with transitional care management when the patient has been discharged from a hospital.

• Coordinating and sharing patient health information promptly within and outside the practice:
  • Ensures sharing and gathering records with the patients’ primary care physician.
  • Ensures sharing and gathering of records from patients’ other health care providers.
  • Gathers hospital records when applicable.

• Supports the patient with chronic diseases in achieving health goals:
  • Works closely with patients, families, and providers to ensure coordinated and effective care in accordance with care plan.
  • Assists with referral management.
  • Maintains communications with patients via various methods and escalates urgent concerns to the clinic care team (physician/Medical Assistant) via the proper channels.

• Patient and caregiver engagement:
  • Assesses patient and caregiver needs.
  • Educates and guides patients to understand the benefits and requirements of care management services as needed.
  • Assist patients, families and caregivers with accessing community resources.

• Revenue cycle:
  • Learns and understands the requirements for CCM billing.
  • Works with authorization specialist on determining insurance eligibility and authorization requirement for care management support.
  • Maintains communication with patients monthly or as needed to fulfill billing requirements.
  • Able to meet monthly metrics as determined by Care Manager Specialist and management.

• Provides any other duties and responsibilities as determined by management and physician leadership.

Supervisory Responsibilities: 

• None

Required Skills/Abilities: 

• English proficiency,
• Strong communication, interpersonal, and organizational skills,
• Ability to work collaboratively with interdisciplinary teams,
• Knowledge of medical terminology and ability to interpret medical records and laboratory results,
• Familiar with insurance and reimbursement processes,

Education and Experience: 

• High school diploma or equivalent required,
• Medical Assistant Certification
• Community Health Worker Certification preferred,
• Work experience in an outpatient healthcare facility preferred,
• Customer service work experience in the field of healthcare.

Physical Requirements: 

• Work is performed primarily in an outpatient clinic environment.  Routine walking, climbing, lifting.
• Work may require sitting for long periods of time while staying fully alert.
• Work will require rooming patients, setting up/taking down exam rooms and working alongside other healthcare professionals in a clinical setting.