Chronic Care Manager
Phamily
- Louisville, KY
- Permanent
- Full-time
- Develop a keen understanding of primary care practice requirements for optimal, coordinated population health
- Work as an effective team member of the care team
- Collaborate with care teams to establish population-appropriate, pre-visit, and point of care processes
- Work with the Phamily Chronic Care Management platform to support patients with multiple chronic diseases and assists in coordination of the patients care continuum.
- Contribute to quality improvement and care redesign of population health efforts
- Manage patient registries
- provide the members of health care teams in designated practices with the data required to meet the health needs of the patient
- Support practice staff to develop interventions to proactively manage target populations
- Contribute to a positive experience for patients and families through courteous telephone and digital interactions, accurate and expeditious routing, as well as referral to appropriate clinical staff when necessary
- Recognize and report data inconsistencies to appropriate personnel
- Contribute to the teamwork within and between departments.
- Regularly attend and participate in meetings with coworkers and practice staff.
- Perform all job functions in compliance with applicable federal, state, local and company policies and procedures
- Provide data to the care teams to properly perform these processes
- Monitor and correct patient attribution to the practice and the care teams within the practice
- Other duties as assigned
- Minimum of 3 years experience in a relevant specialty. Experience in population health preferred.
- Proven problem-solver with ability to multitask.
- Excellent communication skills, both written and spoken.
- Certified Medical Assistant from a nationally recognized organization or LPN. Note: Significant experience within a primary care setting with quality/population health experience in lieu of certification may be considered.
- Prior use of EHR/EMR systems highly desirable
- Bi-lingual English-Spanish preferred
- $20-$25 per hour depending on experience
- HSA
- PPO plan
- LTD/STD/Life Insurance (paid at 100% after 60 days and effective first of the month)
- $100 uniform allowance after 6 months
- PTO- 2 weeks a year accrued based on 40 hours per week
- Sick time 4 days accrued based on 40 hours per week
- 401K or Roth - immediate - match up to 4%
- Profit Sharing Contribution with a recent pay out of 5.88%