Chronic Care Manager
Posted 7hrs ago
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Job Description
Remote Care Manager supporting chronic-disease prevention and intervention for Esrun Health’s patient panels. Creating care plans, coordinating outreach, and completing billable encounters.
Responsibilities:
- Abide by the plan of care and orders of the practice
- Provide prevention and intervention for multiple disease conditions through motivational coaching
- Develop positive interactions with patients on behalf of practices
- Improve revenue by creating billable Care Management episodes and increasing visits for chronic-condition management
- Develop detailed care plans for doctors and patients for prevention and intervention
- Understand healthcare goals associated with chronic disease management provided by the practice
- Manage an assigned patient panel of at least 30–50 patients per calendar month within the first three months, depending on patient availability
- Complete due diligence on 100% of assigned patients
- Complete billable encounters on 90% of assigned patients monthly unless patients cannot participate due to current health conditions
- Conduct chart reviews, contact attempts, calls, care coordination, documentation, and billing
- Attend regularly scheduled meetings, including Monthly Clinical Update Meetings and monthly 1:1 meetings with a supervisor
Requirements:
- Graduates from accredited Schools of Nursing (LPN, LVN, RN, BSN, etc.)
- Current COMPACT license to practice as an RN/LVN/LPN held in current state of residence with no disciplinary actions noted, or licensed in the non-compact state where the applicable practice is located
- Minimum of two (2) years of clinical experience in a clinic setting, Med/Surg, Case Management, and/or home health care
- Hands-on experience with Electronic Medical Records
- Understanding of Windows desktop and applications, including Microsoft Office 365, Teams, and Excel
- HIPAA-compliant area in home to conduct Care Management duties
- Initiative, judgment, organization, time-management, problem-solving, and decision-making skills
- Ability to quickly learn new technology through video tutorials and resources in a self-led environment
- High-speed internet with minimum 18 Mbps download/6 Mbps upload
- Desktop or laptop computer in good working order with Windows or Mac operating system; no Chromebooks, iPads, or tablets
- Excellent verbal, written, and listening skills
- Ability to recognize condition-related warning signs
- Organized and thorough documentation skills
- Self-directed; ability to prioritize responsibilities and demonstrated time-management skills
- Clear diction and exemplary phone etiquette
- Commitment to excellence in patient care and customer service
- Ability to troubleshoot minor technological issues related to remote working environment
Benefits:
- Goal bonuses
- Referral bonuses
- Employee engagement activities resulting in monetary prizes
- Autonomous and Flexible Work Environments
- Opportunities to learn and grow
- Community Involvement and Social Responsibility
- Streamline designed technology for Chronic Care operations



















