AaNeel Health Services _ Care Manager

Company Description AaNeelCare® is a healthcare delivery platform that connects patients, physicians and other healthcare professionals to have seamless integration on extensive medical, claims and financial records with the support of the 14+ modules facilitating integration of care throughout the continuum. Through the use of this platform, care managers will assist partner ACO/MSO physician groups in all population management efforts. Role Description The Care Manager will be instrumental in executing the strategy to manage the assigned population of Medicare beneficiaries and/or members through a series of outreach efforts and interventions including but not limited to: Chronic Care Management (CCM) High-Utilizer patient management Utilization Management and Transitional Care Management (TCM) The Care Manager on behalf of the treating physician will be responsible for facilitating care coordination between the beneficiaries/members, specialists, ancillary services and/or care givers as needed through activities that will include: Review of electronic health records Phone calls or messaging Contact with other providers, services, vendors or care givers as needed Essential Job Functions / Responsibilities Care /Case managers will be assigned to a population of Medicare beneficiaries/members Care/Case managers will communicate with the Medicare beneficiaries/members via phone, review Electronic Health Records and coordinate care with other treating providers and care givers Ability to create and review care plans as needed Adheres to CMS guidelines, quality, compliance and case management policies and procedures. Adapts to changes in policies, procedures, new guidelines and additional responsibilities Self-motivated and team player work ethics with ability to assist in the growth and development of the Health Services Department and Company. Excellent organizational skills with the ability to manage multiple priorities Qualifications Must have clinical background (MA, CNA or similar) 1 year of care management experience preferred Experience with ACO, Managed Care and / or physician practices preferred Must be familiar with medical terminology related to care management Demonstrates excellent observation, verbal and written communication skills Must be passionate, kind and comfortable while speaking with seniors Computer proficient and familiar with Microsoft Office applications, especially Excel. Ability to prioritize responsibilities and adapt to change in business and Medicare requirements #J-18808-Ljbffr AaNeel