Centralized Medical Services - Specialist, Care Management

Specialist, Care Management

ArchWell Health is a new, innovative healthcare provider devoted to improving the lives of our senior members. We deliver best-in-class care at comfortable, accessible neighborhood clinics where seniors can feel at home and become part of a vibrant, wellness-focused community. Our members experience greater continuity of care, as well as the comfort of knowing they will be treated with respect by people who genuinely care about them, their families, and their communities.

Job Summary:

Reporting to the Care Management Team Lead, the Care Management Specialist is responsible for assisting Nurse Care Managers and Chronic Disease Managers in coordinating and delivering high-quality care to patients. This role involves patient outreach, support for non-clinical needs, obtaining medical records, administrative support tasks, and ensuring seamless care transitions and optimal patient outcomes.

Duties/Responsibilities:

• Conducts outreach to patients to address non-clinical needs to coordinate care, provide support, and connect with internal resources.
• Coordinates services such as follow up visits, confirming durable medical equipment (DME) deliveries, confirming home health care services are initiated, coordinate transportation for medical appointments, and other non-clinic needs.
• Works collaboratively with Nurse Care Managers, Chronic Disease Managers, healthcare providers, and center teams to provide patient support and address non-clinical needs.
• Maintains accurate and detailed documentation on outreach, interventions, and outcomes including communication with patients, nurse care managers, healthcare providers, and clinic teams.
• Works collaboratively with the Care Management department to ensure progress toward departmental and organizational goals
• Provides administrative support to the Nurse Care Manager and Chronic Disease Manager

Required Skills/Abilities:

• Strong organizational skills, excellent communication abilities, proficiency in documentation in EHR systems, and attention to detail.
• Empathetic, patient-focused, and able to work collaboratively in a team environment.
• Ability to effectively leverage business and organizational knowledge within and across functional areas
• Must possess a high degree of emotional intelligence and integrity, driven and focused work ethic
• Continuous desire to learn and embrace new methods; ability to adapt and be resilient.
• Self-starter with the ability to think creatively and work effectively
• Ability to build a relationship and work effectively with various seniorities and diverse populations.
• Willingness and ability to travel, up to 20%

Education and Experience:

• High school diploma or equivalent required
• Medical Assistant (MA), Licensed Practical Nurse (LPN), or Certified Nursing Assistant (CNA) certification preferred
• A minimum of 5 years experience as an MA, LPN or CNA, preferably in care management or acute care facility, community-based clinic, public health department or specialization with the senior population or value based care preferred
• Proficient PC skills
• Excellent Customer Service and patient centric problem solving required
• Fluency in Spanish or other languages spoken by people in the communities we serve is desirable, but not required

ArchWell Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to their race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other protected classification.