New Jersey Chronic Care Management (CCM): MA/LPN Care Coordinator Local Talent ONLY

About us Gen By Gen Health provides turn-key CCM/RPM solutions to physician practices. Job Overview: We are seeking a dedicated professional experienced in Chronic Care Management (CCM) to join our team. The Care Manager (MA or LPN/LVN) is responsible for providing comprehensive, coordinated care to patients with multiple chronic conditions through technology and clinical service model. This role requires excellent communication, clinical skills, and a strong commitment to improving patient health outcomes. The Care Manager plays a crucial role in maintaining patient health and filling the gaps between their doctor’s appointments. If you are able to build a trusting relationship with patients and have excellent task management skills, we would love to hear from you. Skills and Qualifications: • LPN/LVN/CNA/MA: New Jersey Licensure in good standing - Required • Minimum 1 year of experience with CCM - Required • Fluency in English and Spanish - Required • Minimum 2 years of experience in the healthcare industry; preferably in a primary care provider’s office - Required • Billing/RCM or health coach experience may be considered. • Knowledge of Medicare's CCM program guidelines and requirements • Experience with and comfortable in assessing the status of patients remotely. • Working knowledge of disease processes for common chronic illnesses (eg: Hypertension, Diabetes, COPD, CHF) with demonstrable ability to communicate issues related to it over the phone. • Clinically sound and accurate documentation skills. • Experience with and comfortable learning health portals and software applications. • Superior task management skills: organized, self-directed, and detail oriented. • Enterprising to find solutions when faced with problems. • Ability to work collaboratively with a team and manage multiple priorities and reliably meet deadlines. • Quiet setting without interruptions to work from. Reliable internet service and electricity. Duties & Responsibilities • Execute care plans for patients with chronic conditions in collaboration with the healthcare team. • Proactive patient management via text, call, and electronic medical records. • Triage patient conditions and respond accordingly in a timely manner • Work closely with in-office providers and staff for guidance with management of day-to-day calls related to condition, medication, referral, and community resource management. • Engage patients about their health by providing guidance, education, and encouragement. • Coordinate care with other healthcare professionals, ensuring timely communication and collaboration. • Actively review patient charts to identify care gaps and determine resolutions based on provided workflow • Escalate patient care promptly according to pre-approved algorithm • Advocate for patients' needs and preferences. • Accurately and timely document patient interactions, interventions, and progress in the electronic health record system. Job Type: Full-time Expected hours: No less than 40 per week Application Question(s): • Do you have a quiet place to work from home with reliable internet and electricity • Are you local to New Jersey? Experience: • Chronic Care Management: 1 year (Required) • Direct Patient care: 2 years (Required) Language: • English (Required) • Spanish (Required) License/Certification: • CMA, LPN, LVN (Required) Work Location: Remote Apply Job!