Patient Care Coordinator for Chronic Care Management

Patient Care Coordinator for Chronic Care Management Middle Georgia Heart & Vascular Macon, GA Job Details Full-time From $18 an hour 8 hours ago Benefits Health insurance Dental insurance Paid time off Vision insurance 401(k) matching Life insurance Qualifications Teamwork

HIPAA LPN

Health information management Time management Full Job Description Overview The Care Coordinator (CNA, Medical assistance, Licensed Practical Nurse) is a vital role within our Chronic Care Management (CCM) program. This position requires someone with a strong clinical background and a passion for patient care. The primary responsibility is to coordinate care for complex patients with multiple chronic conditions, ensuring optimal health outcomes through comprehensive care management.

Responsibilities:

Patient Care Coordination:

Actively manage a caseload of CCM patients, coordinating care with healthcare providers and ensuring timely follow-up. Conduct patient assessments to identify needs and develop individualized care plans. Educate patients and their caregivers on self-management strategies, medication adherence, and disease prevention. Facilitate timely referrals to specialists and other healthcare services as needed Monitor patient progress and adjust care plans as necessary.

Data Management and Reporting:

Document patient interactions, care plans, and clinical interventions in the electronic health record (EHR). Collect and analyze patient data to identify trends and opportunities for improvement. Generate reports on key performance indicators (KPIs) and outcomes of the CCM program. Maintain confidentiality of patient information and adhere to HIPAA regulations.

Quality Improvement:

Participate in quality improvement initiatives to enhance the efficiency and effectiveness of the CCM program. Identify areas for improvement in patient care and coordination. Contribute to the development and implementation of evidence-based care protocols.

Qualifications:

Minimum of two years of clinical experience, preferably in a chronic care setting. Strong understanding of chronic disease management and patient education principles. Excellent communication and interpersonal skills, including the ability to build rapport with patients and healthcare providers. Proficiency in electronic health records (EHR) and other relevant software. Ability to work independently and as part of a team. Strong organizational and time management skills. Passion for improving patient outcomes and enhancing the quality of care.

Benefits:

Competitive salary and benefits package. Opportunity to make a significant impact on patient lives. Supportive and collaborative work environment. Ongoing professional development and training opportunities.

Job Type:

Full-time Pay:

From $18.00 per hour

Benefits:

401(k) matching Dental insurance Health insurance Life insurance Paid time off Vision insurance Ability to

Relocate:

Macon, GA 31210: Relocate before starting work (Required)

Work Location:

In person