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Christian Community Health Center
Chicago, IL, United States
Non-Exempt or Exempt (Depending on Licensing) Direct Supervisor/ Reports To Director of Population Health and Care Management Position Summary The Care Manager provides patient care through a diverse role as a clinician, educator, care coordinator and advocate. The Care Manager works in a collaborative relationship with internal and external membe
Job Source: Christian Community Health CenterFriend Health
Chicago, IL, United States
I. Position Summary The Medical Home Network model of care unites provider communities and diversehealthcare entities around a common goal: toredesign healthcare delivery and transform the way care is managedat the practice level. This position will report to the Manager of Care Coordination and performs duties involving direct patient care in acco
Job Source: Friend HealthMedical Home Network
Chicago, IL, United States
Are you ready to join a passionate community of people who are changing how health care is delivered? A place where you will find a career you love while truly making a difference building healthier communities. If this sounds like you, we would love to have you apply as Database Developer with Medical Home Network (MHN)! MHN is a not-for-profit
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Chicago, IL, United States
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Job Source: Christian Community Health CenterMedical Home Network
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This job was posted by https://illinoisjoblink.illinois.gov : For more information, please see: https://illinoisjoblink.illinois.gov/jobs/11849889 Are you ready to join a passionate community of people who are changing how health care is delivered? A place where you will find a career you love while truly making a difference building healthier com
Job Source: Medical Home NetworkTAPESTRY 360 HEALTH
Chicago, IL, United States
Job Description Job Description The Lead Licensed Care Manager plays an instrumental role in developing and implementing a patient care team model that will facilitate care coordination in accordance with managed care and Patient Centered Medical Home to improve the quality and delivery of comprehensive patient care and assists in routing pat
Job Source: TAPESTRY 360 HEALTHLutheran Social Services of Illinois
Chicago, IL, United States
Lutheran Social Services of Illinois (LSSI) is a leading not-for-profit organization providing healing, justice and wholeness to people and communities. For over 150 years, LSSI has made a difference in the lives of children and families, and we're still a strong, viable presence in the State of Illinois, continuing that commitment to making a diff
Job Source: Lutheran Social Services of IllinoisMax Populi, LLC
Chicago, IL, United States
Incredible Care Manager opportunity with a rapidly growing tech-enabled care management company headquartered in Boston, MA. The Assessment, Care Manager works collaboratively as part of a care management team to guide prospective families through the initial assessment process, assess consumer and caregiver eligibility for services, develop an in
Job Source: Max Populi, LLCChicago, IL, United States
Non-Exempt or Exempt (Depending on Licensing)
Direct Supervisor/
Reports To
Position
Summary
The Care Manager is an Illinois licensed individual (in any specialty) who provides patient care through a diverse role as a clinician, educator, care coordinator and advocate. The Care Manager works in a collaborative relationship with internal and external members to support patients, families and the MHN. The individual is an expert in chronic disease management, prevention, health maintenance, and clinical evaluation of medical and psychosocial needs. The individual who holds this position exemplifies the CCHC mission, vision and values and acts in accordance with CCHC policies and procedures, including complying with all CCHC Customer Service Standards.
Responsibilities Include but are not limited to:
Works with complex, high cost, high utilization patients, and conducts comprehensive health risk assessments (CRA), medication reconciliations and health integrations.
Utilizes Medical Home Network (MHN) portal in order to identify patients in need of outreach efforts from a clinical and psychosocial perspective. This will be based on MHN patient stratification and the patient’s Medical Home’s Care-Management certification level as well as defined Disease management guidelines.
Works with care management team, patient’s Medical Home, all other providers of the patients care and patient and their caregiver to develop individualized care plan/goals.
Works to improve identified outcomes as defined by MHN ACO.
Facilitates communication with patients and care team, coordinate referrals, and promote optimal allocation of available resources.
Adheres to evidence-based treatment guidelines in facilitating care for chronic care/ disease management.
Contributes to documentation of individualized care for identified patients, focusing on specific treatment goals. Assess progress toward goals based on clinical judgment, review of patients’ self-monitoring tools and trends in clinical data.
Assesses and monitors adherence to outreach and problem-solve intrinsic barriers to effective patient self-management of chronic conditions (i.e. education level, language barriers, etc.).Identifies extrinsic barriers to adherence (i.e. transportation, financial concerns or pharmacy coverage) and work with patient, care team and other available resources to alleviate barriers.
Provides educational materials and resources to patient and family that are in a format which is specific to the patient/family learning abilities and language preference.
Refers patients/families to self-management support programs as needed.
Assists with the timely follow-up and Management of care for MHN patients discharged from hospital settings requiring complex care management.
Communicates with internal and external care providers (specialty consultants, home health agencies) to ensure safe and effective care management.
Analyzes clinical data to track patient outcomes to determine if case management has improved patient status.
Triages patient phone calls for acute patient issues and counsels accordingly.
Participates in medical home quality improvement initiatives; activities may include data collection, chart review, interdisciplinary collaboration, analysis of patient data and inter-professional staff meetings.
Performs related duties as required.
Minimal Qualifications/
Experience/
Skills Current Licensure in the State of Illinois (in any field).
Exceptional communication skills, both written and oral, ability to positively influence others with respect.
Strong critical thinking and analytical skills required. Must have a strong sense of compassion and strong interpersonal skills.
Ability to function independently, to organize and prioritize effectively, and be self-motivated.
Christian Community Health Center is an EOE. As a non-profit organization, we expect our employees to work and perform within our mission, in order to have a harmonious work environment. Our mission is, “To provide high quality health care and related services to the community regardless of the ability to pay. Provide service in a manner which demonstrates in word and deed, the love of Jesus Christ.”
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MHN Care Manager jobs in Chicago, IL, United States
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