Case Manager

Soni Family Practice•Davenport, FL

About The Position

The case manager is responsible for overseeing complex patient cases, providing expert care coordination and driving quality outcomes. This role assesses patient needs, develops and implements care plans, and collaborates with healthcare teams to ensure seamless transition and optimal care with a focus on disease management.

Requirements

Detail-oriented
Ability to multi-task/problem solve
Open to cross-functional training
Proficient phone etiquette
Proficient computer software navigation
Team-oriented
Professional and courteous manner
Exceptional organizational skills
Ability to prioritize and complete tasks in a timely manner

Nice To Haves

Knowledge of medical terminology, CPT, HCPCS, and ICD coding
Bilingual

Responsibilities

Conduct comprehensive patient assessments to identify needs and develop individualized care plans.
Collaborate with healthcare providers, families, and stakeholders to coordinate care and services.
Develop and implement Disease Management plans for patients with chronic conditions (e.g., diabetes, hypertension, asthma/COPD, heart failure, CKD).
Actively participate in census management, identifying patients with high utilization patterns.
Identify root causes of admissions and develop targeted interventions to mitigate risk.
Create and execute plans of care to address and identify needs to prevent future admissions.
Analysis of data and metrics to inform care decisions and drive outcomes.
Lead or participate in care planning meetings and case conferences.
Provide education and support to patients and families on care plans and self-management strategies and disease management progress.
Identify and address barriers of care, then escalating issues as needed.
Stay up to date on regulation requirements, best practices, and industry trends in disease management.
Mentor or supervise junior care coordinators.
Participate in quality improvement initiatives and special projects.
Must be detail-oriented, possess the ability to multi-task/problem solve, and be open to cross-functional training.
Exercise proper phone etiquette and navigate computer software systems proficiently.
Be team-oriented and work well with patients, colleagues, physicians, and other personnel in a professional and courteous manner.
Have exceptional organizational skills with the ability to prioritize and complete tasks in a timely manner.