Chronic Care Manager (LPN)

River Hospital • Alexandria Bay, NY

2d • Onsite

About The Position

The Chronic Care Management (CCM) Nurse provides non-face-to-face care management services for Medicare beneficiaries with multiple chronic conditions under the supervision of a billing practitioner. The CCM Nurse supports patient enrollment, develops and maintains comprehensive care plans, coordinates care across the healthcare continuum, and ensures documentation supports Chronic Care Management billing requirements. Performs services consistent with Centers for Medicare & Medicaid Services (CMS) Chronic Care Management regulations, ensuring that program activities meet all clinical, documentation, and compliance requirements necessary for Medicare reimbursement. Maintains designated Chronic Care Management service time to conduct patient outreach, care coordination, documentation, and registry management required for CCM program compliance and billing. The nurse is not routinely assigned unrelated clinical duties except in urgent operational circumstances

Requirements

• Licensed Practical Nurse (LPN), minimum required or Registered Nurse (RN), preferred with current New York State licensure.
• It is the employee’s responsibility to know the requirements for certification, limited permits and licensures for their individual profession.
• It is also the responsibility of the employee to notify the employer of the status of any certification or licensure issue or potential issue.
• The employee will comply with all the requirements outlined by the New York State Office of Professionals for the profession.

Nice To Haves

• Experience in care coordination, chronic disease management, or population health programs.
• Familiarity with Medicare Chronic Care Management services and CMS documentation requirements.
• Experience using Electronic Medical Record systems.

Responsibilities

• Supports patient enrollment
• Develops and maintains comprehensive care plans
• Coordinates care across the healthcare continuum
• Ensures documentation supports Chronic Care Management billing requirements
• Performs services consistent with Centers for Medicare & Medicaid Services (CMS) Chronic Care Management regulations
• Maintains designated Chronic Care Management service time to conduct patient outreach, care coordination, documentation, and registry management required for CCM program compliance and billing

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: No Education Listed
• Number of Employees: 11-50 employees