LTC Chronic Care Management Specialist

OCH•Springfield, MO
•Hybrid

About The Position

Ozarks Community Hospital (OCH) in Springfield, Missouri is seeking a Chronic Care Management Specialist for their Medical Home department. This role involves traveling with the Long Term Care Team to local nursing facilities. The mission of OCH is to provide exceptional healthcare and preventive services with compassion, respect, and dignity, focusing on the underserved and improving access to care. The specialist reports to the Lead CCM and Medical Home Manager. Responsibilities include providing direct and indirect patient care in an office/clinic setting, addressing psychosocial, physical, and general care needs, and communicating effectively with patients, families, providers, and team members. This role also oversees Chronic Care Management processes such as enrollment, follow-up, documentation, report generation, and billing. A valid driver's license and a clean driving record are required for travel to nursing facilities.

Requirements

  • High school diploma or equivalent.
  • Successful completion of a Certified Nursing Assistant (CNA), Medical Assistant (MA), or Licensed Practical Nurse (LPN/LVN) program.
  • Current BLS certification upon hire or BLS certification must be obtained during orientation period or at the next available scheduled class. Throughout employment, current BLS certification must be maintained by renewal during renewal period or at next available scheduled class.
  • Valid Driver's License required.
  • Requires a Motor Vehicle Driving Record Background Check to be completed during the onboarding new hire process and throughout employment.

Responsibilities

  • Provides direct and indirect patient care in the office/clinic setting.
  • Meets the psychosocial, physical, and general aspects of care.
  • Meets the communication needs of patient and family.
  • Reflects initiative and responsibility indicative of professional expectations, under the supervision of a registered nurse and/or physician, nurse practitioner or physician assistant and clinic manager.
  • Maintains regulatory requirements, nursing and office/clinic policies, procedures, and standards.
  • Communicates with providers and team members about patient's clinical condition, including results of diagnostic studies and symptomatology.
  • Oversees Chronic Care Management including enrollment, follow-up, documentation, report running and billing procedures.
  • Requires traveling with our Long Term Care Team to nursing facilities around the area.

Benefits

  • Eligibility for health, dental, and vision coverage
  • 401(k) plan
  • Life insurance
  • Short-term disability
  • Flexible spending accounts
  • Many other elective benefits subject to plan terms
  • Paid time off (PTO) earned on an accrual basis starting first day of employment, up to 3.5 weeks per year based on a 40-hour work week.
  • Company-paid holidays.
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