PATIENT CARE MANAGER

Alivio Medical Center • Chicago, IL

3d • $55,000 - $65,000

About The Position

The Care Manager coordinates, screens, and provides interventions for patients with complex chronic care needs, connecting patients with resources through the Care Management program. The role promotes self-care management and access to care through face-to-face or telephone interactions, and provides guidance and leadership within the healthcare organization to help ensure patients receive appropriate care.

The position requires compliance with Alivio’s written standards, Standards of Conduct, Joint Commission standards, policies and procedures, and Corporate Compliance requirements. Compliance is considered as part of regular performance evaluation. The role has no supervisory responsibilities.

Requirements

• Bachelor’s degree in social work, nursing, or a related discipline.
• Licensed Social Worker, Nurse, Professional Counselor, or related field.
• Three to five years of experience, including one to two years in disease management or care management.
• Proficiency with electronic medical records, MHNConnect, Microsoft Word, and Excel.
• Strong time-management and organizational skills in a high-intensity work environment.
• Problem-solving, decision-making, sound judgment, and customer-service skills.
• Exceptional organizational and interpersonal skills, with attention to detail.
• Strong oral and written communication skills.
• Bilingual in English and Spanish.

Responsibilities

• Identify, track, and manage care for high-risk patients.
• Conduct initial care coordination eligibility screenings and perform Comprehensive Risk Assessments and Care Plans.
• Provide ongoing clinical assessments, monitoring, and follow-up for high-risk patients.
• Build positive relationships and communicate with patients and their primary care providers while completing Care Management program activities.
• Use behavioral patient activation interventions, including motivational interviewing and self-management support.
• Conduct outreach to inpatient and post-discharge patient populations and complete transitions of care with in-network MHN participating hospitals, including updating health risk assessments, communicating during and after admission, reconciling medications, scheduling follow-up appointments, and obtaining discharge summaries.
• Use standing orders and clinical orders for chronic disease management within the scope of clinical practice.
• Assess psychological needs and ability to benefit from community resources, and refer patients to outside agencies or programs when appropriate.
• Coordinate care for behavioral health pediatric patients identified through MHN SASS Cares Log notifications, including inpatient behavioral health admissions and outpatient follow-ups.
• Promote clear communication among the care team and treating clinicians by ensuring awareness of patient care plans.
• Assist with preventive health care pay-for-performance services (HEDIS), medication review and reconciliation with a licensed professional for medication adjustment, and care coordination across the practice and healthcare system.
• Assist with scheduling and coordinating follow-up appointments for primary care, specialty care, and other relevant organizations.
• Contact other high-risk care-managed patients to request confirmation of informed patient consents for care plan approvals.
• Participate in evaluation of the Care Management program.
• Collaborate and participate in selecting, developing, and maintaining patient education materials on healthy lifestyle changes and disease management.
• Support patients’ health, wellness, and prevention of secondary disease complications through education, counseling, and support.
• Handle protected health information in accordance with HIPAA.
• Perform other duties and responsibilities as directed.

Benefits

• Paid time off, including vacation, paid sick leave, and paid leave.
• Health benefits, including medical, dental, vision, disability, and life insurance.
• 403(b) retirement plan.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level