Care Manager

Care Manager – Maniya Health
Hamilton, NJ

Maniya Health is actively recruiting a certified medical assistant to join our Chronic Care
Management Team. This team member will serve our patients by utilizing best-in-class
operational and clinical models. You will make a difference in the lives of our Medicare
participants by delivering patient-centric, quality care. Maniya Health promotes communication between our patients and their providers in between office visits in order to fully care for their health needs.

Role Description:
Implements and coordinates all case management activities for chronically ill patients to satisfy unmet needs. This work includes identifying needs, engaging with patients in ongoing communication, and relaying patient needs to Primary Care Providers. Chronic Care managers will use state of the art digital technology and streamlined patient communication tools to manage care for patients. The goal of the Chronic Care Management program is to facilitate high-value, patient-centered care that improves timely access to and provision of preventive services and chronic disease treatment.

This is a hybrid role wherein you will be expected to be in office for the first month of this role and for coverage when others are out of office when given prior notice You will be working remotely otherwise. 

Responsibilities and Activities:
- Care plan development using AI and Digital tools to develop a plan of care under direct supervision of a Primary Care Provider.
- Facilitate the patient’s appropriate condition management to optimize their wellness and medical outcomes.
- Seamless communication with the clinical team to manage patient needs as they arise.
- Monitor patient progress toward desired outcomes through assessment and evaluation.

Key Areas of Responsibility:

• Develop a keen understanding of primary care practice requirements for optimal, coordinated population health
• Work as an effective team member of the care team

• Collaborate with care teams to establish population-appropriate, pre-visit, and point of care processes
• Work with the Phamily Chronic Care Management platform to support patients with multiple chronic diseases and assists in coordination of the patients care continuum.
• Contribute to quality improvement and care redesign of population health efforts
• Manage patient registries 
• Provide the members of health care teams in designated practices with the data required to meet the health needs of the patient
• Support practice staff to develop interventions to proactively manage target populations
• Contribute to a positive experience for patients and families through courteous telephone and digital interactions, accurate and expeditious routing, as well as referral to appropriate clinical staff when necessary
• Recognize and report data inconsistencies to appropriate personnel
• Contribute to the teamwork within and between departments. 
• Regularly attend and participate in meetings with coworkers and practice staff.
• Perform all job functions in compliance with applicable federal, state, local and company policies and procedures
• Provide data to the care teams to properly perform these processes
• Monitor and correct patient attribution to the practice and the care teams within the practice
• Other duties as assigned

Required Qualifications:

• Minimum of 3 years experience in relevant specialty. Experience in population health preferred.
• Proven problem-solver with ability to multitask.
• Excellent communication skills, both written and spoken. 
• Certified Medical Assistant from a nationally recognized organization. Note: In some cases, significant experience within a primary care setting with quality/population health experience in lieu of certification will be considered.

Preferred Qualifications: 

• Prior use of EHR/EMR systems highly desirable
• Bi-lingual English-Spanish highly preferred

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