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New Jersey Chronic Care Management (CCM): MA/LPN Care Coordinator Local Talent ONLY

Remote, USA Full-time Posted 2025-04-16

About us

Gen By Gen Health provides turn-key CCM/RPM solutions to physician practices.

Job Overview:

We are seeking a dedicated professional experienced in Chronic Care Management (CCM) to join our team. The Care Manager (MA or LPN/LVN) is responsible for providing comprehensive, coordinated care to patients with multiple chronic conditions through technology and clinical service model. This role requires excellent communication, clinical skills, and a strong commitment to improving patient health outcomes. The Care Manager plays a crucial role in maintaining patient health and filling the gaps between their doctor??s appointments. If you are able to build a trusting relationship with patients and have excellent task management skills, we would love to hear from you.

Skills and Qualifications: ?? LPN/LVN/CNA/MA: New Jersey Licensure in good standing - Required ?? Minimum 1 year of experience with CCM - Required ?? Fluency in English and Spanish - Required ?? Minimum 2 years of experience in the healthcare industry; preferably in a primary care provider??s office - Required ?? Billing/RCM or health coach experience may be considered. ?? Knowledge of Medicare's CCM program guidelines and requirements ?? Experience with and comfortable in assessing the status of patients remotely. ?? Working knowledge of disease processes for common chronic illnesses (eg: Hypertension, Diabetes, COPD, CHF) with demonstrable ability to communicate issues related to it over the phone. ?? Clinically sound and accurate documentation skills. ?? Experience with and comfortable learning health portals and software applications. ?? Superior task management skills: organized, self-directed, and detail oriented. ?? Enterprising to find solutions when faced with problems. ?? Ability to work collaboratively with a team and manage multiple priorities and reliably meet deadlines. ?? Quiet setting without interruptions to work from. Reliable internet service and electricity.

Duties & Responsibilities
?? Execute care plans for patients with chronic conditions in collaboration with the healthcare team.
?? Proactive patient management via text, call, and electronic medical records.
?? Triage patient conditions and respond accordingly in a timely manner
?? Work closely with in-office providers and staff for guidance with management of day-to-day calls related to condition, medication, referral, and community resource management.
?? Engage patients about their health by providing guidance, education, and encouragement.
?? Coordinate care with other healthcare professionals, ensuring timely communication and collaboration.
?? Actively review patient charts to identify care gaps and determine resolutions based on provided workflow
?? Escalate patient care promptly according to pre-approved algorithm
?? Advocate for patients' needs and preferences.
?? Accurately and timely document patient interactions, interventions, and progress in the electronic health record system.

Job Type: Full-time

Expected hours: No less than 40 per week

Application Question(s):
?? Do you have a quiet place to work from home with reliable internet and electricity
?? Are you local to New Jersey?

Experience:
?? Chronic Care Management: 1 year (Required)
?? Direct Patient care: 2 years (Required)

Language:
?? English (Required)
?? Spanish (Required)

License/Certification:
?? CMA, LPN, LVN (Required)

Work Location: Remote

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