The Company:
Prism Care Inc. provides comprehensive extended care management solutions in the healthcare industry, and we are looking for talented, motivated individuals to join our care team. Our mission at Prism Care is to manage patient health in between provider visits. We provide our patients - the elderly, chronically ill, and medically vulnerable, with the highest-quality patient care service model professionally and efficiently possible. Our Care Team plays an essential role in upholding our mission. By putting these principles into action, we create a positive work environment that fosters our standards of behavior, as well as employee satisfaction.
Our program is designed to offer eligible patients a service at no incremental financial cost to them. As a result, our clinical teams can spend quality time caring for a smaller number of patients, giving all patients the space, respect, compassion, and care they deserve.
Position Summary
The PRN Remote Care Manager is responsible for managing an assigned caseload of patients by conducting consent discussions, completing comprehensive intake assessments, and supporting ongoing care coordination activities. This role serves as a key facilitator of communication and care planning across interdisciplinary Care Teams—including Patient Navigators, Care Coordinators, CarePods, physicians, hospitals, community organizations, administrative teams, billing, patients, families, and additional healthcare partners.
The Care Manager plays an essential role in ensuring timely patient support, coordinating needed services, and enhancing overall care quality. They provide consistent guidance to both internal and remote care teams and work collaboratively to streamline patient services, remove barriers to care, and promote positive clinical outcomes.
Care Management Service Components
These components include but are not limited to the daily operational tasks, accessing and communication within electronic medical records (EMRs), patient communication, care team communication, community outreach, scheduling patients, providing and supporting specific care management services, submitting clinical documentation, like care plans, etc. and data for various quality measure incentive programs.
Responsibilities
• Conduct intake assessment, needs assessment, treatment planning, and reassessment services
• Provide day-to-day support, supervision, and performance reviews for care team directors
• Participate in training sessions
• Increase utilization of prevention and wellness care services
• Administer health risk assessments
• Promote timely access to patient care
• Promote adherence to care plan, develop in coordination with the patient, providers, and family/caregiver(s)
• Identifies strategies and alternatives to attain expected patient outcomes
• Goal and target to reduce emergency room utilization
• Goal and target to reduce hospital readmissions
• Provide medication reconciliation assistance
• Increase continuity of care by managing relationships with patient, family/caregiver(s), home health providers, and all participants in the patient’s care
• Connect patients to relevant community resources to enhance patient health and well-being, increase patient satisfaction, and reduce healthcare costs
• May speak with the patient after or before physician appointments to review and update the care plan
• Screen clients for eligibility for direct and support services and prepare assistance/recommendations for patient’s needs: needed services such as mental health, housing, crisis (SDoH), ancillaries, labs, x-rays, and employment assistance
Organizational and administrative duties:
• Participate in all Care Team meetings with CarePods and healthcare providers to discuss patient care plans and share information regarding recommended community and vendor sources
• Document patient services in patients’ medical records (EMR)
• Establish and retain patient care management service systems from care coordination systems
• Maintain documentation of all patient encounters and complete reporting requirements according to organization standards
• Follow clinical guidelines, regulations, statutes, laws and protocols
• Track patient information, schedules, files, and forms confidentially following HIPAA guidelines
• Initiate outreach and missed appointment procedures, as necessary
• Conduct quality assurance and monitoring activities for service delivery and documentation
Qualifications
• Have previous CCM/RPM Experience
• Commitment to the mission of care coordination
• Good communication and interpersonal skills and ability to speak concisely to patients, CarePods, and interact with Care Team members
• Organized with confidential patient material, appointment tracking, and patient caseloads
• Ability to build relationships with different types of people, including patients, organization members, community service members, and members of the health care team
Education and experience:
• MA, BA, LMSW/LCSW/LMHC CNA or Health Coach
• 5 years minimum of case management or patient load management experience
• Experience with caring for patients remotely
• Interest in working with Chronic patients - CCM, RPM, BHI experience preferred
• Strong understanding of cultural competency with the target population
• Computer literacy is necessary, familiarity with Teams
• Exposure to issues of death, suicide attempts and dying
• Bilingual (Spanish Speaking) a plus
Other Requirements:
• Have internet capabilities and a personal computer
• Quiet home office space
• Flexible work schedule and able to offer at least 16 hours per week if company needs. Be available Monday through Friday from 8am – 5pm CT if assigned to work.
Job Type: Part-time
Pay: $20.00 - $22.00 per hour
Expected hours: 1 – 40 per week
Benefits:
• 401(k)
Application Question(s):
• Do you have experience with Remote Care Management - CCM/PCM, RPM, or BHI?
Experience:
• Patient care: 5 years (Required)
Language:
• Spanish (Preferred)
License/Certification:
• Certified Medical Assistant Certificate that is not expired (Required)
Work Location: Remote