The Manager of our Chronic Care Management (CCM) Program will provide oversight and management from pilot through all phases of development, implementation and day-to-day operations of all CCM components.
Responsibilities include: - Develop program to include all phases and associated processes, policies and procedures. - Provide leadership of the daily activities of the staff that perform Chronic Care Management duties. - Oversee day-to-day interactions of conducting motivational interviewing with patients, utilization of risk assessment, screening stratification tools, and social/cultural assessments to determine specific barriers to individual patients. - Create Plan of Care and actively engage patients in goal setting, education and self-management. - Development of interation tracking tool for invoicing CCM services. - Provide CCM program overview and training of specifics to delivery system physicians and physician office teams. - Work as an extension of the physician practice to increase the patient engagement experience and outcomes. - Monitor and evaluate program outcomes. - Interview, evaluate and make recommendations in regard to employment decisions. - Coordinate the orientation process for newly hired employees. - Administer, interpret and maintain current working knowledge of the required software programs utilized by CCM program
The ideal candidate will have the following: - Registered Nursing License in the State of Indiana - Bachelor's degree in Nursing, Preferred - Project development and project management experience, preferred - 1-3 years of related work experience with a focus on managed care - At least 2 years of Supervisory experience - Certification in Case Management (CCM) - helpful
Cooperative Managed Care Services, LLC (CMCS) is a Managed Care Company as well as a Third Party Administrator (TPA). As part of our unique abilities, CMCS provides in-house Medical Management services, administers a variety of complex benefit plans, and offers extensive reporting and data analysis for its customers. CMCS is jointly owned by St. Vincent Health and Franciscan Alliance in Indianapo...lis, IN. Offering more than traditional TPA services, CMCS emphasizes: - Integrated health management of services benefiting both the employee and the employer,- Preventive and wellness services tailored for each employer group,- State-of-the-art health information technology- Exceptional customer service