Chronic Condition Manager - Lexington, SC
Healthstat, Inc

Job Info

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Everside Health is a national on-site, near-site and virtual primary care provider on a mission to fix America's broken healthcare delivery model. We are technology-driven and care-obsessed. With our expanding reach, scale, and expertise, we truly make an impact on a national level by serving more clients and improving the health of more people, all while achieving the goal of reducing the total cost of healthcare for employers and organizations. That's why we exist - and our relentless focus through care delivery access, technology, transparency, and relationships drives us every day.

Our Chronic Condition Managers facilitate, develop, monitor, measure, and report on wellness and chronic disease prevention and management programs that complement the Health Center maintained and coordinated by Everside Health. The Chronic Condition Manager will educate, counsel, and coach patients on how to prevent and/or manage chronic disease in face-to-face, virtual and/or telephonic formats, as well as in one-on-one and/or group settings. The CCM may also be responsible for developing educational materials. The CCM may be asked to coordinate efforts among all client vendors to provide cohesiveness of services and to better engage the client population. These duties are carried out for a specific client at its various locations





ESSENTIAL DUTIES & RESPONSIBILITIES

• Facilitates chronic condition management and prevention programs. Programs and
  conditions include, but are not limited to Diabetes Management, Diabetes Prevention,
  Hypertension Management, Hyperlipidemia Management, COPD, Asthma, Obesity and
  Cardiovascular Disease. Programs include clinical, educational, and health coaching
  components
• Develops individualized interventions designed to improve and maximize health outcomes
• Conducts thorough and objective evaluations of the patients' status, including psychosocial,
  physical, financial, and educational needs, prognosis, and past and present treatment course
  and services
• Identifies and enrolls individuals that qualify for chronic condition management programs
• Establishes supportive and confidential relationships with patients
• Assesses patients' clinical and educational knowledge of chronic condition, readiness to
  change behavior and individualizes program/s based on needs
• Collaborates with other members of the healthcare team, such Nurse Practitioners, Physician
  Assistants, Medical Doctors, Health and Wellness Coaches, to optimize care and solve
  problems
• Conducts outreach via phone, email and regular mail
• Provides face-to-face, virtual and telephonic lifestyle and behavior-related health coaching in
  both individual and group settings
• Reviews HRA results, if applicable, and provides education and counseling to patients based
  on risk factors
• Follows workflow and policy guidelines for documentation in the electronic medical record,
  including the utilization of predictive modeling and behavior change analytics tools
• Applies critical thinking skills and problem-solving techniques to the condition management
  process
• Participates in the analysis of available data, review of reports, and strategy for enrollment of
  members to condition management programs
• Performs in-person, virtual, telephonic, and/or electronic proactive outreach to members that
  are eligible for disease management programs, as well as to unengaged members
• Utilize Evidence Based Medicine in clinical decision making particularly with medication management, diagnostic and lab testing orders, and providing support/education to patients in making healthy lifestyle & behavioral changes.
• Completes accurate, timely and thorough documentation in EMR system.
• Support the mission, vision, and values of Everside Health.
• Participate in and complete all mandatory Everside Health trainings and meetings and comply with organizational policies and procedures.
• Efficiently and satisfactorily carry out other duties as assigned or required.

• Participates in education sessions coordinated by Everside clients for their respective, eligible
  patient population
• Coordinates efforts with other vendors (carriers, EAP, etc.) to inform client population of all
  available resources
• Communicates with Everside Corporate and/or carrier to provide compliance-related
  information and necessary documentation
• Refers to onsite providers, primary care physicians, and/or specialists, as needed
• Maintains current knowledge of disease processes, available resources, and treatment
  options appropriate to patient populations.
• Performs other duties as assigned

DESIRED ATTRIBUTES

• Passionate about transforming the way healthcare is delivered.
• Passionate about the patient experience.
• Desire to improve the quality of care for people.
• Enjoy working in a collaborative team environment where patients come first.
• Entrepreneurial spirit and a passion for creating and driving best practices.
• Willingness to go the extra mile for patients.
• Great customer service skills.
• Ability to work autonomously.

MINIMUM QUALIFICATIONS

• Master's degree from an accredited institution in Nutrition, Exercise Science, Psychology,
  Health Education, or other allied health field and a minimum 3 years of experience in
  developing, monitoring, conducting, and reporting on chronic condition management
  programs OR
• Registered Nurse (RN) or Bachelor's degree in Nursing (BSN) or higher and a minimum 3
  years of experience in chronic disease management (Diabetes Care, Cardiac and Pulmonary
  Rehabilitation, etc.)
• Demonstrated competence in multi-tasking
• Excellent critical thinking skills
• Experience leading and developing presentations. High energy personal style and aptitude for process-oriented thinking
• Track record of consistent, stable employment along with the ability to work independently
  and as a part of a team
• Demonstrated passion for health and wellness
• Demonstrated proficiency in use of Microsoft Office products
• Relationships:
  High visibility and communication with patients, clients, vendors, carriers
  Internal contact with Wellness, Client Services, Clinic Operations, Clinic and Su

PREFERRED QUALIFICATIONS



Certified Diabetes Care and Education Specialist (CDCES), Registered Dietitian Nutritionist (RDN), American College of Sports Medicine Clinical Exercise Physiologist or Registered Clinical Exercise Physiologist (ACSM-CEP), Master Certified Health Education Specialist (MCHES) strongly preferred





LANGUAGE SKILLS





Fluent in the written and verbal skills necessary to successfully perform the essential functions, duties, and responsibilities of the position.





WORK ENVIRONMENT



Moderate noise (business office with computers and printers, light traffic). This role requires one to travel to an office daily for delivery of virtual care.





ADA



Everside Health provides reasonable accommodations to enable otherwise qualified individuals with disabilities to perform the essential Physical and/or Mental functions of a position.





VISUAL REQUIREMENTS



Vision adequate to perform the essential duties/responsibilities of position.





PHYSICAL DEMANDS



Physical requirements can vary. These must be reviewed with management. However, in general, the position requires the following physical activities: Ability to lift minimum of 1 pounds to a maximum of 20 pounds unassisted; able to perform repetitive standing, sitting, stooping, walking, stretching, reaching, lifting, and use full range of body motions. Ability to use computer and all peripherals for extended periods of time (hand/finger dexterity) to meet performance goals and submit deliverables within deadlines.

This job has expired.