Care Manager (Clinical) [CMA]

About Guideway Care

Guideway Care is The Patient Activation Company™. We don't just "engage" patients; we activate them. By utilizing our proprietary Motivational Patient Guidance (MPG) model and AI-powered technology, we resolve the practical and psychological barriers that prevent patients from taking their "next right action."™

Job Summary:

The Care Manager (CMA) supports patients through telephonic outreach, care coordination, and ongoing health education. Responsibilities include monitoring care plans, scheduling appointments, reviewing medical records, documenting in EHRs, and facilitating access to medical services. Strong communication, organization, and computer skills are essential.

Essential Functions: (may include, but not limited to):

• Manage and support patients’ healthcare needs via telephonic outreach
• Conduct and document visits by using several technology platforms and EHRs
• Monitors adherence to care plans, evaluates effectiveness, monitors patient progress in a timely manner, and facilitates changes as needed.
• Facilitates patient access to appropriate medical and specialty providers.
• Educates patients and family/caregiver(s) about relevant community resources.
• Coordinates continuity of patient care with external healthcare organizations and facilities including from the primary care provider to a specialty care provider.
• Supports patient self-management of disease and behavior modification interventions.
• Provides patient health counseling, education and instruction.
• Any other duties necessary to drive our values, fulfill our mission, and abide by our company values.

• Using computer applications
• Making and answering phone calls the majority of the shift
• Welcoming patients
• Reviewing patient medical records
• Coding and filling out insurance forms
• Scheduling appointments
• Arranging for hospital admissions and laboratory services
• Handling correspondence, billing, and bookkeeping
• Escalating patient concerns or needs to appropriate provider

Required Skills/Abilities:

• CMA Certification
  • Maintaining a Certification is an ongoing requirement of this role
• Minimum of 1 year work experience in a healthcare setting involving patients with complex chronic disease states preferred.
• Cronic Care Managment experience required. (CCM, PCM, APCM)
• Proficiency with a personal computer
• Technical and analytical skill set
• Excellent communication, organizational, and interpersonal skills are necessary
• Experience with Microsoft Excel preferred

Supervisory Responsibilities: None

Travel Requirements: 0%

Work Authorization:

• Guideway Care does not offer Immigration or work visa sponsorship

Total Rewards:

The pay rate for this position is $18 per hour.

In addition, team members enjoy …

Benefits package including:

• Medical Insurance
• Vision Insurance
• Dental Insurance
• Flexible Spending Account (FSA),
• Company paid short- and long-term disability,
• Employee Assistance Program,
• Life Insurance,
• Accident insurance,
• and other voluntary benefit programs for employees and their eligible dependents.
• 401(k) retirement plan with a company match

Essential Duties and Responsibilities

• Able to work remotely at home in a private HIPAA compliant workspace
• Able to house company equipment needed to perform job
• Broadband Internet Access
  • Internet download speed must be at least 24 mbps and upload speed at least 4 mbps
• Immigration or work visa sponsorship will not be provided
• Physical Demands:
  • Ability to hear in normal range and wear a headset / earpiece
  • Good visual acuity to read computer screens, scripts, forms etc.
  • May sit 100% of the time when taking calls
• Access to the electronic medical record (EMR) system may require the use of your personal mobile device for authentication purposes.

We applaud qualified applicants who are accountable and committed to producing quality work. As an Equal Opportunity Employer, we support and value diversity, dignity, and respect in our work environment, and are committed to creating an inclusive environment in which everyone can thrive.

Guideway Care requires all candidates to successfully complete a background check, drug screening, and identity verification process, including third-party checks and real-time confirmation, prior to employment to ensure a secure and consistent candidate experience.

Originally posted on Himalayas