Insurance Case Manager Remote Jobs in Wisconsin (NOW HIRING)

Chronic Care Manager

Location: Remote

Join our mission to help transform healthcare delivery from reactive, episodic care to proactively managed patient care that prevents live-changing problems before they happen for patients with two or more chronic conditions. We believe every patient with chronic disease deserves consistent check-ins, follow-up, and support.

The position of the Nurse Chronic Care Coordinator, Remote will perform telephonic encounters with patients on behalf of our partners each month and develops detailed care plans within our care plan templates in the electronic health record. This begins as an Independent 1099 Contractor position but offers the potential to reach full-time W2 employment (with employee benefits).

Harris CCM is seeking Nurses to work part-time from their home office while complying with HIPAA privacy laws. You will set your own hours and will not be held to a daily work hour schedule. You will be contracted to work a minimum of 20hrs/wk. Harris CCM wants its team members to have the flexibility to balance their work-life with their home life. Part-time team members will typically need to dedicate an average of 20-30 hours per week to care for their assigned patients. This unique business model allows you to choose what days and what hours of the day you dedicate to care for your patients.

The Care Coordinator will be assigned a patient panel based on skill and efficiency level and is expected to carry a patient panel of a minimum of 100 patients per calendar month. Care Coordinators will be expected to complete encounters on 90 percent of the patients they are assigned.

Harris CCM utilizes a productivity-based pay structure and pays $10.00 per completed patient encounter up to 99 encounters/month, $10.25/encounter from 100-149 encounters/month, $12/encounter from 150-199 encounters/month, $14/encounter from 200-249 encounters/month, and $16/encounter for >250 encounters/month. Payment tier increases require 3 months consistency to achieve. A patient encounter will take a minimum of 20 minutes (time is cumulative).

What your impact will be:

• The role of the Care Coordinator is to abide by the plan of care and orders of the practice.
• Ability to provide prevention and intervention for multiple disease conditions through motivational coaching.
• Develops a positive interaction with patients on behalf of our practices.
• Improve revenue by creating billable CCM episodes, increasing visits for management of chronic conditions.
• Develops detailed care plans for both the doctors and patients. The care plans exist for prevention and intervention purposes.
• Understand health care goals associated with chronic disease management provided by the practice.
• Attend regularly scheduled meetings (i.e., Bi-Monthly Staff Meetings, monthly one on one's, etc.). These "mandatory" meetings will be important to define the current scope of work.

What we are looking for:

• Graduate from an accredited School of Nursing. (LPN, LVN, RN, BSN, etc.)
• Current COMPACT license to practice as an RN/ LVN/LPN held in current state of residence with no disciplinary actions noted
• A minimum of two (2) years of clinical experience in a Med/Surg, Case Management, and/or home health care.
• Hands-on experience with Electronic Medical Records as well as an understanding of Windows desktop and applications (MIcrosoft Office 365, Teams, Excel, etc), also while being in a HIPAA compliant area in home to conduct Chronic Care Management duties.
• Ability to exercise initiative, judgment, organization, time-management, problem-solving, and decision-making skills.
• Skilled in using various computer programs (If you don't love computers, you won't love this position!)
• High Speed Internet and Desktop or Laptop computer (Has to be operation system of Windows or Mac) NO Chromebooks
• Excellent verbal, written and listening skills are a must.

What will make you stand out:

• Quickly recognize condition-related warning signs.
• Organized, thorough documentation skills.
• Self-directed. Ability to prioritize responsibilities. Demonstrated time management skills.
• Clear diction. Applies exemplary phone etiquette to every call.
• Committed to excellence in patient care and customer service.

What we offer:

• Contract position with opportunity to become a full-time position, to include benefit options (Medical, Dental, Vision, 401K, Life).
• Streamline designed technology for your Chronic Care operations
• Established and secure company since 1976, providing critical software solutions for many verticals in countries ranging from North America, Europe, Asia, and Australia.
• Core Values that unite and guide us
• Autonomous and Flexible Work Environments
• Opportunities to learn and grow
• Community Involvement and Social Responsibility

About us:

For over 20 years GEMMS has been the leader in Cardiology Specific EHR technology. The product was developed in a "living laboratory" of a large Cardiology Enterprise with over 40 physicians in 28 locations. For single physician offices to large cardiovascular centers that include a diagnostic centers, ambulatory surgical center, and peripheral vascular offerings.

When physicians and Administrators evaluate GEMMS ONE, they are often impressed with the vast clinical cardiovascular knowledge content and operational aspects found in GEMMS ONE. GEMMS ONE EHR provides a rich array of functionality spanning the entire cycle of patient care. With everything from a patient portal to e-prescribing to clinical documentation to practice management including cardiovascular specific quality measurements and MIPS patient dashboard. GEMMS ONE EHR System provides all the medical records software tools needed to complete your daily tasks in the most efficient way possible.

GEMMS ONE is a fully interoperable and integrated application that allows "real time" merging of clinical processes and revenue cycle management. It also can seamlessly connect to external revenue cycle management programs that might be used in larger enterprises so that you can get the efficiency of Cardiovascular Clinical workflow while supporting the revenue cycle requirements of larger enterprises. Complying with governmental regulations and payer requirements will be simplified, while enhancing your operational and financial performance.