Chronic Care Manager

The Care Manager will be assigned a patient panel based on skill and efficiency level and is expected to carry a patient panel of a minimum of 30- 50 patients per calendar month within the first three months of assignment (depending on patient availability at the assigned practice location). Care Managers are expected to complete due diligence on 100% of their assigned patients and complete billable encounters on 90% of the patients they are assigned each month unless patients are unable to participate due to current health conditions.

b esrun Health utilizes a productivity-based pay structure
:

$10.00 per completed patient encounter up to 99 encounters/month.

$ encounters/month

$ encounters/month,

$ encounters/month

$16.00 >250 encounters/month.

Payment tier increases require 2 months consistency to achieve and are awarded in third month.

There is a $1/encounter incentive compensation for bilingual contractors equal to $3/hr but is only applied if hired into a bilingual position.

• Monthly outreach will consist of cumulative time to include chart review, contact attempts (calls/texts/emails), actual call time, care coordination, and documentation/billing.

• This time is billed out in 20-minute units of service referred to as “encounters” and each patient can be billed for up to three units of service or “encounters” each month.

• (20-39m=1 encounter, 40-59m=2 encounters, >60m=3 encounters)

  • EXAMPLE:
    Chart Review 8 min

Outreach Attempts: 6 min

Actual Call:11 min

Care Coordination:9 min

Total Time Spent:44 min = 2 encounters

• As a productivity-based position – there is no compensation outside of the billable encounters described in the compensation structure other than goal bonuses, referral bonuses, and employee engagement activities resulting in monetary prizes.

• There is no pay for onboarding until care manager completes billable encounters. Onboarding is self-led and can be completed in as little as 3 days (2-3hrs total time for initial orientation and 1-2 days for workflow training once assigned) – but can, depending on individual schedule, take up to 14 days.

• The role of the Care Manager 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 Care Management episodes, increasing visits for management of chronic conditions.

• Develop 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., Monthly Clinical Update Meeting, monthly 1:1 with supervisor, etc.). These “mandatory” meetings will be important to define the current scope of work.

• Graduates from accredited Schools 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 or licensed in the non-compact state where the applicable practice is located.

• A minimum of two (2) years of clinical experience in a clinic setting, 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 Care Management duties.

• Ability to exercise initiative, judgment, organization, time‑management, problem‑solving, and decision‑making skills.

• Ability to…