Chronic Care Manager

*Chronic Care Manager* The Chautauqua Health Network (CHN) is seeking to hire an innovative *Chronic Care Manager *to join our team.
This full-time or part-time position will work in collaboration with the Practice Development Manager on the CHN/CIDS Care Team to develop and implement chronic care management plans as well as support related activities.
The *Chronic Care Manager* will be responsible for providing chronic care management services to primary care patients, supporting bridging care team and accountable referral initiatives and other duties as assigned.
Specifically the Manager will: * Assess patient needs, develop and implement care plans, collaborating with healthcare teams, and advocating for patients to ensure they receive appropriate and cost-effective care.
* Monitor patient progress, provide education, and facilitate communication between patients, families, and healthcare providers to promote positive health outcomes.
* Collaborate with healthcare and social service partners to further accountable referral initiatives.
* Track the progress of referrals to ensure timely and effective care delivery through use of population health tools.
* Support content and identification processes involved in advancing Best Practice and Learning Management System (LMS) efforts.
* Connect with patients enrolled in skilled nursing facilities to provide post acute care navigator support.
* Other duties as assigned by the Management Team.
The Manager will act as the primary contact for chronic care management services and related activities will: * *Utilize *a systematic approach to provide individualized, goal-directed care by developing and implementing comprehensive care plans.
* *Promote *and participate in education and counseling to participants based on health needs including preventative care measures.
* *Communicate *with service delivery participants, partners, physicians and appropriate personnel to provide care coordination.
*The candidate will have strong managerial skills and be able to:* * Effectively multi-task and respond to a variety of situations with attention to detail.
* Possess strong communication in English (and Spanish proficiency preferred but not required), effectively communicating with patients, providers and other stakeholders.
*Licensure, Experience and Skills* * Current professional license in New York State (RN, NP, PA, etc.
).
* Minimum 1-2 years’ experience in a clinical or telehealth setting.
* Demonstrated customer service, communication, interpersonal and problem-solving skills.
*Compensation and Benefits:* * Competitive Salary depending on qualifications and experience.
* Benefits include health/dental insurance, 401(k), PTO and annual leave.
*Work Location: *Hybrid remote in Chautauqua County, New York.
The Chautauqua Health Network (CHN) is a nonprofit rural health network dedicated to strengthening the local health and wellness delivery system.
By strengthening the delivery system, CHN advances the individual and collective interests of providers, consumers, and communities.
*TO APPLY, submit a resume AND cover letter to *_careers@chq.
health_ Job Types: Contract, Part-time, Full-time Pay: $60,000.
00 - $75,000.
00 per year Work setting: * Hybrid remote Work Location: Hybrid remote in Jamestown, NY 14701