Job Description

Selah is a tech-driven healthcare services company focused on improving the health outcomes of the population by offering hybrid (virtual and in-person) healthcare programs. At Selah, we bring together providers, payers, vendors, and other stakeholders together to be your Care Anywhere companion. Our state-of-the-art technology connects people and processes to achieve the quadruple aim of reducing healthcare costs, improving patient and provider experiences, and delivering better outcomes.DescriptionAs a Care Coordinator, you will be managing an innovative Chronic Care Management program (ON SITE IN LEWISVILLE, TX) leveraging the best-in-class virtual care and Remote Patient Monitoring (RPM) technology/devices to improve health outcomes for patients enrolled.Key Responsibilities:Remotely providing basic patient coaching and care to improve patient outcomesDevelop a care plan with the patient, family/caregiver(s), and providerMonitor patient outcomes, adherence to care plans, evaluate effectiveness, monitor patient progress in a timely manner, and facilitate changes as neededCoaching and educating patients on improving their Chronic Conditions, preventive care, and physician directivesTelephone outreach to English and Spanish-speaking patientsFacilitate CCM and RPM program enrollmentConcise and accurate documentationCultivate and support the primary care providers with timely communication, inquiry follow-up, and integration of information into the care plan regarding transitions-in-care and referralWork with the clinical team in the practice partner to launch and scale a successful Virtual RPM / Chronic Care ProgramPatient intake into the program - Reviewing patients and identifying patients that fit the inclusion criterion for Remote MonitoringAnswering questions about our Chronic Disease Practice from prospective patientsActively enrolling patients into the program at the clinic locationDiscussing the RPM program with patients and onboarding them into the programTraining patients on the use of at-home vital sign monitoring equipment and mobile applicationKeeps supplies on hand by inventorying stock and liaising with RPM partners to ensure adequate supplyAssigning RPM kits to patients onboarding into the programOff-boarding patients when necessary, from the program and preparing their devices for the next patientConnecting with patients in the Chronic Care Management (CCM) cohort via phone and/or video telemedicine once a month or when they have questionsTriage of patient problems and notifications identified by the RPM technologyGenerate reports and notes about the patient's condition and escalate to the appropriate clinical resource within the clinicOutstanding interpersonal skills especially with the elderly and a customer service attitude is an absolute requirement for this roleConstantly explaining and selling the benefits of the program to internal and external stakeholdersQualificationsForeign Medical Graduate Certification (FMG) or Medical Assistant (MA) or Certified Nurse Assistant (CNA) or pharmacy intern - preferredBilingual (Spanish) preferredExcellent Communication and customer service skillsKnowledgeable of using computer applicationsUnderstanding of US healthcare systemCriminal background checks will be conducted for successful applicants Selah Digital

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