Marathon Health is a leading provider of advanced primary care in the U.S., serving 2.5 million eligible patients through approximately 630 employer and union-sponsored clients. Our comprehensive services include advanced primary care, mental health, occupational health, musculoskeletal, and pharmacy services, delivered through our 680+ health centers across 41 states. We also offer virtual primary care and mental health services accessible in all 50 states. Transforming healthcare delivery with a patient-first approach, we prioritize convenient access to both in-person and virtual care, resulting in improved health outcomes and significant cost savings. Committed to inclusivity and collaboration, we foster a positive work environment and recruit exceptional talent to ensure expertise and compassion in healthcare delivery. Marathon has been recognized as a five-time Modern Healthcare Best Places to Work in Healthcare winner and a six-time Best in KLAS award winner for employer-sponsored healthcare services.
ABOUT THE JOB
Facilitate, develop, monitor, measure, and report on wellness and chronic disease prevention and management programs that complement the Health Center maintained and coordinated by Marathon Health. The Chronic Condition Manager will educate, counsel, and coach patients on how to prevent and/or manage chronic disease in face-to-face, virtual and/or telephonic formats, as well as in one-on-one and/or group settings. The CCM may also be responsible for developing educational materials. The CCM may be asked to coordinate efforts among all client vendors to provide cohesiveness of services and to better engage the client population. These duties are carried out for a specific client at its various locations.
ESSENTIAL DUTIES & RESPONSIBILITIES
Facilitates chronic condition management and prevention programs, including but not limited to: Diabetes Management, Diabetes Prevention, Hypertension Management, Hyperlipidemia Management, COPD, Asthma, Obesity and Cardiovascular Disease. Programs include clinical, educational, and health coaching components
Develops individualized interventions designed to improve and maximize health outcomes
Conducts thorough and objective evaluations of the patients' status, including psychosocial, physical, financial, and educational needs, prognosis, and past and present treatment course and services
Identifies and enrolls individuals that qualify for chronic condition management programs
Establishes supportive and confidential relationships with patients
Assesses patients' clinical and educational knowledge of chronic condition, readiness to change behavior and individualizes program/s based on needs
Collaborates with other members of the healthcare team, such Nurse Practitioners, Physician Assistants, Medical Doctors, Health and Wellness Coaches, to optimize care and solve problems
Conducts outreach via phone, email and regular mail
Provides face-to-face, virtual and telephonic lifestyle and behavior-related health coaching in both individual and group settings
Reviews HRA results, if applicable, and provides education and counseling to patients based on risk factors
Follows workflow and policy guidelines for documentation in the electronic medical record, including the utilization of predictive modeling and behavior change analytics tools
Applies critical thinking skills and problem-solving techniques to the condition management process
Participates in the analysis of available data, review of reports, and strategy for enrollment of members to condition management programs
Performs in-person, virtual, telephonic, and/or electronic proactive outreach to members that are eligible for disease management programs, as well as to unengaged members
Utilize Evidence Based Medicine in clinical decision making particularly with medication management, diagnostic and lab testing orders, and providing support/education to patients in making healthy lifestyle & behavioral changes.
Completes accurate, timely and thorough documentation in EMR system.
Support the mission, vision, and values of Marathon Health.
Participate in and complete all mandatory Marathon Health trainings and meetings and comply with organizational policies and procedures.
Participates in education sessions coordinated by Marathon clients for their respective, eligible patient population
Coordinates efforts with other vendors (carriers, EAP, etc.) to inform client population of all available resources
Communicates with Marathon Corporate and/or carrier to provide compliance-related information and necessary documentation
Directs patients to onsite providers, primary care physicians, and/or specialists, as needed
Maintains current knowledge of disease processes, available resources, and treatment options appropriate to patient populations.
Performs other duties as assigned
QUALIFICATIONS
Registered Nurse (RN) or Bachelor's degree in Nursing (BSN) plus a minimum 3 years' experience in chronic disease management. (Diabetes Care, Cardiac and Pulmonary Rehabilitation, etc.)
Certified Diabetes Care and Education Specialist (CDCES) strongly preferred.
DESIRED ATTRIBUTES
Passionate about transforming the way healthcare is delivered.
Passionate about the patient experience.
Desire to improve the quality of care for people.
Enjoy working in a collaborative team environment where patients come first
Entrepreneurial spirit and a passion for creating and driving best practices.
Willingness to go the extra mile for patients.
Great customer service skills.
Ability to work autonomously.
Demonstrated competence in multi-tasking
Excellent critical thinking skills
Experience leading and developing presentations. High energy personal style and aptitude for process-oriented thinking
Track record of consistent, stable employment along with the ability to work independently and as a part of a team
Pay Range: $80,000 - $90,000/yr
The actual offer may vary dependent upon geographic location and the candidate's years of experience and/or skill level.
We are accepting applications for this position until a candidate has been selected. To apply to this position and learn more about open jobs at Marathon Health, visit our careers page.
Marathon Benefits Summary
We believe in empowering teammates to do their best work and build better healthcare. Below are some of our benefit offerings. Eligibility is based on 24/hr week.
Health and Well-Being: Free Marathon membership for in person and virtual care, employer paid life and disability insurance, and choice in medical/dental plans, vision, employer funded HSA, FSA, and voluntary illness, accident and hospitalization plans. Benefits are effective on the first of the month following date of hire.
Financial Support: Competitive compensation, 401k match, access to financial coaching through our Employee Assistance Program
Lifestyle: Paid time off for vacation, sick leave, and more, holiday schedule
