Care Manager

3 days ago

Ipoh, Perak, Malaysia LA Lim Family Sdn Bhd Full time 40,000 - 60,000 per year

We are currently recruiting for our sister company - Silver Genz Sdn Bhd. The Care Manager is responsible for coordinating and overseeing care for high-risk and chronic illness patients to achieve optimal health outcomes and cost-effective care. This role focuses on patient education, self-management support, advocacy, and timely healthcare delivery. The Care Manager will collaborate with patients, families, healthcare providers, and external partners to ensure a holistic and patient-centered approach to care while maintaining accurate records and developing strong provider relationships.

Key Responsibilities:

  1. Patient Care Coordination:

  2. Manage care for high-risk, chronic illness patients, promoting effective education, self-management, and timely healthcare delivery.

  3. Advocate for patients' wellness and autonomy through communication, education, and facilitation of services.
  4. Serve as a primary contact point and facilitator for patients, their families, and care teams.

  5. Patient Assessment:

  6. Perform initial and periodic holistic assessments, including physical and psychological evaluations.

  7. Conduct head-to-toe assessments, review current and past medical history, and collect systematic health status data.
  8. Identify patient/family needs, resources, and care goals.

  9. Care Planning:

  10. Develop and maintain individualized care management plans, mutually agreed upon with patients, families, and healthcare teams.

  11. Prioritize patients based on care intensity, needs, and required follow-ups.
  12. Plan actionable self-management goals and determine required services.

  13. Implementation & Follow-up:

  14. Implement care plans addressing patients' assessed needs.

  15. Conduct regular follow-ups to evaluate progress, ensure continuity of care, and achieve improved health outcomes.
  16. Link patients with necessary programs, services, and entitlements.

  17. Collaboration & Communication:

  18. Facilitate communication among patients, families, and providers to ensure all parties remain informed.

  19. Organize and lead care conferences to review team responsibilities, patient progress, and address challenges.
  20. Build and maintain strong relationships with healthcare providers and community partners.

  21. Provider & Partner Engagement:

  22. Lead onboarding processes for new healthcare providers and partners.

  23. Collaborate with external providers to enhance care offerings and improve patient outcomes.
  24. Support integration of new services and programs to improve care delivery.

  25. Quality Improvement:

  26. Regularly evaluate care plans to ensure effectiveness.

  27. Maintain accurate and systematic patient records and care documentation.
  28. Develop and expand a network of quality service providers.

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