Position Summary
Neural Effects Memory and Brain Health is seeking a compassionate, organized, and detail-oriented Care Manager to join our team and support our Chronic Care Management program. This role is well suited for a certified medical assistant or clinically experienced team member interested in becoming a certified medical assistant who enjoys learning, problem solving, coordinating care, communicating with patients and caregivers, and supporting individuals with dementia, and other chronic medical conditions.
The Care Manager will help provide ongoing support between visits by checking in with patients and caregivers, documenting updates, helping coordinate care plan tasks, identifying changes in patient needs, and escalating concerns to the appropriate licensed clinical team member. This position plays an important role in helping patients and families feel supported, informed, and connected to care over time.
About Neural Effects
Neural Effects is a memory and brain health clinic focused on neuropsychological evaluation, cognitive care planning, chronic care management, caregiver support, and related services for individuals experiencing cognitive changes. Our team works closely with patients, families, caregivers, and healthcare providers to support safety, independence, quality of life, and long-term planning.
Key Responsibilities
Chronic Care Management Support
- Complete routine Chronic Care Management outreach with patients and caregivers.
- Gather updates regarding memory changes, daily functioning, safety concerns, mood, behavior, medications, appointments, caregiver needs, and changes in condition.
- Document patient and caregiver communication accurately and promptly in the medical record and care management platform.
- Track care management activities, time, follow-up items, and patient needs according to clinic workflows.
- Support follow-through on individualized care plans.
- Help identify unmet needs, barriers to care, and changes that may require provider review.
- Escalate urgent, clinical, safety, or behavioral concerns to the appropriate licensed team member.
Patient and Caregiver Communication
- Communicate with patients, caregivers, family members, and facility staff in a professional, calm, and supportive manner.
- Help caregivers understand next steps, appointment needs, care plan recommendations, and available resources.
- Provide reminders and follow-up regarding appointments, forms, referrals, care plan tasks, and recommended services.
- Recognize common dementia-related concerns, including increased confusion, caregiver strain, medication problems, falls, wandering risk, home safety concerns, behavior changes, and functional decline.
- Route clinical questions or changes in condition to the appropriate provider, nurse, or supervisor.
- Provide compassionate support while staying within the scope of the role.
Care Coordination
- Assist with coordinating referrals, outside records, imaging, labs, specialist notes, and other documentation needed for patient care.
- Help prepare patients and caregivers for cognitive care planning, chronic care management, and follow-up visits.
- Track completion of recommended follow-up items, including provider appointments, lab work, imaging, therapy referrals, community resources, and caregiver education.
- Support communication between Neural Effects providers, primary care offices, specialists, home health agencies, facilities, and caregivers as directed.
- Help connect patients and caregivers with appropriate community resources, support programs, and education materials.
Documentation and Administrative Support
- Maintain accurate patient information, caregiver contacts, consent documentation, and communication preferences.
- Complete timely and organized documentation of outreach, updates, barriers, care plan progress, and follow-up needs.
- Assist with chart preparation and documentation workflows.
- Help ensure Chronic Care Management records are complete and compliant with clinic processes.
- Support quality tracking, program metrics, and reporting needs related to the Chronic Care Management program.
- Assist with scanning, uploading, organizing, and requesting records as needed.
Team Collaboration
Work closely with providers, neuropsychology staff, administrative staff, and leadership.
- Participate in team meetings, training, and workflow development.
- Help improve patient communication, caregiver support, and care management processes.
- Maintain professionalism, confidentiality, and compliance with HIPAA and clinic policies.
- Represent Neural Effects in a warm, reliable, and patient-centered manner.
Qualifications
Required
- Medical assistant training, certification, or relevant clinical care coordination experience.
- Strong communication and customer service skills.
- Ability to communicate compassionately with older adults, caregivers, and families.
- Excellent organization, follow-through, and attention to detail.
- Comfort using electronic health records, care management platforms, scheduling systems, phones, email, and basic office technology.
- Ability to document clearly, accurately, and promptly.
- Ability to follow established workflows and escalate concerns appropriately.
- Ability to work collaboratively with clinical and administrative team members.
- Commitment to patient confidentiality and HIPAA compliance.
Preferred
- Experience in chronic care management, primary care, geriatrics, neurology, psychiatry, dementia care, rehabilitation, home health, or care coordination.
- Experience working with patients who have memory loss, dementia, cognitive impairment, behavioral changes, or caregiver support needs.
- Experience with Tebra, ThoroughCare, or similar healthcare platforms.
- Bilingual English/Spanish skills are a plus.
Ideal Candidate
The ideal candidate is warm, patient, dependable, and proactive. They are comfortable speaking with caregivers who may feel overwhelmed, patients who may have memory or communication difficulties, and providers who need timely and accurate information.
This person should be able to balance compassion with structure, keep careful records, follow through on tasks, and help patients and families feel supported between visits. They should be comfortable asking questions, staying within the scope of their role, and escalating concerns when a patient or caregiver may need additional clinical support.
Work Environment
This position is based in a clinical office environment and includes phone-based patient outreach, chart work, care coordination, documentation, and occasional support for in-person clinic operations. The role requires frequent computer use, phone communication, documentation, and collaboration with clinical and administrative staff.
Pay: From $21.00 per hour
Work Location: In person
