• The Chronic Condition Case Manager will have direct responsibility for managing an individual caseload using Complex and Chronic Condition Management constructs. • This individual is expected to accurately service and satisfy customers by responding to customer inquiries, communicate benefit and healthcare questions/answers. • Collect and document patient information to facilitate the initial assessment and formulation of an initial plan of care. • Continuously gather, update and review information to include (but not limited to) collecting medical records, history, assessment information. • Guide, coach and encourage the patient in following the plan of care. • Instruct the participant regarding both short and long-term goals and offer guidance as to how to meet those goals. • Document actions taken and interventions provided throughout the process. • Collaborate with providers, payers, and participants to ensure that the participant has access to appropriate resources. • Maintain documentation in the computer system. • Complete all aspects of case in the computer. • Prepare timely reports to the payer to summarize case actions, the results of those actions, and the continuing disease management plan. • Maintain billing as appropriate in computer system.