Telephonic Nurse Care Manager
HarmonyCares
full-time
Posted on:
Location Type: Remote
Location: New Jersey • United States
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Salary
💰 $84,647 - $93,175 per year
About the role
- The Nurse Care Manager is an integral member of the care team and is vital to enhancing the health outcomes of HCMG patients.
- This position will manage a caseload of high-risk patients where he/she is responsible for managing their care and barriers.
- These duties will include, but are not limited to Transitional Care Management, Chronic Care Management, Disease Management Education, Medication Education, and the development and management of patient care plans.
- The Nurse Care Manager will serve as co-chair of the pod alongside the pod leader, focusing on driving and prioritizing patient needs to improve patient outcomes.
- Coordinates care services with pod leader to ensure that patients have access to a comprehensive set of services tailored to their needs throughout their healthcare journey.
- Works collaboratively within the care team to develop and manage personalized care plans, address care gaps, and engage with other resources to ensure access to care.
- Coordinates the transition of care for patients throughout the continuum to ensure patient needs are met accordingly and to ensure that avoidable hospital admissions do not occur.
- Coordinates and facilitates High Risk Huddles along with ensuring that follow-up actions are completed.
- Prioritizes patients based on the severity and urgency of their conditions to ensure that the most critical cases receive immediate attention.
- Reviews medical records to identify gaps in care and coordinate services with the care team to manage these issues.
- Regularly updates patient care plans.
- Performs thorough nursing assessments via telephone of patients to maximize or improve current health outcomes.
- Provides education to patients and/or their caregivers on disease education, medication, health maintenance, and disease prevention to promote self-management and improve health outcomes.
- Demonstrates strong clinical skills, critical thinking abilities, and effective communication in their interactions with patients, caregivers, providers, fellow care team members, etc.
- Documents necessary interactions, assessments, updates, etc. in patient’s medical records according to processes and guidelines.
- Serves as liaison between patients, providers, resources, etc. to ensure seamless care delivery.
- Facilitates communication of patient status and plan of care during transitional experiences such as home to hospital, hospital to post-acute care and back to home.
Requirements
- Active Registered Nurse License
- 2+ years of care management experience in community, health plan or hospital systems
- Possesses strong clinical skills and proactive thinking
- Effective communication skills
- Ability to perform extensive telephone assessment
- Knowledge of Medicare regulations and home care and hospice standards
- Experience with small group presentations and teaching/training
- Exhibits excellent interpersonal skills
- Exhibits excellent written and oral skills
- Working knowledge of computer programs (email, Word, Excel, PowerPoint, etc.)
- Manages time effectively to ensure all duties and documentation requirements are completed in a timely manner
Benefits
- Quarterly Bonuses
- Health, Dental, Vision, Disability & Life Insurance, and much more
- 401K Retirement Plan (with company match)
- Tuition, Professional License and Certification Reimbursement
- Paid Time Off, Holidays and Volunteer Time
- Paid Orientation and Training
- Day Time Hours (no holidays/weekends)
- Great Place to Work Certified
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
care managementtransitional care managementchronic care managementdisease management educationmedication educationnursing assessmentspatient care planstelephone assessmentclinical skillscritical thinking
Soft Skills
effective communicationinterpersonal skillswritten skillsoral skillsproactive thinkingtime managementcollaborationpatient advocacypresentation skillseducation and training
Certifications
Registered Nurse License