Nurse Care Manager
Honest Medical Group
full-time
Posted on:
Location Type: Remote
Location: Remote • New York • 🇺🇸 United States
Visit company websiteSalary
💰 $76,600 - $88,000 per year
Job Level
Mid-LevelSenior
About the role
- Manage patients’ specialized needs based on their individual condition(s) and/or reason for recent utilization in collaboration with physicians, advanced practice providers, and care coordination team members.
- Take full ownership of assigned patients with complex chronic conditions, serious illness, advanced frailty, or recent healthcare utilization with the goal of avoiding preventable admissions, reducing unnecessary healthcare use, and optimizing patient outcomes.
- Work with the patient to identify needs based on their values, goals and preferences through standardized assessments and workflows.
- Develop an effective, and comprehensive plan of care for each member in partnership with the patient.
- Coordinate patient care delivery with Honest clinicians, network providers, contracted vendors, and community-based services.
- Quickly build empathetic relationships with patients and families.
- Evaluate and identify patients’ needs based on their respective values, goals, and preferences, then translate these needs into clinical needs.
- Interface with primary care physicians, advanced practice providers (APP), specialists, and various disciplines on the development of case management plans/programs.
- Implement care/treatment plans by coordinating access to health services across multiple providers/ disciplines in conjunction with the physician/APP.
- Refer patients to internal Honest team members for care management activities as outlined by defined procedures.
- Monitor care and identify cost-effective measures, including recommendations for alternative levels of care and utilization of resources.
- Coordinate patient admissions and discharges from hospitals or skilled nursing facilities via coordination with respective facility clinicians and case managers.
- Build relationships across network hospitals, SNFs, home health companies, and DME vendors within the respective community.
- Monitor and evaluate the effectiveness of the case management plans based on quality and cost drivers and modify as necessary.
- Coordinate the interdisciplinary approach to providing continuity of care, including transfer coordination, discharge planning and obtaining all authorizations/approvals/transfers as needed for outside services for patients/families.
- Act as a patient advocate and educator to assure that the patient has the knowledge to care for his/her condition and patient is educated and empowered to be responsible for participating in the plan of care.
- Develop individualized patient/family education plan focused on self-management and deliver patient/family education specific to a disease state.
- Engage internal resources to identify and respond to social determinants of health such as lack of transportation, stable housing, or food resources.
- Participate in data collection and analysis of clinical outcomes of care and customer satisfaction standards. Participate in the formulation and implementation and monitoring of action strategies and outcomes of care or customer service. Ensure that accurate records are maintained of the care associated with each patient.
- Actively participate in huddles, interdisciplinary team (IDT) sessions, and patient case conferences.
- Commendably represents Honest to patients, their families, and the community.
- Perform other related responsibilities as assigned.
Requirements
- Must have reliable access to high-speed internet to ensure seamless remote work communication and productivity
- Active Registered Nurse license is required in the state(s) where the role is based: New York
- Willing and able to obtain additional state nursing license(s) as business needs dictate, with support from Honest leadership and reimbursement for required fees
- Experience and high level of comfort with engaging patients virtually using different technologies including phone, text, video, etc. is required
- Bachelor’s of Science in Nursing preferred
- Certified Case Manager (CCM) credential preferred
- 3+ years of clinical practice in a hospital, clinic, home care, or nursing home setting highly preferred
- Case management experience with a senior population preferred
- Disease management and/or physician office experience highly preferred
- Prior experience with electronic health records or health registries required
- Microsoft Office skills, including Excel, Word, PowerPoint, Outlook required.
Benefits
- 401(k) plan with a generous company match, fully vested from day one
- Flexible health, dental, and vision insurance options tailored to your needs
- Company contribution towards health savings accounts (HSA) for high-deductible health plan (HDHP) participants
- 100% company-paid short-term disability and life insurance
- Wellness programs and resources to support your physical and mental health
- Generous paid time off, including vacation, sick leave, and paid holidays annually
- Two paid volunteer days to support causes you're passionate about
- Flexible work arrangements to accommodate your lifestyle
- Robust onboarding program and ongoing training opportunities
- Reimbursement for role-related continuing education and certifications
- Paid parental leave for new parents
- Dependent care flexible spending accounts
- Team member recognition programs
- Team-building events and social activities
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
case managementdisease managementclinical practicepatient educationcare coordinationhealth services accesspatient advocacydata collectionelectronic health recordsstandardized assessments
Soft skills
empathetic relationshipscommunicationcollaborationorganizational skillsproblem-solvingpatient engagementinterdisciplinary teamworkadaptabilityrelationship buildingcustomer service
Certifications
Registered Nurse licenseCertified Case Manager (CCM)Bachelor’s of Science in Nursing