Care Manager, LPN

This is a fully remote position, open to applicants in United States.

📋 Description

• Provide telephonic care management for Curana patients enrolled in Value-Based Care Programs such as APCM or CCM.

• Analyze electronic health records to identify care gaps for patients in long-term care nursing facilities.

• Review and authorize initial and ongoing health questionnaires submitted by care management team members.

• Act as a health coach to educate patients and caregivers about disease processes.

• Create patient-centered care plans.

• Inform patients and their durable medical power of attorney about the benefits of APCM or CCM.

• Assist in closing quality gaps through clinical discovery.

• Arrange provider visits for at-risk patients.

• Collaborate with the Transitional Care Manager to schedule patient visits and relay information regarding acute or skilled nursing facility discharges.

• Facilitate orders, referrals, and prior authorizations with the virtual care support team.

• Escalate unusual diagnostic test results to Curana providers.

• Relay patient health updates to Curana providers.

• Communicate treatment plans and health updates to caregivers.

• Act as the primary liaison between providers and the administrative support team.

• Perform additional duties as assigned.

⛳️ Requirements

• Must possess an active, unrestricted compact LPN license.

• Capability to acquire additional state licenses as necessary.

• Minimum of 2 years of nursing experience required (24 months).

• Experience may include inpatient, outpatient, or skilled nursing facilities.

• Familiarity with pathophysiology and established treatment protocols for common health conditions, including diabetes, chronic heart failure, and chronic obstructive pulmonary disease.

• Ability to review patient records to pinpoint care gaps and communicate findings to the provider.

• Capacity to work in a remote setting without distractions.

• Strong computer skills and adaptability to various technology platforms.

• Excellent written communication abilities.

• Proven experience in utilizing clinical data to inform decision-making.

• Ability to work independently and as part of an interdisciplinary care team.

• Preferred experience in Case Management.

• Strongly preferred to have CCM certification.

• Preferred experience with Electronic Health Records.

• Company cannot provide visa sponsorship at this time (H1B or otherwise).

🏝️ Benefits

• 100% remote position.

• Reliable high-speed internet connection required for remote work.