Care Manager, LPN

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

📋 Description

• Provide telephonic care management for Curana patients who are part of Value-Based Care Programs like APCM or CCM.

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

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

• Act as a health coach by informing patients and caregivers about disease processes.

• Create patient-centered care plans.

• Educate 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 concerning patient visits and discharges from acute or skilled nursing facilities.

• Manage orders, referrals, and prior authorizations through the virtual care support team.

• Raise any abnormal diagnostic test results to Curana providers.

• Relay patient health updates to Curana providers.

• Effectively and compassionately communicate treatment plans and health updates to caregivers.

• Serve as the main point of contact between providers and the administrative support team.

• Carry out additional duties as assigned.

⛳️ Requirements

• Must possess an active, unrestricted compact LPN license.

• Capability to obtain additional state licenses as required.

• A minimum of 2 years of nursing experience is needed; settings may include inpatient, outpatient, or skilled nursing facilities.

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

• Ability to review patient records to identify care gaps and report findings to the provider.

• Capacity to work in a remote setting without distractions.

• Strong computer skills and adaptability to various technology platforms.

• Exceptional written communication skills.

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

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

• Case Management experience is preferred.

• CCM certification is highly preferred.

• Experience with Electronic Health Records is preferred.

• The company is unable to offer visa sponsorship (H1B or otherwise).

🏝️ Benefits

• 100% remote position.

• A reliable high-speed internet connection is required for remote work.

• Commitment to Equal Employment Opportunity.