RN Care Manager

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

📋 Description

• Oversee a caseload of high-risk patients and address their care challenges.

• Execute Transitional Care Management, Chronic Care Management, Disease Management Education, and Medication Education.

• Create and oversee patient care plans.

• Act as co-chair of the pod in collaboration with the pod leader, emphasizing prioritization of patient needs and enhancement of outcomes.

• Coordinate care services to deliver comprehensive support throughout the healthcare journeys of patients.

• Work closely with the care team to formulate personalized care plans, tackle care gaps, and access necessary resources.

• Manage transitions of care to avert preventable hospital admissions.

• Organize and facilitate High Risk Huddles, ensuring completion of follow-up actions.

• Rank patients based on the severity of their condition and urgency.

• Analyze medical records to pinpoint care gaps and arrange solutions.

• Perform telephone nursing assessments.

• Provide education to patients and caregivers regarding diseases, medications, health maintenance, and prevention strategies.

• Record interactions, assessments, and updates in medical records.

• Serve as a liaison among patients, providers, and available resources.

• Ensure clear communication of patient status and care plans during transitions between home, hospital, post-acute care, and back home.

⛳️ Requirements

• Current Registered Nurse License.

• Minimum of 2 years of experience in care management within community, health plan, or hospital systems.

• Strong clinical skills and proactive problem-solving abilities.

• Excellent communication skills.

• Capability to conduct thorough telephone assessments.

• Familiarity with Medicare regulations and standards for home care and hospice.

• Experience in small group presentations and teaching/training.

• Demonstrates outstanding interpersonal skills.

• Possesses strong written and verbal communication skills.

• Proficient in computer applications (email, Word, Excel, PowerPoint, etc.).

• Effectively manages time to ensure all responsibilities and documentation are completed promptly.

• May be required to obtain multi-state licensing.

🏝️ Benefits

• Quarterly Bonuses.

• Health, Dental, Vision, Disability & Life Insurance.

• 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).