RN Nurse Care Manager

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

📋 Description

• Collaborates with the pod leader to coordinate care services, ensuring that patients have access to a complete range of services tailored to their individual needs throughout their healthcare experience.

• Works in partnership with the care team to create and manage personalized care plans, address gaps in care, and connect with additional resources to guarantee access to necessary services.

• Oversees the transition of care for patients throughout their healthcare journey to ensure that patient needs are met appropriately, preventing avoidable hospital admissions.

• Facilitates High Risk Huddles and ensures the completion of follow-up actions.

• Prioritizes patients based on the urgency and severity of their conditions to ensure that the most critical cases receive prompt attention.

• Reviews medical records to identify care gaps and coordinates with the care team to manage these issues effectively.

• Regularly revises patient care plans.

• Conducts thorough nursing assessments via telephone to enhance or optimize current health outcomes.

• Educates patients and/or their caregivers about disease management, medication, health maintenance, and disease prevention to encourage self-management and improve health outcomes.

• Demonstrates strong clinical skills, critical thinking, and effective communication in interactions with patients, caregivers, providers, and fellow care team members.

• Accurately documents necessary interactions, assessments, and updates in patients’ medical records according to established processes and guidelines.

• Acts as a liaison between patients, providers, and resources to ensure seamless care delivery.

• Facilitates communication regarding patient status and care plans during transitional experiences, such as from home to hospital, hospital to post-acute care, and back to home.

⛳️ Requirements

• Current Registered Nurse License.

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

• Strong clinical skills and proactive thinking abilities.

• Excellent communication skills.

• Capability to perform extensive assessments over the phone.

• Knowledge of Medicare regulations as well as home care and hospice standards.

• Experience with small group presentations and teaching/training.

• Exceptional interpersonal skills.

• Outstanding written and verbal communication skills.

• Proficiency in computer programs (email, Word, Excel, PowerPoint, etc.).

• Efficient time management skills to ensure all duties and documentation are completed punctually.

🏝️ Benefits

• Quarterly bonuses.

• Comprehensive health, dental, vision, disability, and life insurance, among other benefits.

• 401K Retirement Plan with company matching.

• Tuition, professional license, and certification reimbursement.

• Paid time off, holidays, and volunteer time.

• Paid orientation and training.

• Daytime hours with no holiday or weekend shifts.

• Recognized as a Great Place to Work.