Nurse, Individualized Care Nurse Care Manager
Core
Coordinate medical treatments, deliver patient education, and bridge gaps between patients, healthcare providers, and support systems to promote continuity of care for individuals with complex chronic diseases, particularly in oncology.
Role type
Senior Individualized Care Nurse Care Manager
Builds
Structured patient-centered healthcare services and care management programs
Domain
Healthcare / Oncology / Chronic Disease Management
Deliverable
production ML models | product features | dashboards & analysis | research | client delivery | infrastructure | physical/clinical work
Required skills
Registered Nursing (RN), chronic disease management, oncology patient care, care coordination, medication reconciliation, discharge planning, case management, quality improvement, HIPAA compliance, EHR usage
Preferred skills
Care management experience, oncology experience, bilingual skills
Technologies
Electronic Health Records (EHR), Microsoft Office, Excel
Responsibilities
Develop and monitor clinical care plans for patients with complex chronic conditions; coordinate care transitions and discharge planning; manage a caseload of 100-150 members; conduct telephonic care management including medication reconciliation and symptom management; facilitate patient follow-up visits and specialist appointments; document all encounters and activities accurately; participate in interdisciplinary case conferences; identify trends and barriers to improve program outcomes.
Seniority
Senior, hands-on IC