Nurse Care Manager
Core
Coordinate care for high-risk patients, conduct holistic assessments, and perform Annual Wellness Visits to reduce high-cost utilization and improve clinical outcomes.
Role type
Senior RN Care Manager
Builds
Comprehensive care plans and care coordination strategies for high-risk patient populations
Domain
Healthcare / Population Health Management
Required skills
Chronic disease management, Holistic patient assessment, Care plan development, Medicare population management, Clinical documentation, EHR proficiency
Preferred skills
Case management experience, Telephonic engagement, Care center operations
Technologies
Athena, Privia applications
Responsibilities
Manage diverse caseloads ensuring timely follow-up on care plans and appointments, Build trust with patients to reduce high-cost utilization, Serve as liaison between PCPs and patients, Conduct holistic assessments of medical/social/economic factors, Perform Annual Wellness Visits including vital signs and vaccine administration, Educate patients and support collaborative goal setting, Ensure assessments are completed by RN/LPN under supervision
Seniority
Mid-Senior level, hands-on IC