Nurse Care Mgr
Core
Case manages high-risk patients with chronic conditions (diabetes, depression, coronary artery disease) in primary care settings to improve health outcomes and quality of life.
Role type
Senior Registered Nurse Care Manager
Builds
Primary care medical home model and patient care plans
Domain
Healthcare / Primary Care / Chronic Disease Management
Required skills
Case management, care coordination, medication reconciliation, motivational interviewing, chronic disease education, data analysis, protocol development, risk management
Preferred skills
CCMN certification, CDOE certification, experience in community health or public health
Technologies
Electronic Medical Record (EMR), chronic disease registry, Current Care reporting
Responsibilities
Identify and case manage high-risk patients; implement primary care medical home model; coordinate care with interdisciplinary teams; provide disease education and self-management support; conduct medication reconciliation; generate quarterly performance reports; advocate for patient access to services.
Seniority
Mid-level, hands-on IC