Care Manager, RN
Core
Coordinates patient-centered care and disease registry activities for a physician office population, ensuring safety and high-quality standards across the care continuum.
Role type
Care Manager, Registered Nurse
Builds
Patient health outcomes and quality performance reports for the Warren Clinic outpatient medical group
Domain
Healthcare / Population Health Management
Deliverable
production ML models | product features | dashboards & analysis | client delivery | infrastructure | physical/clinical work
Required skills
Disease registry management, chronic disease intervention, pre-visit chart review, patient education, care coordination, quality improvement collaboration, HCC coding, medication adherence support, health behavior change planning, community resource linkage
Preferred skills
Bachelor's or Master's of Science in Nursing, multi-state RN license
Technologies
Electronic health records, disease registry databases
Responsibilities
Maintain and update disease registry database to identify patients overdue for visits or labs; conduct pre-visit chart reviews to identify preventive health needs and chronic disease interventions; create patient, physician, and office level quality performance reports; work with patients on self-management support including goal setting and medication adherence; coordinate care across the continuum including hospital discharge follow-ups and liaison with specialty providers; participate in quality improvement activities and committees; prepare data and electronic correspondence while maintaining patient confidentiality.
Seniority
Mid-level, hands-on IC