Registered Nurse - Care Manager
Core
Registered Nurse Care Manager who utilizes clinical best practices to pace care, achieve quality outcomes, and ensure seamless clinical transitions for patients through medically appropriate levels of care.
Role type
Registered Nurse Care Manager
Builds
Care management programs and patient care progression
Domain
Healthcare / Value Based Care
Deliverable
production ML models | product features | dashboards & analysis | research | client delivery | infrastructure | physical/clinical work
Required skills
Clinical assessment, care coordination, multidisciplinary collaboration, medical necessity determination, clinical documentation, performance improvement
Preferred skills
Computer savviness, telephonic communication, autonomous work, continuing education
Technologies
Electronic medical records, telephonic systems
Responsibilities
Review patients to determine medical necessity and appropriateness of enrollment in care management programs; Assess assigned patients and integrate family information to determine potential, actual, and next level of care needed; Hold, interpret, and integrate the patient's story into the overall multidisciplinary plan of care; Coordinate and facilitate access to services and patient care progression using best practice interventions; Collaborate with physicians, nursing, social work, payers, and agencies to eliminate barriers to efficient delivery of care; Participate in clinical performance improvement activities; Document clinical activity in the medical record and coach accurate clinical documentation by physicians and others.
Seniority
Mid-level, hands-on IC