Nurse Care Manager
Core
Collaborate with providers and high-risk patients to develop patient-centered care plans focused on chronic condition management and reducing unnecessary utilization.
Role type
Nurse Care Manager
Builds
Patient care plans and care coordination for high-risk populations
Domain
Healthcare / Chronic Disease Management
Deliverable
client delivery
Required skills
Clinical nursing assessment, care plan development, patient engagement, care team collaboration, health education, referral coordination, electronic health records proficiency, data mining and reporting
Preferred skills
Care management or transitional care experience, Microsoft suite proficiency, adaptability to dynamic environments
Responsibilities
Engage high-risk patients to set wellness goals and manage chronic conditions; Collaborate with providers and care teams to establish action steps; Provide health education and coordinate consultations and referrals; Participate in grand rounds and meetings to discuss patient care improvements