Care Manager - Care Transformation - FT - Day
Core
Coordinate patient care and optimize transitions across the healthcare continuum for high-risk populations to reduce avoidable readmissions.
Role type
Care Manager (Nursing)
Builds
Patient-centered care plans and care coordination models
Domain
Healthcare / Patient Care Management
Required skills
Clinical judgment, problem solving, critical thinking, data analysis, care coordination, patient education, delegation
Preferred skills
Case management experience, PCMH expansion knowledge
Technologies
Electronic health records, data systems
Responsibilities
Collaborate with primary care providers and specialists to ensure optimal care coordination; Initiate communication with high-risk patients and families; Pull and analyze data from multiple systems to identify trends and outliers; Optimize patient care transitions and discharge plans; Participate in quality improvement activities and standards development; Delegate tasks to healthcare team members.
Seniority
Mid-level, hands-on IC