Care Manager, LPN

🕒 5 dias atrás

🇺🇸 Estados Unidos – Remoto (EUA)

⏰ Tempo Integral

🟢 Júnior

🟡 Pleno

👔 Gerente

👻 Score fantasma 10%

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🗣️🇺🇸🇬🇧 Inglês obrigatório

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Logo of Curana Health

Curana Health

1001 - 5000 funcionários

🏥 Saúde

🤝 B2B

⚕️ Seguro de Saúde

Healthcare • B2B • Healthcare Insurance

A Curana Health é uma provedora de serviços de saúde focada em cuidados primários para idosos e serviços clínicos no local em comunidades de enfermagem especializada e moradias para idosos. A empresa faz parcerias com operadores, pagadores e planos Medicare Advantage para implementar modelos de cuidado baseado em valor, oferecendo equipes de cuidados lideradas por médicos, serviços de diretores médicos, coordenação de cuidados (incluindo RPM e APCM), saúde comportamental e cuidados paliativos. A Curana enfatiza a redução de readmissões hospitalares, quedas e polifarmácia, ao mesmo tempo em que melhora a satisfação dos residentes por meio de um cuidado integrado, baseado na comunidade, apoiado por tecnologia e parcerias com pagadores.

Descrição

• Deliver telephonic care management for Curana patients enrolled in Value-Based Care Programs such as APCM or CCM • Review electronic health records to identify gaps in care for patients residing in long-term care nursing facilities • Review and approve initial and ongoing health questionnaires completed by care management team members • Serve as a health coach by educating patients and caregivers about disease processes • Develop patient-centered care plans • Educate patients and their durable medical power of attorney on APCM or CCM benefits • Support quality gap closure through clinical discovery • Schedule provider visits for at-risk patients • Coordinate with the Transitional Care Manager regarding patient visits and acute or skilled nursing facility discharges • Facilitate orders, referrals, and prior authorizations through the virtual care support team • Escalate abnormal diagnostic test results to Curana providers • Communicate patient health updates to Curana providers • Communicate treatment plans and health updates to caregivers effectively and caringly • Serve as the primary liaison between providers and the administrative support team • Perform other duties as assigned

🎯 Requisitos

• Must hold an active, unrestricted compact LPN license • Ability to obtain additional state licenses, as needed • 2+ years of experience in nursing is required; care settings may include inpatient, outpatient, or skilled nursing facilities • Knowledge of pathophysiology and accepted treatment protocols for common health diagnoses, including diabetes, chronic heart failure, and chronic obstructive pulmonary disease • Ability to analyze patient records to identify gaps in care and report to the provider • Ability to work in a remote environment free of distractions • Proficient computer skills and ability to adapt to various technology platforms • Excellent written communication skills • Demonstrated experience using clinical data to guide decision making • Ability to function independently and as a member of the interdisciplinary care team • Case Management experience preferred • CCM certification strongly preferred • Experience working with Electronic Health Records preferred • Company unable to provide visa sponsorship (H1B or otherwise)

🏖️ Benefícios

• 100% remote position • Reliable high-speed internet connection required for remote work • Equal Employment Opportunity commitment

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