Care Manager, LPN

đź•’ 4 days ago

🇺🇸 United States – Remote

⏰ Full Time

🟢 Junior

🟡 Mid-level

đź‘” Manager

đź‘» Ghost score 10%

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Logo of Curana Health

Curana Health

1001 - 5000 employees

🏥 Healthcare

🤝 B2B

⚕️ Healthcare Insurance

Healthcare • B2B • Healthcare Insurance

Curana Health is a healthcare provider focused on senior primary care and on-site clinical services in skilled nursing and senior living communities. The company partners with operators, payors, and Medicare Advantage plans to implement value-based care models, offering physician-led care teams, medical director services, care coordination (including RPM and APCM), behavioral health, and palliative care. Curana emphasizes reducing hospital readmissions, falls, and polypharmacy while improving resident satisfaction through integrated, community-based care supported by technology and payor partnerships.

đź“‹ Description

• 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 • Educate patients and caregivers about disease processes as a health coach • 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 to schedule patient visits and communicate 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 • Serve as the primary liaison between providers and the administrative support team • Perform other duties as assigned

🎯 Requirements

• Must hold an active, unrestricted compact LPN license • Ability to obtain additional state licenses, as needed • 2+ years of experience in nursing required (24 months) • Experience may be in 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 findings 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 an interdisciplinary care team • Case Management experience preferred • CCM certification strongly preferred • Experience working with Electronic Health Records preferred • Company is unable to provide sponsorship for a visa at this time (H1B or otherwise)

🏖️ Benefits

• 100% remote position • Reliable high-speed internet connection required for remote work

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