Nurse Care Manager

🕒 3 days ago

🎰 Nevada, New York, +1 more states – Remote

🎰 Nevada – Remote 🗽 New York – Remote 🚗 Michigan – Remote

💵 $76.6k - $88.9k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

👻 Ghost score 0%

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Honest Health

WebsiteLinkedInAll Job Openings

201 - 500 employees

🏥 Healthcare

🤝 B2B

💼 Consulting

Healthcare • B2B • Consulting

Honest Health is a physician-led company that partners with health systems, physician organizations, and payers to enable primary care transformation and the transition to value-based care. It focuses on helping partners build sustainable shared financial risk models (e. g. , ACO REACH, MSSP), improve care coordination for Medicare and senior populations, integrate clinical capabilities and documentation integrity into PCP-led care teams, and strengthen financial performance through risk solutions and revenue strategies. Honest Health offers partnership programs, clinical support roles (care coordinators, dietitians, behavioral health specialists, pharmacists, etc. ), and tools such as an estimator to model savings from value-based care.

📋 Description

• Manage patients’ specialized needs based on their individual conditions and/or recent healthcare utilization • Take ownership of assigned patients with complex chronic conditions, serious illness, advanced frailty, or recent healthcare utilization • Conduct standardized assessments and identify patient needs based on values, goals, and preferences • Develop comprehensive nursing care plans in partnership with patients and providers • Coordinate care delivery with network providers, contracted vendors, and community-based services • Collaborate with physicians, advanced practice providers, specialists, and interdisciplinary teams • Coordinate access to health services across multiple providers and disciplines • Monitor care and identify cost-effective measures and alternative levels of care • Coordinate patient admissions and discharges from hospitals and skilled nursing facilities • Build relationships across network hospitals, SNFs, home health companies, and DME vendors • Monitor and evaluate nurse care plan effectiveness and modify plans as necessary • Coordinate continuity of care, transfer coordination, discharge planning, and authorizations • Advocate for and educate patients and families regarding their conditions and care plans • Develop and deliver individualized patient and family education plans • Address social determinants of health, including transportation, housing, and food resources • Participate in clinical outcomes and customer satisfaction data collection and analysis • Maintain accurate patient care records • Participate in huddles, interdisciplinary team sessions, and patient case conferences • Represent Honest Health to patients, families, and the community • Perform other related responsibilities as assigned

🎯 Requirements

• Must have reliable access to high-speed internet • Active Registered Nurse license required in the state(s) where the role is based • Willing and able to obtain additional state nursing license(s) as business needs dictate • Experience engaging patients virtually using phone, text, video, and other technologies • Prior experience with electronic health records or health registries required • Microsoft Office skills, including Excel, Word, PowerPoint, and Outlook required • Bachelor’s of Science in Nursing preferred • Certified Case Manager (CCM) credential preferred • 3+ years of clinical practice in a hospital, clinic, home care, or nursing home setting highly preferred • Case management experience with a senior population preferred • Disease management and/or physician office experience highly preferred • Experience with PowerPoint preferred

🏖️ Benefits

• Short-term incentives • Comprehensive benefits package • Support from Honest leadership and reimbursement for required fees for additional state nursing licenses • Remote work arrangement

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