RN Nurse Care Manager – Hybrid

🔥 2 minutes ago

🚗 Michigan – Remote

🚗 Michigan – Remote

💵 $73.6k - $81k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

👔 Manager

🚫👨‍🎓 No degree required

👻 Ghost score 0%

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HarmonyCares

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 1993

🏥 Healthcare

⚕️ Healthcare Insurance

💰 Venture Round on 2021-11

Healthcare • Healthcare Insurance • Home Health

HarmonyCares is a leading provider of comprehensive, home-based healthcare services across 15 states in the U. S. The company specializes in in-home physician care, skilled nursing, therapy, and hospice care for patients, particularly those with Medicare and complex medical conditions. HarmonyCares aims to offer dignified, patient-centered care, allowing individuals to maintain their health and independence in the comfort of their own homes.

📋 Description

• Manage a caseload of high-risk patients and their care barriers • Perform Transitional Care Management, Chronic Care Management, Disease Management Education, and Medication Education • Develop and manage patient care plans • Serve as co-chair of the pod alongside the pod leader, focusing on prioritizing patient needs and improving outcomes • Coordinate care services with the pod leader and care team • Address care gaps and engage resources to ensure access to care • Coordinate transitions across the healthcare continuum and help prevent avoidable hospital admissions • Facilitate High Risk Huddles and ensure follow-up actions are completed • Prioritize patients based on condition severity and urgency • Review medical records to identify gaps in care • Perform telephone nursing assessments • Educate patients and caregivers on disease, medication, health maintenance, and prevention • Document interactions, assessments, and updates in medical records • Liaise between patients, providers, and resources • Communicate patient status and care plans during transitions between home, hospital, post-acute care, and home

🎯 Requirements

• Active Registered Nurse License • 2+ years of care management experience in community, health plan or hospital systems • Possesses strong clinical skills and proactive thinking • Effective communication skills • Ability to perform extensive telephone assessment • Knowledge of Medicare regulations and home care and hospice standards • Experience with small group presentations and teaching/training • Exhibits excellent interpersonal skills • Exhibits excellent written and oral skills • Working knowledge of computer programs (email, Word, Excel, PowerPoint, etc.) • Manages time effectively to ensure all duties and documentation requirements are completed in a timely manner • May be required to obtain multi-state licensing • Preferred: Bachelor of Science in nursing or related field • Preferred: Strong knowledge of population health, quality measures, care gap closure and value-based care models

🏖️ Benefits

• Quarterly Bonuses • Health, Dental, Vision, Disability & Life Insurance • 401K Retirement Plan (with company match) • Tuition, Professional License and Certification Reimbursement • Paid Time Off, Holidays and Volunteer Time Paid • Orientation and Training Day Time Hours (no holidays/weekends)