Nurse Care Manager

🔥 0 minutes ago

🦀 Maryland – Remote

🦀 Maryland – Remote

💵 $35 - $49 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

🦅 H1B Visa Sponsor

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Patient First

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

🏥 Healthcare

⚕️ Healthcare Insurance

💼 Consulting

Healthcare • Healthcare Insurance • Consulting

Patient First is a healthcare organization founded by a physician in 1981, specializing in non-appointment urgent care and primary care for patients who do not have a regular physician. With medical centers located throughout the Mid-Atlantic region, Patient First operates every day of the year from 8 am to 8 pm, including all holidays. The organization prioritizes employee satisfaction and celebrates their achievements, contributing to a collaborative and supportive workplace culture. Patient First is also engaged with the community, participating in health-related events to promote good health strategies and connect with patients, thus embodying its tagline of putting the patient first while supporting employees.

📋 Description

• Serve as a telephonic care management resource to clinical teams and integrate the care management program into physician practices • Define quality measures, establish goals, and develop protocols and point-of-care reminders using nationally recognized, evidence-based care quality measures • Improve the effectiveness and efficiency of clinical practices and processes • Review medical records and internal and external reports to identify and research gaps in care • Develop and implement practice-level strategies to address and close gaps in care • Identify patients appropriate for care management • Maximize patients’ health, wellness, safety, self-care, satisfaction, and cost-efficiency • Provide advice to center nurses and health care team members and handle emergent or urgent calls within scope of practice • Actively manage an assigned panel of chronic care patients telephonically • Assess patients’ physical and psychosocial needs, literacy status, and barriers • Educate patients and health care team members about preventive care and care coordination • Support complete health assessments and payor contractual requirements • Coordinate change readiness and needs assessments and develop individualized treatment care plans • Monitor and evaluate care plan effectiveness and modify plans as necessary • Provide expert clinical guidance to improve patients’ overall wellbeing • Help patients set SMART self-management goals and teach self-management tasks • Report abnormal findings to the care team • Promote patient engagement and self-management • Document self-management measures, care plans, and progress toward goals • Collaborate with patients, families, caregivers, physicians, and care team members • Manage referrals, hospitalizations, ER visits, ancillary testing, medication reconciliation, and care coordination • Communicate with patients regarding recommendations and follow-up visits • Review provider documentation, follow up with patients, and document conversations and recommendations in the electronic medical record • Follow Patient First protocols for urgent and emergent calls • Anticipate chronic care patient needs and conduct pre-visit planning • Instruct and encourage patients to use the Patient First patient portal • Facilitate communication between care team members and patients in decision-making • Use motivational interviewing to assess and mitigate barriers to treatment goals • Oversee development, procurement, and adoption of patient self-management educational resources • Collaborate with external case managers and develop medical supply and community resource lists • Work with physicians, hospitals, ERs, and other health care resources to clarify roles and improve communication • Facilitate, advocate, and intervene to ensure treatment plan implementation and continuity of care • Work as a center staff nurse as directed

🎯 Requirements

• Eighteen years of age or older • RN licensure required • Ability to be licensed in all states in which Patient First operates • Current CPR, ACLS, and PALS certifications • Minimum of three years’ clinical experience in medical/surgical, ER, critical care, and ambulatory care preferred • Certification as a Case Manager or experience in Case Management and Primary Care/Patient-Centered Medical Home Care or environment that coordinates care across multiple providers preferred • Telephonic triage, coaching, or care coordination experience required • Ability to work in a team-oriented environment • Highly organized with well-developed oral, written, presentation, and interpersonal communication skills • Sound judgment and decision-making, problem-solving, and analytical skills • Strong professional-level knowledge of comprehensive clinical assessment in the primary care population and chronic disease management • Knowledge of psychosocial aspects of chronic illness • Experience in quality improvement, quality and efficiency metrics, and data analytics preferred • Demonstrated success in influencing patients and providers • Experience with medically oriented care plan documentation; ability to develop and implement plan of care • Skilled in active listening, critical thinking, social perceptiveness, active learning, and instruction methods for patient engagement and activation • Comfortable managing multiple tasks and continually re-prioritizing • Ability to delegate and make sound judgment while working with employees and providing medical care • Ability to work effectively with all levels of administrative and professional personnel • Able to maintain confidentiality in accordance with the organization and HIPAA • Proficient computer skills, including Microsoft Word and Excel, presentation preparation, and database management • Must be able to hear pages, bells, and phone system • Must be able to sit, stand, and walk for long periods of time, possibly 4 to 7 hours at a time • Ability to travel, including overnight, to attend meetings, conferences, and other events as needed • Ability to work extended hours, including nights and weekends, as needed • Bilingual a plus

🏖️ Benefits

• Sign-on Bonus • Health, Dental and Vision insurance for employees and dependents • Disability, Life and Long Term care insurance • Employee Assistance Program • Flexible Spending accounts • 401(k) Retirement Plan (with employer match) • Paid Annual Leave • Volunteer Time Off Pay • Bereavement Leave • Emergency Leave Bank • Overtime Pay • Holiday Pay • Double time compensation for all holidays worked • Discounted medical treatment at any Patient First location for employees and immediate family • Recruitment Bonus