Care Manager, LPN

Curana Health, Inc.•Boston, MA

2d•Remote

About The Position

The Care Manager delivers telephonic care management to Curana patients enrolled in Value-Based Care Programs, including Advanced Primary Care Management (APCM) and Chronic Care Management (CCM). Patients may have complex or emerging health risks or recent care transitions. Working with Curana providers and the interdisciplinary team, the Care Manager supports quality, cost-effective care. This is a 100% remote position requiring reliable high-speed internet.

Requirements

Hold an active, unrestricted compact LPN license.
Be able to obtain additional state licenses as needed.
Have at least 2 years of nursing experience; care settings may include inpatient, outpatient, or skilled nursing facilities.
Demonstrate knowledge of pathophysiology and accepted treatment protocols for common diagnoses such as diabetes, chronic heart failure, and chronic obstructive pulmonary disease.
Be able to analyze patient records to identify gaps in care and report them to the provider.
Be able to work independently and as a member of an interdisciplinary care team.
Be able to work in a remote environment free of distractions.
Have proficient computer skills and the ability to adapt to various technology platforms.
Have excellent written communication skills.
Demonstrate experience using clinical data to guide decision-making.
Have a reliable high-speed internet connection for the 100% remote position.

Nice To Haves

Case management experience.
CCM certification, strongly preferred.
Experience working with electronic health records.

Responsibilities

Review electronic health records (EHRs) to identify gaps in care for patients residing in long-term care nursing facilities.
Review and approve initial and ongoing health questionnaires completed by a member of the care management team.
Educate patients and/or caregivers about disease processes as a health coach.
Develop patient-centered care plans.
Educate patients and their durable medical power of attorney (DPOA) about the benefits of APCM or CCM.
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 notify the TCM nurse if a patient is discharged to an acute-care setting or skilled nursing facility.
Ensure orders, referrals, and prior authorizations are facilitated by 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 patients’ caregivers in an effective and caring manner.
Serve as the primary liaison between the provider and administrative support team.
Perform other duties as assigned.