Nurse Care Manager

Summit Health CityMD•New Britain, CT

45d•Onsite

About The Position

As a Nurse Care Manager with Starling Physicians, you will help us achieve our goals by collaborating with providers and engaging with high-risk patients to develop a patient-centered care plan focused on management of chronic conditions and measured by clinical indicators. You will work closely with the entire Care Management team, including Care Coordinators, TCM team, and Social Workers, to connect the dots of collaborative patient care while incorporating the patients’ personal health and lifestyle goals.

Requirements

3+ years of direct, clinical nursing experience
Nurse with licensure in the state of practice
Care management or transitional care management experience in a setting that requires assessment, critical thinking and application
Comfort with technology, including Microsoft suite of products
Proficiency in utilizing a variety of electronic health records including data capture, data mining and reporting

Nice To Haves

The ability to be flexible in an ambiguous and dynamic environment
A service orientation and a positive, “can-do” attitude, along with the desire to work as part of a team
A willingness to learn on your own and take initiative
An ability to gain trust through good communication, understanding, humility, and follow-through
Ability to adapt to a variety of technological tools, applications and systems
Strong communication, time management and organizational skills

Responsibilities

Spend much of your week working directly with providers and engaging high risk patients
Collaborate with patients to improve their health and partner with the care team to establish identified goals and action steps to focus on wellness, improve management of overall health and reduce unnecessary utilization
Provide health education and coordinate consultations and referrals to support patients and facilitate continuity of care utilizing clinical knowledge and deep understanding of key community resources
Develop relationships with primary care practice care teams to operate as an extension of the provider in supporting high risk patients
Engage a caseload of high-risk patients in Care Management, set patient-specific goals and provide interventions to help them better manage their health
Participate in grand rounds and other meetings with provider partners and VMD leadership to discuss patient care and improvements to care team processes