Nurse, Individualized Care Nurse Care Manager

Cardinal Health

8d•$68,500 - $107,580•Remote

About The Position

Cardinal Health Sonexus™ Access and Patient Support helps specialty pharmaceutical manufacturers remove barriers to care so patients can access, afford, and remain on needed therapies. Its Individualized Care team provides patient-centered care tailored to individual needs. The Nurse Care Manager coordinates medical treatment, provides patient education, and connects patients with healthcare providers and support systems to promote continuity of care. The role includes care management for patients with chronic conditions, including cancer, and coordination with oncology providers, onsite clinical teams, and remote care management staff. The nurse conducts telephonic outreach, reviews medical and psychosocial needs, reconciles medications, reinforces disease and symptom-management education, coordinates referrals and appointments, and tracks patient progress. The position also supports transitional care management, including discharge planning, follow-up coordination, and helping patients understand discharge instructions. This is a full-time, remote position requiring a dedicated, quiet, private, distraction-free workspace and qualifying hardwired broadband internet. Cardinal Health provides the computer, technology, and equipment needed for the job; the employee provides the internet connection. New-hire training is held from 8:00 a.m. to 5:00 p.m. CST, with mandatory attendance. The regular schedule is Monday through Friday, 8:30 a.m. to 5:00 p.m. PST.

Requirements

Registered Nurse with a current, unrestricted California license.
Five years of hospital or clinical experience involving patients with complex chronic disease states is preferred.
Experience with Microsoft Office products.
Superior verbal and written communication skills.
Ability to collaborate effectively and work as part of a team.
Excellent organizational skills.
Basic computer skills, including prior experience with an electronic health record and Excel spreadsheets.
Highly motivated and results-oriented, with strong presentation, communication, multitasking, and time-management skills.
Ability to identify problems and recommend solutions.
Ability to work independently with minimal supervision.
Commitment to improving health equity and supporting vulnerable populations.
Ability to meet the stated remote-work requirements, including maintaining a secure, high-speed broadband connection that is hardwired to the router; dial-up, satellite, Wi-Fi, and cellular connections are not acceptable.

Nice To Haves

Care Management experience is strongly preferred.
Oncology patient experience is strongly preferred.
Bilingual skills are a plus.

Responsibilities

Collaborate with healthcare staff to develop, implement, monitor, and evaluate clinical care and coordinate care-management activities.
Maintain working knowledge and basic medical management capabilities for chronic disease states, such as cancer.
Ensure areas of responsibility comply with applicable federal, state, and regulatory requirements, including documentation and records requirements.
Document encounters and activities accurately and in a timely manner in the designated system.
Participate in interdisciplinary case conferences and team huddles as needed.
Work with oncology and internal care-management teams to identify patients for case management, assess care requirements, coordinate changes to care, and intervene as necessary.
Coordinate development and review of clinical pathway trends and share findings with appropriate service and management teams.
Support quality improvement by identifying trends, barriers, and opportunities to improve program outcomes.
Attend meetings, seminars, and conferences as appropriate.
Obtain member consent before enrollment in the Care Management program and before beginning outreach.
Manage patient care by phone, including reviewing medical, functional, and psychosocial needs and reconciling medications for adherence.
Reinforce disease self-management and symptom-management education, communicate oncology provider instructions and advice, and provide patient education materials.
Refer patients to and coordinate with community service organizations; arrange specialist appointments, tests, treatments, procedures, and follow-up visits as needed.
Document concerns and follow-up, and escalate issues to the onsite Clinical Team or oncology provider when appropriate.
Coach patients and promote health to encourage self-management and adherence to care plans.
Manage a caseload of approximately 100–150 members and assist with other programs as needed.
Collaborate with onsite clinical staff to order patient supplies, such as blood pressure machines and remote patient monitoring medical supplies.
Track and report member progress, escalating complex cases to providers, the onsite clinical team, or program leadership as needed.
Attempt phone outreach to transitional care management members as needed to support onsite programs.
Assist with discharge planning by assessing needs, coordinating medication reconciliation, and scheduling post-acute, face-to-face transitional care visits with providers.
Triage patient needs and determine appropriate next steps, such as scheduling an appointment, triaging to a provider, or directing the patient to the emergency room.
Bridge gaps between onsite clinical teams and the community, ensuring patients understand discharge instructions and follow-up care.
Collaborate with onsite clinical staff and remote care-management teams on discharge planning, care transitions, and ongoing coordination.
Meet regularly with management to discuss call-monitoring and quality-review feedback and progress toward productivity and quality goals.
Maintain HIPAA guidelines.