Nurse Care Manager
About The Position
Thundermist Health Center is seeking a compassionate and experienced Nurse Care Manager to support adults with complex chronic health conditions in a community-based primary care setting. In this role, you will partner closely with patients, providers, and community resources to improve health outcomes, reduce barriers to care, and empower patients through education and self-management support. This position is ideal for a nurse who is passionate about care coordination, chronic disease management, health equity, and building meaningful relationships with patients. You'll play a critical role in helping individuals navigate their healthcare journey while advancing Thundermist's mission of providing high-quality, patient-centered care to diverse and underserved populations.
Requirements
- Current Registered Nurse (RN) license in the State of Rhode Island.
- CPR/BLS certification.
- Experience partnering with primary care providers to coordinate care and support disease management.
- Knowledge of chronic disease management, care management, and case management principles.
- Strong communication, documentation, patient education, and clinical assessment skills.
- Ability to interpret and communicate medical information clearly to diverse patient populations.
- Commitment to providing compassionate, patient-centered care and advancing health equity.
- Willingness to obtain Certified Diabetes Outreach Educator (CDOE) certification within one year of hire.
Nice To Haves
- Bachelor of Science in Nursing (BSN).
- Experience in community health, public health, chronic disease management, community nursing, or case management.
- Certification in Case Management, Diabetes Education, Asthma/COPD Management, Cardiovascular Care, or related specialty areas.
- Experience working with underserved or medically complex populations.
Responsibilities
- Manage a caseload of moderate to high-risk adult patients with complex chronic health conditions.
- Conduct comprehensive assessments to identify medical, behavioral, and social needs.
- Develop individualized care plans, goals, interventions, and follow-up schedules based on patient risk level and needs.
- Provide disease-specific education and self-management coaching to improve patient outcomes.
- Educate patients on medications, treatment plans, symptom management, nutrition, exercise, and preventive care.
- Coordinate care among primary care providers, specialists, pharmacies, home care agencies, and community resources.
- Assist patients in accessing community supports and services that address social determinants of health.
- Monitor progress toward treatment goals and adjust care plans as needed.
- Coordinate sick visits and additional clinical services when appropriate.
- Maintain accurate, timely, and thorough documentation within the electronic medical record.
- Collaborate effectively with providers, clinical staff, community partners, patients, and families.
- Participate in quality improvement initiatives, clinical audits, and population health activities.
- Adhere to all HIPAA, OSHA, infection prevention, and organizational policies and procedures.
Benefits
- Health, Dental, and Vision Insurance
- Life Insurance ($75,000) and Long-Term Disability — at no cost
- Flexible Spending Accounts (Health FSA up to $3,300 / Dependent Care FSA up to $5,000)
- Retirement Plan with 1:1 employer match up to 4%
- Critical Illness, Accident Insurance, and Hospital Indemnity
- Wellness Reimbursement up to $200/year
- PTO starting at 22 days, increasing with tenure, plus 6 paid holidays
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
