Nurse Case Manager

Your Health Organization•Augusta, GA

17d•Onsite

About The Position

The Nurse Case Manager is responsible for leading and managing care teams within their assigned region. This role focuses on staff productivity, ensuring quality care services, and reducing unnecessary healthcare costs, while supporting compliance with federal and state regulations. The Nurse Case Manager will work closely and collaboratively with care group members and regional leadership.

Requirements

Take responsibility for own work in completing tasks.
Assist others so that the resources, assistance, or support is provided to achieve success in their daily work.
Communicate, endorse, and demonstrate the Company’s mission, vision, and values.
Prompt and regular attendance.
Adhere to standards of behavior, dress code including name tag and approved uniform, personnel department, and company policies.
Attend in-services and meetings on a regular basis.
Promote a culture of outstanding customer service and strive to enhance patient experience at all times.
Must be available during normal work hours (unless previously approved by direct supervisor).
Additional hours may be required to complete normal business functions and/or projects.
Must possess the ability to deal tactfully with patients, employees, management, visitors, government agencies, and the general public and maintain an open-door policy for all employees.
Must possess the ability to make independent decisions when circumstances warrant.

Responsibilities

Lead and manage a care team consisting of healthcare professionals, including but not limited to nurses, social workers, therapists, and health coaches.
Actively engage with patients to help them understand the Company’s care model, their diseases, and disease management strategies.
Monitor and enhance the productivity of your care team to ensure that all necessary assessments and patient visits are conducted efficiently.
Collaborate with your team to optimize primary care billing, aiming for it to constitute 15% of the total allotment for your group of patients. This optimization should contribute to a reduction in unnecessary medical spending.
Collaboration for conflict, complaint management and resolution for any concerns.
Consistent program review with leadership to ensure right care at right time delivery of services & support to patients, families, facilities, and other healthcare partners.
Responsible for managing and overseeing the scheduling process completed by case managers to ensure providers and other disciplines have a well-structured and effective schedule.
Promote effective two-way communication between employees supervised, administration and team members within the region.
Provide training and guidance to staff, ensuring they understand their job responsibilities, goals, protocols, customer service standards, and proper use of company’s software systems.
Participate in interviews and hiring staff when necessary.
Perform general administrative tasks and support other staff as needed.
Leverage technology platforms to enhance patient care and staff productivity.
Participate in coaching calls.
Perform other duties as requested or required, in the sole discretion of the Company.