Nurse, Individualized Care

Cardinal Health

6d•$68,500 - $107,580•Remote

About The Position

The Individualized Care Nurse Care Manager provides structured, patient-centered healthcare by coordinating medical treatments, delivering patient education, and facilitating communication among patients, healthcare providers, and support systems. The role helps bridge gaps in care, promotes continuity of treatment, and supports patients in achieving optimal health outcomes. The nurse collaborates with oncology and other clinical teams to identify patients for case management, assess care needs, coordinate treatment, and monitor patient progress. Work includes telephonic principal and chronic care management, transitional care management, documentation, patient coaching, care coordination, and support for quality improvement. The position manages a caseload of approximately 100–150 members and may assist with other programs. This is a full-time remote position, 40 hours per week, Monday through Friday, 8:30 a.m.–5:00 p.m. Mountain Time. New-hire training is mandatory and scheduled for 8:00 a.m.–5:00 p.m. Central Time. The employee must provide a dedicated, quiet, private, distraction-free workspace and qualifying high-speed internet; Cardinal Health supplies the computer and other job equipment.

Requirements

Current, unrestricted Registered Nurse license in Wyoming, or a compact license that includes Wyoming.
Experience with Microsoft Office products.
Strong verbal and written communication skills.
Ability to collaborate effectively and work as a team member.
Excellent organizational skills.
Basic computer skills, including prior experience with an electronic health record and Excel spreadsheets.
Motivated, results-oriented approach 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 maintain a dedicated, quiet, private, distraction-free remote workspace.
Ability to provide secure, hardwired, high-speed broadband internet via DSL, cable, or fiber, with at least 15 Mbps download, 5 Mbps upload, and a maximum 30 ms ping rate; dial-up, satellite, Wi-Fi, and cellular connections are not accepted.
Use a surge protector with network-line protection for company-issued equipment.

Nice To Haves

Five years of hospital or clinical experience involving patients with complex chronic disease states is preferred.
Care-management experience is strongly preferred.
Extensive 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.
Apply working knowledge of chronic disease states, including cancer, and provide basic medical management support.
Ensure areas of responsibility comply with applicable federal, state, and regulatory requirements, including documentation and records requirements.
Document encounters and activities accurately and promptly 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 or modify care, and intervene as necessary.
Coordinate development and review of clinical pathway trends and share findings with relevant service and management teams.
Support quality improvement by identifying trends, barriers, and opportunities to improve program outcomes.
Attend relevant meetings, seminars, and conferences.
Confirm member consent before enrollment in the Care Management program and before beginning outreach.
Manage patient care telephonically by reviewing medical, functional, and psychosocial needs; reconciling medications and reviewing adherence; reinforcing disease self-management and symptom-management education; communicating oncology provider instructions; and providing patient education materials.
Coordinate referrals to community service organizations, specialist appointments, tests, treatments, procedures, and follow-up visits as needed.
Document patient concerns and follow-up, escalating issues to the onsite Clinical Team or oncology provider when appropriate.
Coach and promote health to encourage patient self-management and adherence to care plans.
Manage a caseload of 100–150 members and assist with other programs as needed.
Collaborate with onsite clinical staff to order patient supplies, including blood pressure machines and remote patient-monitoring supplies, as needed.
Track and report member progress and escalate complex cases to a provider, onsite clinical team, or program leadership as needed.
Contact transitional care management members by phone 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 a provider.
Triage patient needs and determine appropriate next steps, such as scheduling an appointment, referring to a provider, or directing the patient to the emergency room, as needed.
Bridge gaps between onsite clinical teams and the community, helping 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 care coordination.
Meet regularly with management to discuss call-monitoring and quality-review feedback and progress toward productivity and quality goals.
Maintain HIPAA guidelines.