Primary Care Manager

Providence Medical Center•Kansas City, KS

2d•Onsite

About The Position

Are you a seasoned Nurse ready to take your leadership skills to the next level? Join us as a Primary Care Manager, where you’ll play a vital role in shaping patient care and driving quality outcomes. In this position, you’ll coordinate care across settings and helps patient/families understand health care goals and outcome strategies. You’ll lead a team of Care professionals, guiding them to provide patient-centered, high-quality care while navigating the complexities of managed care systems. If you’re passionate about improving healthcare standards and thrive in a dynamic environment, we want to hear from you! Here are some of the benefits of working at Prime Healthcare: Health, dental, and vision insurance options Paid vacation, sick time, and holidays. Bereavement leaves, FMLA, and other leave options Employer 401(k) options Tuition reimbursement options Life, disability, and other insurance options Many other amazing benefits Full benefits at Prime Healthcare: https://www.primehealthcare.com/careers/benefits/

Requirements

Current state Registered Nurse or LPN license as required by location.
Registered Nurse experience—Two years of experience with adult medicine and pediatric patients in primary care/ambulatory care, home health agency, or hospital medical-surgical setting, within the past three years.
LPN experience—a minimum of five years’ primary care practice experience with adult medicine and pediatric patients in a primary care/family practice setting.

Nice To Haves

Care management experience preferred.

Responsibilities

Guide and mentor a team of care coordinators to deliver high-quality patient care. Ensure the team adheres to best practices and organizational policies.
Develop patient-centered care strategies that meet individual health needs and comply with insurance requirements. This involves collaborating with patients, families, and healthcare providers to create effective care plans.
Act as the primary liaison with insurance payers, ensuring that all patient care services are pre-authorized and reimbursed efficiently. Maintain a deep understanding of insurance processes to resolve any issues promptly.
Regularly assess care plans and outcomes to ensure compliance with insurance guidelines and healthcare regulations. Utilize analytics to improve care processes and patient satisfaction.
Establish strong communication channels between patients, providers, and insurance representatives. Resolve any coordination challenges that arise to ensure seamless service delivery.