Nurse Care Management - RN Care Manager

Thundermist Health Center • West Warwick, RI

6d • Onsite

About The Position

Thundermist Health Center is seeking an RN Care Manager to manage a caseload of moderate to high-risk adults with complex chronic conditions. This role involves providing comprehensive screening, assessment, disease education, self-management support, and care coordination within a community primary care setting. The RN Care Manager will collaborate with primary care providers to address care gaps, connect patients with community resources, and empower individuals in their health management. The position is ideal for nurses passionate about chronic disease management, health equity, and patient-centered care.

Requirements

• Current State of Rhode Island RN license
• Certified Diabetes Outreach Educator (CDOE) within one year of hire
• CPR/BLS certification
• Experience working with primary care providers to coordinate care and disease management
• Knowledge of disease management, case management, and chronic care principles
• Exceptional oral and written communication skills with proficiency in medical terminology
• A genuine commitment to patient-centered, high-quality care for diverse and underserved populations, with an authentic passion for health equity and community health

Nice To Haves

• BSN preferred
• Experience in community health, public health, chronic disease management, community nursing, or case management
• Certification in Case Management, Diabetes Education, Asthma/COPD, or Cardiovascular care

Responsibilities

• Manage a caseload of moderate to high-risk adults with complex chronic health conditions.
• Establish individualized care plans with goals, interventions, and contact schedules based on risk category and each patient’s medical and social needs.
• Promote compliance with disease-specific clinical outcomes by providing self-management support including disease education, medication charts and side effects, signs and symptoms to watch for, nutritional recommendations, and exercise guidance.
• Connect patients with community supports, services, and resources including pharmacy, DME, and home care providers.
• Coordinate sick visits and additional services as needed.
• Work collaboratively with primary care providers, the health care team, and community agencies to coordinate care and disease management.
• Use all available methods of communication with patients, including interpreting services, counseling, group discussion, written materials, and visual aids.
• Identify and communicate cultural, social, and economic characteristics of the patient population served.
• Maintain clear, consistent communication with your supervisor, providers, and other staff members.
• Document clearly and concisely in the medical record.
• Actively participate in performance improvement activities to improve quality of care and safety.
• Assist with clinical audits and database management as assigned.
• Maintain OSHA and HIPAA guidelines and adhere to 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
• 6 paid holidays

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level