RN Care Manager
About The Position
Overall Purpose Are you a compassionate mission-driven nurse looking to make a meaningful impact on the lives of complex medical patients? As a nurse care manager at P3 Health Partners, you’ll bring hope and healing to patients with complex medical needs. In this full-time role, you’ll be a vital member of an interdisciplinary team, transforming lives and empowering primary care physicians to deliver exceptional care to those who need it most. The scope of practice includes, but is not limited to, providing case management to patients with complex medical conditions at high risk for hospitalization or worsening medical condition. You will interact with patients in the clinic setting, through telephonic or telehealth contact. You will attend and contribute to interdisciplinary team meetings. You will cover all markets within the state for which you are hired. Essential Functions Gather data from multiple sources to develop patient care plans Educate patients, their families and caregivers. Identify areas of opportunity to assist patients in meeting their health care goals and intervene to limit risk for hospitalization. Have close follow-up with all patients amending care plans as necessary. Assist patients by providing education and support in advanced care planning discussions. Assist in identifying and referring patients who would benefit from education on hospice care. Communicate with the P3 Health Partners Comprehensive Care Team and primary care physicians. Adhere to all care planning rules and regulations. Appropriately adjust practice from chart audit feedback. Communicate opportunities to advance the clinical model. Confidently use associated technology. Ensure patient privacy and adherence to all HIPAA regulations and standards for handling PHI. Participate in quality improvement initiatives, documentation audits, and other activities that support clinical excellence and operational efficiency. Maintain compliance with required trainings, timely chart closures, meeting attendance and other requirements. Serve as a positive and collaborative leader and team member. Is there any ceryification for care managers??? Role model the P3 Health Partners core values.
Requirements
- Active and unencumbered nurse manager in the state where you will practice
- Active case management certification
- Minimum 1 year of care management experience, preferably in geriatric medicine
- Flexible, self-driven and innovative personality
- Travel between in-state markets is required.
Responsibilities
- Gather data from multiple sources to develop patient care plans
- Educate patients, their families and caregivers.
- Identify areas of opportunity to assist patients in meeting their health care goals and intervene to limit risk for hospitalization.
- Have close follow-up with all patients amending care plans as necessary.
- Assist patients by providing education and support in advanced care planning discussions.
- Assist in identifying and referring patients who would benefit from education on hospice care.
- Communicate with the P3 Health Partners Comprehensive Care Team and primary care physicians.
- Adhere to all care planning rules and regulations.
- Appropriately adjust practice from chart audit feedback.
- Communicate opportunities to advance the clinical model.
- Confidently use associated technology.
- Ensure patient privacy and adherence to all HIPAA regulations and standards for handling PHI.
- Participate in quality improvement initiatives, documentation audits, and other activities that support clinical excellence and operational efficiency.
- Maintain compliance with required trainings, timely chart closures, meeting attendance and other requirements.
- Serve as a positive and collaborative leader and team member.
- Role model the P3 Health Partners core values.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
