RN Case Manager

Vytalize Health • Kansas, KS

19h • Remote

About The Position

The RN Case Manager works with the clinical department and serves as a liaison to physician practices. The role advocates for personalized treatment options that meet each patient’s care needs, using a patient-forward approach centered on value-based care. The RN Case Manager provides education and guidance for complex medical decisions and creates and manages care plans for patients with chronic or serious conditions.

The role uses telephonic assessment and outreach to identify and prioritize patient needs, provide evidence-based education and care navigation, and support transitions from inpatient or post-acute settings to home. It coordinates care with patients, families, providers, facilities, payers, and community resources to help patients remain stable at home, overcome barriers, and improve health outcomes and the patient experience. Minimal travel to provider offices may be required depending on market location (less than 5%).

Requirements

• Must be located preferably in the Kansas City, Missouri region, or reside in Kansas.
• Bachelor’s degree in Nursing preferred, or Associate’s degree in Nursing with relevant experience.
• Five years of experience as an RN or RN Case Manager providing complex care management.
• At least three years of experience in Med Surg or Home Health.
• Experience providing Transitions of Care.
• Unencumbered RN license, compact nursing license, or ability to obtain a compact nursing license within six months of hire.
• Comfortable adapting to rapid changes.
• Excellent verbal and written communication skills.
• Excellent organizational skills and attention to detail.
• Entrepreneurial spirit, sense of ownership, and comfort operating in ambiguity.
• Solution-oriented, with strategic and creative decision-making abilities.
• Ability to work independently and as part of a fully remote team.
• Able to receive direction and feedback while also being forward-thinking and willing to challenge the status quo.
• Comfortable providing care management using telehealth capabilities.
• Proficiency with Microsoft Office Suite or related software.
• Ability to use documentation tools and technological platforms, including EMRs, effectively and efficiently; comfortable with digital technologies.
• Positive attitude and respectful, professional customer service.

Nice To Haves

• Startup experience.
• Accredited Case Manager (ACM) certification.

Responsibilities

• Engage patients needing clinical support and use assessment and communication skills to determine and prioritize their needs.
• Provide patient-centered care, customer service, evidence-based education, assessment, and care navigation within scope of practice.
• Identify patient and caregiver education needs through telephonic assessment and ensure they have information needed for a successful transition home after an inpatient or post-acute stay.
• Conduct timely telephonic clinical outreach to identified patients.
• Collaborate with PCPs, NPs, and other healthcare team members to coordinate care and help patients remain stable at home.
• Serve as a point of contact and informational resource for patients, care teams, families and caregivers, payers, and community resources.
• Implement interventions intended to improve health outcomes, lower costs, and enhance the patient experience.
• Work with provider offices, SNFs, hospitals, and other Clinical Services teams to support patient needs efficiently and effectively.
• Coordinate care across the continuum while maintaining confidentiality.
• Guide patients through the healthcare system and help them overcome barriers.
• Coordinate treatment and services and schedule medical appointments as needed.
• Communicate with patients and their families about the patient’s health condition.
• Provide community resources and support resolution of social determinants of health (SDoH); maintain working knowledge of community resources.
• Take accountability for quality of care and continually seek knowledge and learning that support clinical care coordination.
• Travel minimally to provider offices when required by market location to enhance provider office engagement (less than 5%).

Benefits

• Competitive base compensation.
• Annual bonus potential.
• Health benefits effective on start date.
• Health & Wellness Program providing up to $300 per quarter for overall well-being, available on start date.
• 401(k) plan effective the first of the month after the start date, with a 100% match of up to 4% of annual salary.
• Unlimited (or generous) paid “Vytal Time.”
• Five paid sick days after the first 90 days.
• Company-paid short-term and long-term disability (STD/LTD).
• Technology setup.
• Opportunity to help build a market leader in value-based healthcare at a rapidly growing organization.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree