Nurse Manager Jobs

About The Position

Requirements

• Registered nursing license (unrestricted)
• Minimum of three years of clinical nursing experience
• Expertise in care management and coordination across healthcare providers
• Strong communication skills for patient and caregiver education
• Ability to conduct both in-home and telephonic assessments, care plans, and medication reconciliations
• Experience with EHR systems and real-time documentation
• Ability to work independently and manage multiple patient cases
• Critical thinking and decision-making skills in developing care plans
• Proficient in using digital tools for care coordination and communication
• A valid driver’s license and auto liability insurance
• Reliable transportation and the ability to travel within assigned territory or as needed

Nice To Haves

• Preferred experience in care management, case management, or transitional care settings
• Experience in acute care environments such as ICU, Med-Surg, or ER is also highly valued
• Case management certification is preferred but not required

Responsibilities

• Care coordination of high-risk patients
• Develop comprehensive care plans addressing chronic conditions
• Collaborate with a multidisciplinary Care Team
• Ensure optimal health outcomes through personalized care plans, self-management, and disease prevention
• Focus on chronic care management and care transitions, especially for patients discharged from inpatient settings
• Conduct in-person and telephonic outreach
• Perform medication reconciliation
• Ensure continuity of care across the healthcare ecosystem
• Act as an advocate for patients
• Ensure integration of services across providers, hospitals, and outpatient services
• Develop strong relationships with patients and caregivers, advocating for their needs and ensuring they understand and follow their care plans.
• Work effectively with the multidisciplinary Care Team Pod to ensure seamless care across all providers and services.
• Actively reach out to patients and caregivers within 48 hours of discharge to ensure smooth transitions and minimize gaps in care.
• Provide clear, compassionate education to patients and families about treatment options and ensures patients are empowered to manage their health.
• Ensure that care is effectively coordinated across multiple providers, institutions, and services, particularly during transitions of care.
• Effectively manages patient caseloads, balancing multiple tasks while adhering to deadlines and care plans.
• Identifies potential gaps in care, resolves issues through collaboration with providers, and works to optimize patient outcomes.
• Maintains patient confidentiality and follows HIPAA regulations to ensure privacy in all interactions.
• Demonstrates respect for diversity, ensuring culturally sensitive care that meets the needs of diverse patient populations.
• Strong knowledge of chronic disease management, care transitions, and evidence-based practices to develop and implement care plans.
• Skilled at delivering complex medical information clearly to patients, caregivers, and interdisciplinary teams.
• Proficient in creating personalized care plans that address physical, behavioral, and social health needs.
• Ability to use electronic health records (EHR) and care management systems to document, track, and coordinate patient care.
• Focused on achieving optimal clinical and financial outcomes for patients through effective care coordination and management.
• Able to work independently in a field-based setting while also collaborating effectively with a multidisciplinary team.
• Uses clinical judgment to assess, analyze, and evaluate patient progress, adapting care plans as needed to achieve optimal results.
• Manages multiple patient cases simultaneously while prioritizing tasks to meet deadlines and ensure comprehensive care.
• Motivates patients to follow care plans and improve self-care skills through regular communication and support.

Benefits

• Upward Health Benefits