Nurse Care Manager
3 weeks ago
Overview HarmonyCares is one of the nation's largest home-based primary care practices. HarmonyCares is a family of companies all dedicated to providing high-quality, coordinated health care in the home. This includes HarmonyCares, HarmonyCares Medical Group, HarmonyCares Home Health and HarmonyCares Hospice. Our Mission - To bring personalized, quality-based healthcare to the home of patients who have difficult accessing care. Our Shared Vision - Every patient deserves access to quality healthcare. Our Values - The way we care is our legacy. Every interaction counts. Go the extra mile. Empower and support each other. Why You Should Want to Work with Us * Quarterly Bonuses * Health, Dental, Vision, Disability & Life Insurance, and much more * 401K Retirement Plan (with company match) * Tuition, Professional License and Certification Reimbursement * Paid Time Off, Holidays and Volunteer Time Paid * Orientation and Training Day Time Hours (no holidays/weekends) * Great Place to Work Certified * Established in 11 states * Largest home-based primary care practice in the US for over 28 years, making a huge impact in healthcare today Responsibilities The Nurse Care Manager works closely with HarmonyCares Medical Group (HCMG) in home health care continuum and specialty services to maximize the health of the HCMG patients. This position will manage a caseload of high-risk patients where he/she is responsible for managing their care and barriers. These duties will include Transitional Care Management, Chronic Care Management of the HCMG patients. The Nurse Care Manager's primary responsibility involves overseeing a caseload of high-rish patients, where they play a crucial role in managing not only the patients' care but also addressing any potential barriers to their well-being. This entails executing tasks such as Transitional Care Management and Chronic Care Management to ensure comprehensive and effective healthcare support. Essential Duties & Responsibilities * Provides clinical coordination * Prioritize patients based on the severity and urgency of their conditions. Triage is crucial in high acuity settings to ensure that the most critical cases receive immediate attention * Demonstrate strong clinical skills, critical thinking abilities, and effective communication * Prioritize nursing interventions based on the severity of the patient's condition * Collaborate with the patient and multidisciplinary team to develop an individualized care plan based on the identified goals and needs and allocate tasks and interventions to the appropriate team members based on their experience * Collaborates in patient care planning process to assess, monitor and evaluate options and services to meet health needs * Implements a comprehensive clinical care management plan for each patient. Analyses variances from plan and initiates steps to resolve such variances * Spend quality time with our patients and families identifying gaps in care, providing education, and partnering with our continuum in an effort to reduce unplanned hospitalizations and help ensure the right care at the right time Qualifications Required Knowledge, Skills and Experience * Active R.N. License * 2 or more years of direct home health experience or care management * Must maintain a valid driver's license and good driving record * Ability to perform extensive telephone assessment * Knowledge of Medicare regulations and home care and hospice standards * Experience with small group presentations and teaching/training * Understanding of adult learning principles * Exhibits excellent interpersonal skills * Exhibits excellent written and oral skills * Working knowledge of computer programs (email, Word, Excel, PowerPoint, etc.) * Must be self-motivated, independent, structured, organized, very detailed and able to meet deadlines Preferred Knowledge, Skills and Experience * Bachelor of Science * 1 year experience of discharge planning * 1 year leadership and/or supervisory experience
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