RN Care Manager

1 month ago


Sarasota, Florida, United States ArchWell Health Full time
Job Summary:

The Nurse Care Manager plays a pivotal role in developing and executing care plans to achieve high-quality patient outcomes. This position requires a strong understanding of patient needs and a collaborative approach to care coordination.

Key Responsibilities:
  • Establish trusting relationships with patients, families, and caregivers.
  • Collaborate with clinical staff to achieve patient goals and reduce network costs.
  • Identify high-risk patients and develop comprehensive care plans.
  • Provide patient education, care coordination, and interventions to help patients achieve their health goals.
  • Utilize Motivational Interviewing to build patient engagement and evaluate progress toward goal achievement.
  • Communicate with hospital case managers, physical therapists, social workers, and other healthcare professionals to facilitate safe discharge plans.
  • Manage transitions of care and conduct assessments, medication reconciliation, and care coordination following discharge.
Requirements:
  • Associate degree in Nursing required; Bachelor's Degree in Nursing or related clinical field preferred.
  • Valid, active, unrestricted Registered Nurse (RN) license in State of employment required.
  • Minimum 2 years' clinical work experience; 1 year of utilization review, home health, or discharge planning experience highly desired.
  • Certified Case Manager certification preferred.
  • ICD-10, CPT codes, HCPCS knowledge preferred.
  • Managed care experience, including knowledge of HEDIS and CMS guidelines, preferred.
About ArchWell Health:

ArchWell Health is an equal opportunity employer committed to transforming the way we deliver accessible, clinically excellent care to seniors. We value compassion, excellence, trust, respect, resilience, and doing the right thing.


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