RN Care Manager
4 weeks ago
At Navvis, we're dedicated to driving performance in value-based care. As an operating partner to innovative health systems, physician enterprises, and health plans, we provide solutions that accelerate the journey to value-based care.
Department Overview:
We're passionate about understanding what matters to people to ensure the delivery of Real-Person Care. Our Care Solutions, Analytics, Implementations, Clinical and Business Operations, and Learning and Development teams work together to address real-life healthcare needs.
As an RN Care Manager, you will:
1. Serve as the clinical bridge between professional staff across the care continuum or in the community.
2. Monitor and evaluate the effectiveness of care coordination plans, making necessary modifications.
3. Identify gaps or barriers in treatment plans and provide education to fill those gaps.
4. Conduct complete medication reviews and gather information about medication adherence.
5. Consult with medical providers regarding patient concerns and actions that may impact compliance with care plans.
6. Work closely with practices and patients regarding patient monitoring activities, adhering to assigned practice protocols.
A Day in the Life:
As an RN Care Manager, you'll perform care coordination within the scope of licensure for members with complex and/or chronic care needs. This includes assessing, developing, implementing, coordinating, monitoring, and evaluating care plans to optimize member healthcare across the care continuum.
What Success Looks Like in this Role:
1. Coordinate with patients/caregivers to ensure all physician appointments are made and kept, outpatient therapy is completed, lab/diagnostic testing is performed, and medication reconciliation is done according to protocol.
2. Track and report daily metrics and productivity measures to assess performance and support data-driven decision-making.
3. Ensure an efficient and effective holistic approach for patients/families/caregivers across the care continuum.
4. Maintain effective and professional relationships with patients and other care team members.
5. Engage patients in a therapeutic relationship and demonstrate a personal commitment to a person-centered approach, along with strong relationship-building, communication, and active listening skills.
Requirements:
We're looking for a motivated and experienced RN with a passion for population health. If you have a current, unrestricted RN license in Wisconsin (with the ability to become multi-state licensed, as applicable) and a Bachelor's degree in nursing or Associate Degree in Nursing with 3+ years in critical care, population management, or acute care experience, we'd love to hear from you. Case Manager Certification (CCM) is preferred, as is experience in Utilization Management, Case Management, Disease Management, or Discharge Planning. Prior telephonic care experience and knowledge of population health are also a plus.
What You'll Get:
We're committed to attracting the most insightful and motivated talent by providing a competitive total rewards strategy, volunteering and social engagement activities, and creating company experiences that challenge you to think differently and do different things. As a team member at Navvis, you'll have everything needed to be successful, including a competitive benefits package, including medical, dental, vision, 401K with a safe harbor contribution, and Paid Time Off plan starting at 2+ weeks.
Our Commitment:
Navvis is an equal employment opportunity and affirmative action employer seeking diversity in qualified applicants for employment. All applicants will receive consideration for employment without regard to race, ethnicity, color, gender, gender identity, age, religion, creed, national origin, ancestry, disability, perceived disability, medical condition, genetic information, military or veteran status, sexual orientation, or any other protected status, as defined by applicable law.
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