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RN Care Manager
2 months ago
We are seeking a highly skilled RN Care Manager to join our team at Wellvana Integration Partners, LLC. As a RN Care Manager, you will play a critical role in managing the holistic needs of rising risk and high-risk patients, streamlining the quality and delivery of care, and improving health outcomes.
Key Responsibilities- Telephonically engage assigned patients to specified cadence and frequency based on healthcare status and need, building relationships and trust to support the patient and assist them as they navigate the healthcare ecosystem.
- Enroll patients in designated programs based on chronic conditions or recent events, ensuring patient adherence to assigned care plans and prescribed medications.
- Coordinate with aligned practices to ensure timely visits and follow-ups based on protocols for chronic condition and discharge management, close care gaps, and monitor timely refills to medications.
- Perform whole-person assessments for identified individuals, including physical, social determinants of health, and psychological barriers and concerns, leveraging multi-disciplinary team members to address and resolve issues.
- Identify problems or gaps in care and offer opportunities for intervention, collaborating as needed with providers and other healthcare team members to transition and facilitate care across the healthcare continuum.
- Provide insights and recommendations for hospice and palliative eligible patients, implementing a member-centric care management plan that addresses practitioner care goals, member/family concerns, and available resources.
- Maintain accurate and timely documentation, ensuring documentation meets current standards and policies, and meet established goals for productivity, including panel size, enrollment, retention, quality, and standard call center metrics.
- Associates degree in nursing required, BSN preferred.
- Must hold a current/active TN compact RN license.
- Minimum two years of nursing-related care experience, preferably in a primary care office or call center setting.
- Case Management, Care Management, Care Coordination, telephone nursing management, and/or Disease Management experience.
At Wellvana Integration Partners, LLC, we are committed to revolutionizing the healthcare system by delivering life-changing healthcare. We believe in empowering healthcare providers to deliver high-quality, patient-centered care, and we are seeking like-minded professionals to join our team.
