Nurse Case Manager
2 weeks ago
We believe that all seniors, regardless of their financial situation, deserve access to high-quality, concierge-style primary care and wellness services without the associated fees. They've earned it.
Sage Health is dedicated to building a network of neighborhood health centers that are easily accessible, provide comprehensive care, and partner with Medicare Advantage plans to cover primary care costs. Unlike traditional physician practices, our physicians have a patient panel of 400 or less, and we collaborate with top specialists and hospitals in each market to ensure the best possible outcomes.
Our goal is to keep our seniors healthy, and we achieve this by managing patients within a global capitation budget provided by Medicare Advantage plans. This approach allows us to focus on preventive care and early interventions, rather than just treating illnesses.
Sage Health is a destination for top risk management professionals who are building a new standard for senior care in the United States.
Equal Employment OpportunityAll applicants are considered for all positions without regard to race, religion, color, sex, gender, sexual orientation, pregnancy, age, national origin, ancestry, physical/mental disability, medical condition, military/veteran status, genetic information, marital status, ethnicity, citizenship or immigration status, or any other protected classification, in accordance with applicable federal, state, and local laws.
By completing this application, you are seeking to join a team of dedicated professionals who are committed to delivering exceptional service to our customers and contributing to the financial success of the organization, its clients, and its employees.
About the RoleThe Nurse Case Manager (RN) is responsible for implementing and reviewing healthcare plans for patients who are geriatric, recovering from serious injuries, or dealing with chronic illnesses. This role requires collaboration with doctors and other medical professionals to provide comprehensive care to assigned patients.
Key Responsibilities:- Ensure patient information remains secure and confidential.
- Maintain a safe, secure, and healthy work environment by following Sage Health policy and procedures, complying with legal regulations.
- Create and manage the plan of care for patients with chronic or serious conditions such as diabetes, heart disease, chronic heart failure, and cancer, etc.
- Advocate for personalized treatment options that address a patient's unique care needs.
- Schedule patients' hospital post-discharge appointments within 72 hours (3 days) post-discharge and follow up to ensure they attended.
- Communicate about a patient's health condition with the patient and their family.
- In collaboration with the patient's primary care physicians, offer education and guidance for navigating complex medical decisions.
- Serve as a liaison between patients and their insurance providers to promote quality, cost-effective care with the best patient outcomes.
- Verify daily Sage Health patient hospital census and planned discharges.
- In collaboration with the Chief Medical Officer or designee, identify and provide appropriate resources and information to assist patients and their family members related to their diagnosis.
- Hold regular cadence of meetings and communications with clinical support staff, physicians, and operations leadership.
- Assist primary care physicians in executing virtual appointments in patients' homes.
- Ensure the overall quality of healthcare for each patient.
- Ensure patient electronic health records are updated with the most recent medical treatments.
- Perform other duties as assigned.
- B.S. Degree in Nursing.
- Valid and active Registered Nurse license in the state of employment.
- Certification in Basic Life Support.
- 2-3 years' experience working in an inpatient, outpatient (e.g., Home Health, Hospice, or health plan case management).
- Strong knowledge of clinical assessment skills and experience with chronic disease management.
- Experienced working in medically underserved/culturally diverse communities.
- Excellent interpersonal, written, and verbal communication skills.
- Must be organized and attentive to detail.
- Ability to manage competing priorities.
- Ability to work in a fast-paced environment.
- Resourcefulness in problem-solving.
- Able to take and follow through with assigned tasks and accountability.
- Valid driver's license, car insurance, and access to an automobile.
- Must be able to travel between multiple healthcare facilities (e.g., centers, hospitals, skilled nursing facilities, and patient homes).
- Strong knowledge of clinical assessment skills and experience with chronic disease management.
- Experience working with an electronic health record.
- Must be skilled in web navigation and use of mobile hotspots.
- Experience with Microsoft Office Word, Outlook, and Excel.
- Full COVID-19 vaccination (including boosters) is an essential requirement of this role.
- Certification in Case Management (e.g., ACM (Accredited Case Manager) or CCM (Case Manager Certification) CCM).
- Managed care experience (e.g., Medicare HMO, D-SNP).
- Motivational interviewing.
- Bilingual Spanish and English.
Sage Health offers a comprehensive benefits package, including:
- Medical, Dental, and Vision benefits with generous employer-provided contributions to offset per-paycheck premium costs.
- 3 different medical plan options to provide flexibility to meet personal needs, including 2 PPO options and a CDHP plan that includes a company-provided $500/month HSA contribution.
- Healthcare & Dependent Care Flexible Savings Accounts (FSAs).
- Access to Employee Assistance Program (EAP) for personal support and work-life benefits.
- Employer-paid Life Insurance, Short-term and Long-term Disability benefits.
- Optional voluntary life insurance.
- A 401(k) retirement plan offered through Transamerica for long-term financial security.
- Flexible time off, including PTO, 7 paid company holidays, and 2 floating holidays.
- Opportunities for career growth and advancement within the company.
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