Nurse Care Manager

2 weeks ago

Tucson, Arizona, United States Suvida Healthcare LLC Full time
About Suvida Healthcare

Suvida Healthcare is a leading provider of healthcare services, dedicated to delivering high-quality care to our patients. We are committed to creating a workplace that values diversity, inclusivity, and compassion.

Job Summary

We are seeking a skilled Nurse Care Manager to join our team at Suvida Healthcare. As a Nurse Care Manager, you will play a critical role in coordinating patient care, ensuring seamless transitions between healthcare settings, and promoting high-quality outcomes.

Key Responsibilities
  • Develop and implement comprehensive care plans for high-risk patients
  • Collaborate with multidisciplinary teams to ensure timely and effective care coordination
  • Conduct thorough assessments of patient needs, identifying social determinants of health and chronic conditions
  • Implement Suvida's care pathways for patients with chronic conditions
  • Oversee transitions of care, ensuring safe and efficient transfers between healthcare settings
  • Communicate effectively with patients, families, and healthcare providers to ensure informed decision-making
  • Utilize data to drive decisions and improve patient outcomes
  • Participate in performance improvement activities to enhance care coordination and patient satisfaction
Requirements
  • Minimum 2 years of experience as a Registered Nurse
  • Minimum 2 years of experience in utilization management, case management, chronic care management, discharge planning, transitions of care management, cost/quality management program, and/or other related field
  • Available to work during assigned clinic business hours
  • Current working knowledge of chronic care management, discharge planning, utilization management, case management, performance improvement and/or managed care reimbursement
  • Competency in chronic care management, pre-acute, and post-acute venues of care, and post-acute community resources
  • Excellent interpersonal communication, leadership, collaboration, and negotiation skills
  • Effective oral and written communication skills
  • Strong technical skills including data analysis and management, competency in Microsoft Office suite, and Electronic Medical Records
  • Strong organizational and time management skills, as evidenced by capacity to prioritize multiple tasks and role components
  • Ability to work independently and exercise sound judgment in interactions with providers, payors, patients, and their families
  • Ability to travel for orientation and as needed (10% or less)
  • Experience with Medicare Advantage, Value-based care, and/or Managed Care desirable
  • Bilingual/Bicultural (English and Spanish) Preferred
Education, Experience, Licensure, or Certification Requirements
  • Bachelor's Degree in Nursing or healthcare related field
  • Master's Preferred
  • Active Arizona or Multi-state Compact Registered Nurse License

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