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Nurse Case Manager

2 months ago

Little Rock, Arkansas, United States Sage Health Full time
About Sage Health

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 enriching neighborhood health centers that are easily accessible, provide or arrange for all of our patients' healthcare needs, and partner with Medicare Advantage plans that fully cover primary care. Unlike other physician practices, a Sage Health physician has a patient panel of 400 or less, and we collaborate with the best outcomes-oriented specialists and hospitals in each market. Because we are not a fee-for-service provider and manage patients within a global capitation budget provided by Medicare Advantage plans, our only concern and motivation is to keep our seniors healthy.

Sage Health is a destination for the best risk provider talent in the country who are building the new standard-bearing senior model for the United States.

We are committed to creating a diverse and inclusive work environment that values and respects all individuals. All 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.

About the Role

The Nurse Case Manager (RN) is a critical member of our healthcare team, responsible for implementing and reviewing healthcare plans for patients who are geriatric, recovering from serious injuries, or dealing with chronic illnesses. This role requires strong clinical assessment skills, experience with chronic disease management, and the ability to work in a fast-paced environment.

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 the following: clinical support staff, physician, 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.
  • Assist primary care physicians in executing virtual appointments in patients' homes.
  • Maintain a state of readiness for health plan audits, local, state, and federal inspections.
  • Responsible for staying up to date and knowledgeable of all nursing regulations in support of the clinical staff.
  • Perform other duties as assigned.
Qualifications
  • REQUIRED QUALIFICATIONS:
  • 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) an essential requirement of this role. Candidates located in states that mandate COVID-19 booster doses must also comply with those state requirements.
Preferred Qualifications
  • 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
Company Perks
  • 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 is also offered.
  • A 401k 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.