Nurse Care Manager

Found in: Resume Library US A2 - 2 weeks ago

Milwaukee Wisconsin, United States HarmonyCares Full time
Overview:
HarmonyCares is one of the nation’s largest home-based primary care practices. HarmonyCares is a family of companies all dedicated to providing high-quality, coordinated health care in the home. This includes HarmonyCares, HarmonyCares Medical Group, HarmonyCares Home Health and HarmonyCares Hospice.

 

Our Mission – To bring personalized, quality-based healthcare to the home of patients who have difficult accessing care.

 

Our Shared Vision – Every patient deserves access to quality healthcare.

 

Our Values – The way we care is our legacy. Every interaction counts. Go the extra mile. Empower and support each other.

 

Why You Should Want to Work with Us

Quarterly Bonuses

Health, Dental, Vision, Disability & Life Insurance, and much more

401K Retirement Plan (with company match)

Tuition, Professional License and Certification Reimbursement

Paid Time Off, Holidays and Volunteer Time Paid

Orientation and Training Day Time Hours (no holidays/weekends)

Great Place to Work Certified

Established in 11 states

Largest home-based primary care practice in the US for over 28 years, making a huge impact in healthcare today

Responsibilities:
The Nurse Care Manager works closely with HarmonyCares Medical Group (HCMG) in home health care continuum and specialty services to maximize the health of the HCMG patients. This position will manage a caseload of high-risk patients where he/she is responsible for managing their care and barriers. These duties will include Transitional Care Management, Chronic Care Management of the HCMG patients.
The Nurse Care Manager’s primary responsibility involves overseeing a caseload of high-rish patients, where they play a crucial role in managing not only the patients’ care but also addressing any potential barriers to their well-being. This entails executing tasks such as Transitional Care Management and Chronic Care Management to ensure comprehensive and effective healthcare support.

 

Essential Duties & Responsibilities

Provides clinical coordination

Prioritize patients based on the severity and urgency of their conditions. Triage is crucial in high acuity settings to ensure that the most critical cases receive immediate attention

Demonstrate strong clinical skills, critical thinking abilities, and effective communication

Prioritize nursing interventions based on the severity of the patient's condition

Collaborate with the patient and multidisciplinary team to develop an individualized care plan based on the identified goals and needs and allocate tasks and interventions to the appropriate team members based on their experience

Collaborates in patient care planning process to assess, monitor and evaluate options and services to meet health needs

Implements a comprehensive clinical care management plan for each patient. Analyses variances from plan and initiates steps to resolve such variances

Spend quality time with our patients and families identifying gaps in care, providing education, and partnering with our continuum in an effort to reduce unplanned hospitalizations and help ensure the right care at the right time

Qualifications:
Required Knowledge, Skills and Experience

Active R.N. License

2 or more years of direct home health experience or care management

Must maintain a valid driver’s license and good driving record

Ability to perform extensive telephone assessment

Knowledge of Medicare regulations and home care and hospice standards

Experience with small group presentations and teaching/training

Understanding of adult learning principles

Exhibits excellent interpersonal skills

Exhibits excellent written and oral skills

Working knowledge of computer programs (email, Word, Excel, PowerPoint, etc.)

Must be self-motivated, independent, structured, organized, very detailed and able to meet deadlines

Preferred Knowledge, Skills and Experience

Bachelor of Science

1 year experience of discharge planning

1 year leadership and/or supervisory experience

#HC

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