Nurse Care Manager

We are excited to announce we are hiring a Nurse Care Manager in the Rhode Island and Massaachusetts. This is a remote position, this individual will need to be self motivated, high energy and knowledable. The Summary is listed below; if this is an opportunity that you are interested please reach out, I am looking forward to speaking with you!!!

SUMMARY

Acts as an advocate for the patient in all activities including nursing assessments, care coordination, care plan development, and communication
Completes an initial and ongoing patient assessment, including a medical record review where available
Documents current advance care directive status and ongoing efforts to reconcile patient/caregiver goals with the current clinical status
Initiates and maintains ongoing communications with clinicians and primary care physician
Engages with families/responsible parties to collaborate on plan of care and discussion of the ongoing management of the patient’s condition
Coordinates care needs are met across the continuum of care delivery model, as the point of contact for patient/caregiver and clinicians
Acts as liaison between providers, nursing facilities, hospitals and program staff, including making recommendations about care alternatives or equipment that will aide in the safety of the patient while promoting optimal clinical outcomes
Monitors patient progress against plan of care goals with an emphasis on patient care needs during transitions and health changes
Monitors patient during admissions and provides nursing/assisted living facility and provider training on program philosophy and approach to patient care
Educates patients and/or families/responsible parties on disease processes and ways to manage disease progression as independently as possible
Identifies and reports any quality-of-care issues and maintains HIPAA compliance as it relates to patient care


EDUCATION AND EXPERIENCE

Current RN License is required, BSN is preferred
1+ years of utilization management experience preferred
3+ years of clinical practice in a hospital, clinic, home care, or nursing home setting highly desired
Case management experience highly desired
Disease management and/or physician office experience desired
Knowledge and use of PC applications (such as Outlook, Word and Excel) required
Experience documenting patient information in an EMR system is a plus

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Reference number US_EN_2_108175_334158