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Care Manager I 2836

CentroMed

Napier

On-site

NZD 60,000 - 80,000

Full time

30+ days ago

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Job summary

An established industry player is seeking a dedicated Care Manager to oversee care management for patients. This role involves collaborating with patients, caregivers, and healthcare providers to address medical, behavioral, and social needs while ensuring timely and cost-effective care. The Care Manager will enhance patient care through education, communication, and resource management. This is an exciting opportunity to make a significant impact on patient outcomes and contribute to a positive healthcare environment. If you are passionate about patient care and thrive in a collaborative setting, this position is perfect for you.

Qualifications

  • Graduation from an accredited nursing school with a current LVN license is required.
  • Strong communication and problem-solving skills are essential.

Responsibilities

  • Manage care for high-risk patients and improve their care plans.
  • Educate patients and families about health conditions and resources.
  • Maintain detailed records and participate in quality improvement programs.

Skills

Written Communication Skills
Oral Communication Skills
Attention to Detail
Problem-Solving Skills
Bilingual/Bicultural

Education

Graduation from an accredited school of Nursing
LVN License

Job description

Description

JOB SUMMARY

The Care Manager is responsible for care management and resource management for an assigned registry of patients through collaboration with patients, their caregivers, and providers. They will work to identify patients' medical, behavioral, and social needs and identify barriers to care. The Care Manager monitors both concurrent reviews to ensure that the patient is getting the right care in a timely and cost-effective way and retrospective reviews after treatment has been completed. The Care Manager ensures that available resources are being used in a timely and cost-effective manner in order to obtain value for patient, payer, and provider.

DUTIES AND RESPONSIBILITIES

  1. Provides care management to high-risk and rising-risk health plan patients.
  2. Manages assigned patient registry to improve risk score and utilization of resources.
  3. Develops and advances care plans and timely completion of goals.
  4. Promotes quality and improves patient care by enhancing education and communication between the patient and the care team, developing and advancing care plans, care monitoring and care transitions, and routine assessment of barriers to care.
  5. Provides education to patient, family, and caregivers on health conditions, medications, prevention of adverse outcomes, available resources, and appropriate utilization and access to resources.
  6. Ensures all involved are up to date on the latest test results and information.
  7. Proactively identifies problems and promptly initiates appropriate actions.
  8. Keeps up-to-date and detailed records on all patients.
  9. Participates in the agency’s CPI Program.
  10. Performs other duties as required.

Requirements

  1. Education: Graduation from an accredited school of Nursing. Minimum of LVN License; Must maintain current licensure with the Texas Board of Nurse Examiners.
  2. Other: Strong written and oral communications skills, attention to detail, and flexibility. Bilingual/Bicultural (preferred); Capable of working well in a diverse team environment; ability to maintain a professional attitude and demeanor at all times including high-pressure situations; must demonstrate problem-solving skills.
  3. Must be able to perform the essential functions of the position.
  4. Must be able to meet the attendance requirements of the position.
  5. Must not pose a direct threat to the health or safety of other individuals in the workplace.
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