Care Manager II

Health Prime International; Oxon Hill (MD); On-site; USD 65,000 - 85,000; Full time

Job summary

Health Prime International in Oxon Hill, MD, seeks a dedicated individual to manage care transitions and enhance patient education. The ideal candidate will have at least a B.S. in Nursing and a valid Maryland medical license. Responsibilities include coordinating care for high-risk patients and implementing care models like ACOs and PCMH.

We look for someone who is team-oriented, compassionate, and committed to providing quality care. Strong interpersonal communication skills are essential for effective patient engagement.

Qualifications

• 3-5 years of direct practice experience in inpatient, partial, and/or outpatient settings preferred.
• Working knowledge of value based care models such as ACOs, PCMH, and MACRA/MIPS.

Responsibilities

• Manage care transitions from ER, hospital, and nursing home.
• Coordinate individual care planning for high risk patients.
• Implement Clinical Quality Improvement (CQI) activities.
• Provide patient education plans and validate understanding.

Skills

Exceptional oral and written communication skills

Strong interpersonal skills

Basic computer skills

Ability to effectively engage patients

Education

B.S. Degree in Nursing

Current valid and unrestricted medical license in Maryland (RN, Ph.D, LMSW/LCSW, MHC, LLP, LPC)

Job description

HPI provides a full line of practice management and back office services for physicians and hospital‑owned physician groups throughout the USA. Services include: Revenue Cycle Management, Electronic Health Records, ACO and MSO development, practice management, transcription, call center, coding and compliance, IT infrastructure and support/facility development. We are located in National Harbor, MD, right outside of DC!

Physician Practice Management, Physician Services, ACO and MSO Development, Health Care Consulting and Project Management

Job Description

DUTIES:

Manage care Transitions from ER, Hospital and Nursing Home, coordinated with primary care provider staff and hospital staff

Individual Care Planning for High Risk Patient and Prevention/wellness visits - coordinate efforts with payer /vendor care manager(s) team, primary care provider and his support team as well as community resources

Coordination of Clinical Quality Improvement (CQI) Activities

Coordinates, provides and documents patient education plan using standard based practice guidelines. Interacts effectively with patients, providing instruction and information, both written and verbal, as appropriate. Validates patients understanding of care/intervention recommendations.

Provides training and updates on EMR usage and workflow

NECESSARY ATTRIBUTES:

Exceptional oral and written communication skills

Strong interpersonal skills

Demonstrated ability to collaborate effectively in team setting

Basic computer skills

Ability to effectively engage patients

Qualifications

QUALIFICATIONS:

B.S. Degree in Nursing

Current valid and unrestricted medical license in the State of Maryland (RN, Ph.D , LMSW/LCSW, MHC, LLP, LPC, etc.)

3 – 5 years of direct practice experience in settings that include inpatient, partial, and/or outpatient preferred

Working knowledge of value based care models such as ACO’s, PCMH, and MACRA/MIPS

Additional Information

The ideal candidate is someone who is always looking to do more, be a great asset to the team, and provide excellent patient care. He or she is a self‑starter and does not wait to be directed to perform daily functions. In order to be successful in this position you have to be an outgoing and driven individual who is compassionate to the needs of others.