In-Home RN Care Manager: Lead High-Risk Patient Care

HarmonyCares; The Ironbound (NJ); On-site; USD 85,000 - 93,000; Full time

Benefits offered by this job

Quarterly bonuses

Health, Dental, Vision & Disability &

401K with company match

Tuition reimbursement

Paid time off

Job summary

HarmonyCares is seeking an experienced Nurse Care Manager to join our home-based primary care team. You will manage a caseload of high-risk patients, coordinate services, and develop patient-focused care plans to improve outcomes.

In this role you will collaborate with pod leaders and care teams, conduct telephone assessments, educate patients and caregivers, and ensure timely follow-up across the care continuum. A valid RN license and at least 2 years in care management are required.

Qualifications

• Active Registered Nurse license and state licensure.
• 2+ years of care management experience in community, health plan or hospital systems.
• Excellent clinical skills and proactive thinking.
• Strong communication and documentation abilities.
• Ability to perform extensive telephone assessments.
• Knowledge of Medicare regulations and home care/hospice standards.
• Experience with teaching/training and small-group presentations.
• Excellent interpersonal, written and oral skills.
• Proficient with email, Word, Excel, PowerPoint, etc.
• Effective time management to complete duties and documentation.

Responsibilities

• Coordinate care services with pod leader to ensure access to comprehensive services.
• Develop and manage personalized care plans and address care gaps.
• Coordinate transitions of care to prevent avoidable hospital admissions.
• Facilitate High Risk Huddles and ensure follow-up actions.
• Prioritize patients based on condition severity to address critical cases.

Skills

RN license

Care management

Clinical skills

Communication skills

Telephone assessment

Medicare regulations

Teaching/training

Interpersonal skills

Time management

Computer literacy

Education

Bachelor of Science in Nursing (BSN)

Job description

HarmonyCares is seeking an experienced Nurse Care Manager to join our home-based primary care team. You will manage a caseload of high-risk patients, coordinate services, and develop patient-focused care plans to improve outcomes.

In this role you will collaborate with pod leaders and care teams, conduct telephone assessments, educate patients and caregivers, and ensure timely follow-up across the care continuum. A valid RN license and at least 2 years in care management are required.