Medicare Value-Based Care Nurse Leader

Four Rivers Community Health Center; Rolla (MO); On-site; USD 65,000 - 90,000; Full time

Job summary

Four Rivers Community Health Center is seeking a Value-Based Care Nurse Care Manager to support Medicare patients within our care coordination program in Rolla, Missouri. You will identify high-risk patients, close care gaps, coordinate transitions, and drive preventive and chronic disease management using population health data and EHR insights.

The role operates within nursing scope (RN or LPN) and emphasizes collaboration with interdisciplinary teams, documentation accuracy, and continuous

Qualifications

• Missouri RN or LPN license (unrestricted).
• Graduate of an accredited nursing program.
• Strong communication, organization, documentation, and patient engagement skills.

Responsibilities

• Identify high-risk patients, close care gaps, and improve quality and outcomes.
• Coordinate care transitions and follow-up after hospitalizations or ED visits.
• Review records and data to identify risks and intervention opportunities.
• Collaborate with providers and interdisciplinary teams to coordinate services.

Skills

Nursing license

Communication

Care coordination

Education

RN or LPN degree

Job description

Four Rivers Community Health Center is seeking a Value-Based Care Nurse Care Manager to support Medicare patients within our care coordination program in Rolla, Missouri. You will identify high-risk patients, close care gaps, coordinate transitions, and drive preventive and chronic disease management using population health data and EHR insights.

The role operates within nursing scope (RN or LPN) and emphasizes collaboration with interdisciplinary teams, documentation accuracy, and continuous