Nurse Care Management Lead – High-Risk Patient Programs

Astrana Health; Johnston (RI); Hybrid; USD 110,000 - 120,000; Full time

Job summary

A healthcare organization in Johnston, RI, is seeking a Nurse Manager - Care Management to lead telephonic and in-home services for high-risk patients. Candidates should have a strong background in care management, compliance knowledge, and the ability to lead teams. This position also calls for experience with value-based care and excellent communication skills. The role is hybrid, offering a salary of $110 - $120K per year, reflecting the organization's commitment to improving patient outcomes.

Qualifications

• 3+ years of care management or utilization management experience required.
• In-depth knowledge of complex needs assessment and local health delivery systems needed.
• Experience in managing cross-functional teams on large projects is a plus.

Responsibilities

• Manage clinical services and oversee daily clinical activities.
• Ensure compliance with NCQA and HEDIS measures.
• Monitor effectiveness of care management programs.

Skills

Care management experience

Effective communication skills

Team leadership

Knowledge of value-based care

Microsoft Office Suite

Education

BSN in Nursing or related field

Active RN License (RI)

Massachusetts RN license preferred

Job description

A healthcare organization in Johnston, RI, is seeking a Nurse Manager - Care Management to lead telephonic and in-home services for high-risk patients. Candidates should have a strong background in care management, compliance knowledge, and the ability to lead teams. This position also calls for experience with value-based care and excellent communication skills. The role is hybrid, offering a salary of $110 - $120K per year, reflecting the organization's commitment to improving patient outcomes.