Nurse Care Manager, Praxis Health

Praxis Health; Austin (TX); Remote; USD 62,000 - 77,000; Full time

Job summary

Praxis Health seeks a Nurse Care Manager to join our remote team. You will advocate for patients, review records, and coordinate follow-up to reduce unnecessary ED visits while educating patients on care options.

The role emphasizes cross-functional collaboration with care teams, adherence to protocols, and ongoing education to support high-quality, efficient patient outcomes.

Qualifications

• Associate Degree in Nursing (ADN), or Bachelor of Science in Nursing (BSN).
• Strongly preferred: additional coursework in care coordination or population health.
• At least three years of clinical experience in ambulatory care, care coordination, transitional care, or discharge planning.
• Proficient in EHR documentation and multidisciplinary team collaboration.
• Experience collaborating with multidisciplinary care teams.
• Current RN license (Oregon, Washington and/or Idaho) in good standing; willingness to obtain Praxis licenses as needed.
• Valid driver's license and reliable transportation if travel between sites is required.

Responsibilities

• Serve as a patient advocate and navigator through the healthcare system.
• Review provider notes and discharge summaries to provide education based on best practices.
• Complete follow-up calls to reduce avoidable ED visits and guide patients to appropriate care.
• Perform medication and allergy reconciliation with patients and caregivers.
• Facilitate medication education and adherence support per protocols and goals.
• Identify and support high-risk patients through proactive care coordination.
• Communicate clinical updates to PCPs and ensure timely follow-up.

Skills

Care coordination

Patient advocacy

EHR proficiency

Communication

Multitasking

Education

ADN/BSN

Tools

EHR systems

Microsoft Office 365

Job description

Join Our Team as a Nurse Care Manager!

Remote opportunity for residents of Oregon, Washington, and Idaho.

Compensation

$30-$37/hour, depending on experience

Schedule

Full-time; Monday–Friday, 8-hour shifts, or four 9-hour shifts per week

We are excited to share with you a short video that shows why the Praxis Health family is so special.

Essential Duties and Responsibilities

• Serve as a patient advocate and navigator, guiding patients and caregivers through the healthcare system
• Review provider notes, discharge summaries, and clinical documentation to provide personalized patient education based on condition-specific knowledge and best practices
• Complete emergency room and hospital follow-up calls, offering education on alternative access points (e.g., urgent care, same-day appointments, telehealth) to reduce avoidable ED visits
• Perform comprehensive medication and allergy reconciliation with patients, caregivers, or facilities; verifying names, dosages, and frequencies per clinical protocols
• Facilitate medication education and adherence support, including alignment with standing orders, protocols, and chronic disease management goals
• Identify and support high-risk patients, including those with chronic conditions, frequent hospitalizations, or complex care needs, through proactive care coordination and outreach
• Communicate clinical updates to Primary Care Providers (PCPs), ensuring timely follow-up appointments within the appropriate care windows
• Coordinate continuity of care across settings (e.g., inpatient, outpatient, specialty, post-acute), including referrals and collaboration with external providers and facilities
• Collaborate with interdisciplinary care teams, including primary care, chronic care management, and the Quality department, to identify barriers to care and improve care delivery
• Actively participate in system-wide quality and population health initiatives, including but not limited to:
  • Medication adherence programs
  • Statin use monitoring
  • High-cost care management
  • Emergency department utilization reduction
  • Advance care planning
  • Reduction in readmission
• Monitor daily reports and EHR-based alerts to identify patients in need of outreach or follow-up based on clinical risk or recent utilization
• Maintain timely, complete, and compliant documentation of all patient interactions, care coordination activities, lab orders, charges, and communications within the EHR
• Coordinate patient documentation needs, including requesting and organizing medical records in compliance with organizational and regulatory standards
• Promote effective communication across care teams, ensuring awareness of care plans, follow-up needs, and changes in clinical status
• Evaluate care delivery processes and contribute to the development and refinement of workflows, tools, and procedures to support quality and efficiency
• Participate in internal and external improvement initiatives, collaborative partnerships, and payor-aligned programs focused on patient outcomes and system performance
• Support onboarding and mentoring of clinical team members as appropriate to experience and licensure
• Complete assigned EHR tasks and responsibilities accurately and on time, as delegated by leadership
• Maintain compliance with state licensure requirements and practice within the legal scope of an RN or LPN, as applicable
• Stay current with required continuing education, certifications, and competencies
• Adhere to all HIPAA, privacy, and security standards, as well as organizational policies
• Demonstrates a consistently professional, respectful, and constructive attitude in all interactions. Fosters a positive, team-oriented work environment by building trust, encouraging collaboration, and communicating effectively with team members, clients, and leadership
• Maintain professionalism, adaptability, and respect in all interactions to support a positive, team-oriented work environment
• Demonstrates professionalism, reliability, and teamwork in all interactions
• Actively contributes to a culture of respect, accountability, and collaboration
• Perform other duties as assigned, which may include additional responsibilities that are essential to the operation of the department or company

Qualifications

EducationRequired

Associate Degree in Nursing (ADN), or Bachelor of Science in Nursing (BSN).

Strongly Preferred

Additional coursework in care coordination or population health preferred

ExperienceRequired

• At least three years of clinical experience in ambulatory care, care coordination, transitional care, or discharge planning preferred
• Proficient in EHR documentation and experience in multidisciplinary team collaboration
• Experience collaborating with multidisciplinary care teams

Preferred

• Experience working with high-risk patient populations, acute care, chronic disease management, or value-based care models
• Prior involvement in quality improvement initiatives, population health programs, or patient navigation

Licensure/CertificationRequired

• Current RN license (Oregon, Washington and/or Idaho) in good standing in state of practice; willingness to obtain additional licensure in Praxis states as needed
• Valid driver’s license and reliable transportation if travel between sites is required

Preferred

• Certification in Care Coordination, Case Management, or related fields (e.g., CCM, CCTM, CHW)
• Current Basic Life Support (BLS) certification

Knowledge, Skills, and Abilities

• Knowledge of medical terminology, vital sign collection, and basic clinical procedures
• Proficiency in using EHR systems and Microsoft Office 365 applications (including SharePoint)
• Ability to multitask, prioritize, and maintain attention to detail
• Strong interpersonal and communication skills
• Ability to work independently and as part of a team
• Commitment to maintaining patient confidentiality and professionalism at all times

Work Environment and Physical Requirements

Remain seated in a stationary position for prolonged periods of time. Requires frequent computer use and ability to remain seated for extended periods. Must be able to communicate clearly and occasionally lift up to 20 pounds. Visual acuity for computer work, working full shift on multiple computer monitors. Regularly talk and listen to staff and patient/caregivers. Reach with hands or arms. No heavy lifting is expected, although occasional lifting of up to 20 lbs. (example: lifting a computer/laptop/monitor) may be required.

About Our Company

Praxis Health is a family of medical groups providing high-quality healthcare throughout the state of Oregon. Our community-based clinics are the DNA of our business, providing better medicine, advocacy for our patients, and a satisfying and collaborative culture for our providers and staff. The Praxis family approach is dynamically different from other healthcare companies in Oregon. We are not “big box” health care, but rather a company of small groups and clinics, of nimble micro-cultures that can quickly adapt to industry changes, as well as patient needs. We have been serving communities across the beautiful and adventurous state of Oregon for over 50 years! And we are pioneers and thought leaders in the industry. Our commitment to innovative and operational excellence has allowed us to create healthcare solutions that are both cost-efficient and cutting-edge. Come see how healthcare is done right!

General Physical Requirements

While performing the duties of this job, the employee is regularly required to stand; walk; use hands to finger, handle, or feel; reach with hands and arms and talk or hear. The employee is occasionally required to sit and stoop, kneel, crouch. The employee must regularly lift and/or move up to 10 pounds, frequently lift and/or move up to 25 pounds and occasionally lift and/or move up to 50 pounds.

Work Environment

Combination of medical office and exam/procedure room settings.

OSHA Category

This position performs tasks that involve exposure to blood, body fluids, and/or tissues. All employees performing these duties are offered the opportunity to receive the Hepatitis-B vaccination series.