Outpatient RN Care Manager, Per Diem

St. Luke’s University Health Network; Allentown (Lehigh County); On-site; USD 65,000 - 90,000; Full time

Job summary

St. Luke's University Health Network is seeking an Outpatient Care Manager to coordinate care for patients and proactively manage ongoing needs across providers, clinics and care teams.

You will support pre-visit planning, follow-up scheduling within 48 hours, and development of individualized care plans while leveraging EHR systems and quality tools to improve outcomes across diverse patient populations.

Qualifications

• 3+ years of direct patient care experience.
• Current CPR or equivalent.
• Proficient in Excel and Word.

Responsibilities

• Coordinate care for patients on providers’ daily schedules and for those not on schedule.
• Perform pre-visit planning by reviewing schedules and patient charts.
• Schedule follow-up primary care visits within 48 hours of ED visit, urgent care, or discharge.
• Develop individualized treatment plans including follow-up, labs and care coordination.
• Track follow-up visits with specialists for complex patients.
• Coach patients on discharge instructions, medications and adherence.
• Facilitate information flow between hospitals, long-term care facilities, home health, and primary care.
• Identify high-risk patients with the care team and support preventive and chronic care processes.
• Utilize EHR, chronic disease registry and quality reporting tools to manage patient care.
• Ensure adherence to medical plans and screenings; connect patients with community resources.
• Verify access to behavioral health screening tools within practice workflows.

Skills

CPR

Direct patient care

Education

RN degree and license (PA & NJ)

Tools

Excel

Word

Job description

St. Luke's is proud of the skills, experience and compassion of its employees. The employees of St. Luke's are our most valuable asset! Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care. The Outpatient Care Manager is responsible for assisting the care team (providers, medical assistants, nurses, and additional clinical personnel.) by coordinating care for patients on providers’ daily schedules, and by proactively managing and coordinating care for patients not on the schedule so as to offer complete preventive and/or chronic care for all St. Luke's Physician Group patients.

JOB DUTIES AND RESPONSIBILITIES:

• Responsible for pre-visit planning; reviews provider schedules and individual patient charts in order to assist the care team to coordinate care for visits and future healthcare needs.
• Monitors and/or schedules follow-up primary care visits within 48 hours of ED visit, urgent care appointment, or hospital discharge.
• Responsible for working with patient and patient’s care team to develop an individualized treatment care plan – including follow-up appointments, labs and other care coordination.
• Tracks follow-up visits with appropriate specialists for complex patients.
• Communicates with and coaches patients to ensure that they are aware of discharge instructions; have necessary prescriptions; have access to medications and understand how to take the necessary medications, including what to look for regarding adverse events as per their care givers’ instructions.
• Facilitates the information flow between hospitals, long-term care facilities, home health representatives, and the patient’ s primary care team.
• Works with providers, clinical staff members, and clerical staff members to help identify high risk, high need patients.
• Assists physicians and other care team members in implementing processes for best practices in preventive services, chronic care and disease management.
• Utilizes electronic health record, chronic disease registry, and other quality reporting software to capably manage the care of individual patients and populations.
• Works collaboratively with providers and the care team to ensure patient adherence to medical plan of care, including all appropriate preventive and disease-specific screenings, interventions, and treatment goals – including self-management goals.
• Identifies, utilizes, and properly directs patients to cultural and community resources.
• Verifies that practices have necessary behavioral health screening tools.

PHYSICAL AND SENSORY REQUIREMENTS:

• Requires sitting, standing, and walking for extended periods of time (up to 8 hours at a time)
• Requires continual use of fingers for patient care, writing and handling patient charts.
• Routine use of upper extremities: occasional requirement to left items up to 25 pounds.
• Regularly requires ability to stoop, bend, reach above shoulder level, and climb stairs.
• Requires the ability to hear normal conversation and good general, near and peripheral vision.

EDUCATION:

• RN degree and license for the appropriate state (PA & NJ,) required.

TRAINING AND EXPERIENCE:

• 3+ years of direct patient care experience.
• Current CPR or equivalent.
• Proficient in Excel and Word.

St. Luke's University Health Network is an Equal Opportunity Employer. Founded in 1872, St. Luke’s University Health Network (SLUHN) is a fully integrated, regional, non-profit network of more than 23,000 employees providing services at 16 campuses and 350+ outpatient sites. With annual net revenue in excess of $4 billion, the Network’s service area includes 11 counties in two states: Lehigh, Northampton, Berks, Bucks, Carbon, Montgomery, Monroe, Schuylkill and Luzerne counties in Pennsylvania and Warren and Hunterdon counties in New Jersey. St. Luke’s hospitals operate the largest network of trauma centers in Pennsylvania, with the Bethlehem Campus being home to St. Luke’s Children’s Hospital. SLUHN is the only Lehigh Valley-based health care system to earn Medicare’s five-star ratings (the highest) for quality, efficiency and patient satisfaction. It is both a Leapfrog Group and Healthgrades Top Hospital and a Newsweek World’s Best Hospital. The Network’s flagship University Hospital has earned the 100 Top Major Teaching Hospital designation from Premier 13 times total and eleven years in a row, including in 2023 when it was identified as THE #4 TEACHING HOSPITAL IN THE COUNTRY. In 2021, St. Luke’s was identified as one of the 15 Top Health Systems nationally. St. Luke’s is the ONLY health care institution in the Lehigh Valley to be named a Top Workplace regionally repeating the exclusive honor for the third year in a row. Also, for the third straight year, St. Luke’s has been a Top Workplaces in the Philadelphia Region by the Philadelphia Inquirer, ranking 9th in the large employer category for 2025 and the only health care system in PA to receive this award. In 2025, St. Luke’s was recognized as a national Top Workplaces by USA Today, three years in a row, including the 3rd best health care system in the nation in 2023 and 2024. Lastly, in 2025, St. Luke’s was named a Top Workplace in New Jersey for the third year in a row. Learn More Here.