RN Care Manager

P3 Health Partners; Medford (IN); Hybrid; USD 85,000 - 95,000; Full time

Job summary

P3 Health Partners is seeking an RN Care Manager to ensure high-risk patients receive coordinated, continuous care in a hybrid in-office and telephonic setting.

You will use the nursing process to assess, plan, implement and evaluate care, develop and monitor care plans, collaborate with Medical Management, and promote self-management with patients and families. Licensure in NV/AZ/OR/CA and SNP/managed care experience are preferred.

Qualifications

• RN with current licensure in NV/AZ/OR/CA
• Case management certification or ability to obtain within two years
• CPR certification or ability to obtain within 60 days
• Graduate from an Accredited School of Nursing; Bachelor's preferred

Responsibilities

• Promote the mission, vision and values of P3 Health Partners
• Conduct comprehensive patient assessments via records, clinician and patient interviews, telephonic and face to face
• Develop, implement and evaluate patient care plans
• Collaborate with Medical Management on care plans and patient progress
• Identify care needs and barriers to care; develop plans to improve
• Prepare documentation per timelines and policy
• Coordinate care for high-risk patient population
• Support patients and families to promote self-management and meet goals
• Build relationships with PCPs and internal/external customers
• Address gaps in care

Skills

Clinical judgment

Care management

SNP experience

Managed care

Utilization review

Discharge planning

Communication skills

Computer skills

Organizational skills

Education

Bachelor's degree in Nursing

Job description

People. Passion. Purpose.

At P3 Health Partners, our promise is to guide our communities to better health, unburden clinicians, align incentives and engage patients.

We are a physician-led organization relentless in our mission to overcome all obstacles by positively disrupting the business of health care, transforming it from sickness care into wellness guidance.

We are looking for a RN Care Manager. If you are passionate about your work; eager to have fun; and motivated to be part of a fast-growing organization, then you should consider joining our team.

Work Location & Schedule

This role offers a hybrid work arrangement. Candidates will follow our hybrid schedule, working in office three days per week.

Overall Purpose:

This position is responsible for ensuring that assigned patient population(s) receive continuous, comprehensive and coordinated care throughout the continuum. Through case finding, data and other tools, high risk patients will be identified and guided to enhance the achievement of the Quadruple Aim: improved outcomes, improved experience of care for patients and providers and lower healthcare costs.

The Care Manager will utilize the nursing process of assessment, planning, implementation and evaluation as well as clinical judgment. Interventions with patients and / or stakeholders may be face to face or telephonic. The Care Manager may be responsible for activities overlapping with utilization review and quality management programs.

Essential Job Functions:

• Promote the mission, vision and values of P3 Health Partners
• Responsible for comprehensive patient assessments through medical records, clinician and patient interviews, telephonic and / or face to face
• Develops, implements and evaluates patient care plans
• Collaborates with Medical Management teams regarding care plans and patient's progress
• Identifies care needs and barriers to care. Develops plans to improve
• Prepares documentation, as per timelines and policy
• Coordinates care for assigned high risk patient population
• Works with patients, families and care-givers to promote self- management and meet care plan goals
• Builds relationships with PCPs, internal and external customers
• Addresses gaps in care

Experience:

• Strong clinical judgment and problem -solving skills required
• Experience in Care Management preferred
• Experience with Special Needs Programs [SNPs] preferred
• Managed care experience preferred
• Utilization review and discharge planning experience preferredExcellent communication skills with patients, providers, internal and external customers required
• Must have excellent computer skills
• Must have excellent organizational skills and ability to work independently, with minimal supervision

Licensure / Certification:

• Ability to obtain and maintain current registration to practice as a Registered Nurse in Nevada, Arizona, Oregon, and California
• Certification in case management or ability to obtain within two years of employment
• CPR certified or ability to obtain within 60 days of employment

Education:

Graduate from an Accredited School of Nursing or other applicable clinical role. Bachelor's degree in Nursing preferred.

Pay range: $85,000-95,000 depending on experience