RN Care Manager - Patient-Centered Health Navigator

Legacy Community Health; Houston (TX); On-site; USD 65,000 - 90,000; Full time

Benefits offered by this job

Paid Time Off & Paid Company Holidays

Medical, Dental, Vision & Life 보험

Flexible Spending Account (FSA)

403(b) Retirement Plan with Company-Ma

Short-Term & Long-Term Disability

$0 Copay for Legacy Provider visits

$0 Copay for prescriptions filled at-L

Travel Insurance & Pet Insurance

Subsidized Gym Membership

And much more!

Job summary

Legacy Community Health seeks an RN Care Manager to coordinate care for high-risk patients with complex medical and social needs. You will assess, plan, implement and monitor services while building trusting relationships across the healthcare system.

You will partner with primary care teams, home care, hospital teams and managed care organizations to minimize avoidable ER visits and hospital admissions, improving outcomes and patient independence.

Qualifications

• Registered Nurse with an active Texas licensure.
• Must maintain BLS/CPR.
• State Board recognized nursing education.
• 3-5 years acute clinical experience.
• 1-2 years case/care management experience.
• Case Management Certification is desirable.
• Motivational interviewing is desirable.

Responsibilities

• Collaborate with multidisciplinary team to address unmet needs of the assigned population.
• Complete telephonic outreach and home/virtual visits as applicable based on patient acuity.
• Perform health risk assessments and disease management aligned with complex conditions.
• Identify psycho-social care needs as part of assessments.
• Provide outreach and interventions for high-utilization patients to prevent avoidable care.
• Develop patient-centered care plans with the care team.
• Coordinate services with primary care, specialists, home care, hospital and managed care teams.
• Record and report quality and patient safety events per Legacy guidelines.

Skills

Customer service

Critical thinking

Motivational interviewing

Spanish bilingual

Education

State Board nursing education

Case Management Certification

Job description

Legacy Community Health seeks an RN Care Manager to coordinate care for high-risk patients with complex medical and social needs. You will assess, plan, implement and monitor services while building trusting relationships across the healthcare system.

You will partner with primary care teams, home care, hospital teams and managed care organizations to minimize avoidable ER visits and hospital admissions, improving outcomes and patient independence.