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Telephonic RN Nurse Care Manager-Remote in Montclair, NJ
HarmonyCares
Montclair (NJ)
Remote
USD 92,000 - 112,000
Full time
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Job summary
An established industry player in home-based healthcare is seeking a Telephonic RN Nurse Care Manager. In this pivotal role, you will enhance health outcomes for high-risk patients by managing their care and coordinating with a dedicated team. Your expertise in clinical skills and effective communication will be crucial as you develop personalized care plans and educate patients on health maintenance. This forward-thinking organization offers a supportive work environment, competitive compensation, and a commitment to quality healthcare. Join us in making a significant impact on patient lives from the comfort of their homes.
Benefits
Qualifications
- Active Registered Nurse License required.
- 2+ years of care management experience preferred.
- Strong clinical skills and effective communication are essential.
Responsibilities
- Manage a caseload of high-risk patients and coordinate their care.
- Develop and manage personalized care plans with the care team.
- Educate patients on disease management and health maintenance.
Skills
Education
Tools
Job description
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Overview
HarmonyCares is one of the nation’s largest home-based primary care practices. HarmonyCares is a family of companies all dedicated to providing high-quality, coordinated health care in the home. This includes HarmonyCares, HarmonyCares Medical Group, HarmonyCares Home Health and HarmonyCares Hospice.
Overview
HarmonyCares is one of the nation’s largest home-based primary care practices. HarmonyCares is a family of companies all dedicated to providing high-quality, coordinated health care in the home. This includes HarmonyCares, HarmonyCares Medical Group, HarmonyCares Home Health and HarmonyCares Hospice.
Our Mission – To bring personalized, quality-based healthcare to the home of patients who have difficult accessing care.
Our Shared Vision – Every patient deserves access to quality healthcare.
Our Values – The way we care is our legacy. Every interaction counts. Go the extra mile. Empower and support each other.
Why You Should Want to Work with Us
- Quarterly Bonuses
- Health, Dental, Vision, Disability & Life Insurance, and much more
- 401K Retirement Plan (with company match)
- Tuition, Professional License and Certification Reimbursement
- Paid Time Off, Holidays and Volunteer Time Paid
- Orientation and Training Day Time Hours (no holidays/weekends)
- Great Place to Work Certified
- Established in 11 states
- Largest home-based primary care practice in the US for over 28 years, making a huge impact in healthcare today!
Responsibilities
The Nurse Care Manager is an integral member of the care team and is vital to enhancing the health outcomes of HCMG patients. This position will manage a caseload of high-risk patients where he/she is responsible for managing their care and barriers. These duties will include, but are not limited to Transitional Care Management, Chronic Care Management, Disease Management Education, Medication Education, and the development and management of patient care plans. The Nurse Care Manager will serve as co-chair of the pod alongside the pod leader, focusing on driving and prioritizing patient needs to improve patient outcomes.
Essential Duties & Responsibilities
- Coordinates care services with pod leader to ensure that patients have access to a comprehensive set of services tailored to their needs throughout their healthcare journey
- Works collaboratively within the care team to develop and manage personalized care plans, address care gaps, and engage with other resources to ensure access to care
- Coordinates the transition of care for patients throughout the continuum to ensure patient needs are met accordingly and to ensure that avoidable hospital admissions do not occur
- Coordinates and facilitates High Risk Huddles along with ensuring that follow-up actions are completed
- Prioritizes patients based on the severity and urgency of their conditions to ensure that the most critical cases receive immediate attention
- Reviews medical records to identify gaps in care and coordinate services with the care team to manage these issues
- Regularly updates patient care plans
- Performs thorough nursing assessments via telephone of patients to maximize or improve current health outcomes
- Provides education to patients and/or their caregivers on disease education, medication, health maintenance, and disease prevention to promote self-management and improve health outcomes
- Demonstrates strong clinical skills, critical thinking abilities, and effective communication in their interactions with patients, caregivers, providers, fellow care team members, etc.
- Documents necessary interactions, assessments, updates, etc. in patient’s medical records according to processes and guidelines
- Serves as liaison between patients, providers, resources, etc. to ensure seamless care delivery
- Facilitates communication of patient status and plan of care during transitional experiences such as home to hospital, hospital to post-acute care and back to home
- Executive Directors
- Market Leaders
- Pod Leaders
- Clinical Social Worker
- Patient Health Coordinator
- Population Health Team
Required Knowledge, Skills and Experience
- Active Registered Nurse License
- 2+ years of care management experience in community, health plan or hospital systems
- Possesses strong clinical skills and proactive thinking
- Effective communication skills
- Ability to perform extensive telephone assessment
- Knowledge of Medicare regulations and home care and hospice standards
- Experience with small group presentations and teaching/training
- Exhibits excellent interpersonal skills
- Exhibits excellent written and oral skills
- Working knowledge of computer programs (email, Word, Excel, PowerPoint, etc.)
- Manages time effectively to ensure all duties and documentation requirements are completed in a timely manner
- Bachelor of Science in nursing or related field
- May be required to obtain multi-state licensing
- Strong knowledge of population health, quality measures, care gap closure and value-based care models
USD $111,033.00/Yr.
Posted Min Pay Rate
USD $92,007.00/Yr.
Pay Transparency
Individual compensation packages are based on various factors unique to each candidate, including skill set, experience, qualifications, and other job-related considerations.
Notice
HarmonyCares and HarmonyCares Hospice are not affiliated with Harmony Hospice Care. HarmonyCares Hospice does not conduct business in OH. HarmonyCares Hospice conducts business in MI, VA, WI, TX, IN, IL.
- Seniority levelEntry level
- Employment typeFull-time
- Job functionHealth Care Provider
- IndustriesHome Health Care Services
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