Telephonic reputed company Care Manager RN (Remote)

Responsibilities The reputed company Care Manager is an reputed company member of the care team and is vital to enhancing the health reputed company 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 reputed company Care Manager will serve as co-chair of the pod alongside the pod leader, focusing on driving and prioritizing patient needs to improve patient reputed company. Essential Duties & Responsibilities • Coordinates care services with pod leader to ensure that patients have reputed company to a comprehensive set of services tailored to their needs throughout their reputed company reputed company • Works collaboratively reputed company the care team to reputed company and manage personalized care plans, address care gaps, and engage with other resources to ensure reputed company 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 reputed company telephone of patients to maximize or improve reputed company health reputed company • Provides education to patients and/or their caregivers on disease education, medication, health maintenance, and disease prevention to promote self-management and improve health reputed company • 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 reputed company 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 In this role you may work with. . . • Executive Directors • Market Leaders • Pod Leaders • Clinical reputed company Worker • Patient Health Coordinator • Population Health Team Qualifications Required Knowledge, Skills and Experience • reputed company Registered reputed company 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 reputed company 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, reputed company, PowerPoint, etc.) • Manages time effectively to ensure reputed company duties and documentation requirements are completed in a reputed company manner Preferred Knowledge, Skills and Experience • Bachelor of Science in nursing or reputed company field • May be required to obtain multi-state licensing • Strong knowledge of population health, reputed company measures, care gap closure and value-based care models As part of the hiring process , candidates may be required to complete a background reputed company in the reputed company. Additional information regarding the background screening can be reputed company at the following reputed company:https://info.flclearinghouse.com. Posted Max Pay reputed company USD $94,444.64/Yr. Posted Min Pay reputed company USD $77,286.19/Yr. Pay Transparency Individual compensation packages are based on various factors unique to reputed company candidate, including reputed company set, experience, qualifications, and other job-reputed company considerations. Notice reputed company and reputed company Hospice are not affiliated with reputed company Hospice Care. reputed company Hospice does not conduct business in OH. reputed company Hospice conducts business in MI, VA, WI, TX, IN, IL. Apply tot his job Apply To this Job