care coordination manager

Glencoe Regional Health

<div><div><b>Position: </b>Care Coordinator</div>
<div><b>Department: </b>GlenFields; Long Term Care</div>
<div><b>Location: </b>Glencoe, MN</div>
<div><b>Remote Work:</b> No</div>
<div><b>Position Type: </b>Full-Time</div>
<div><b>Hours Per 2-week Pay Period: </b>64</div>
<div><b>Shift: </b>Days</div>
<div><b>Schedule: </b>Monday-Friday 7:00am-2:30pm</div>
<div><b>Weekend Rotation: </b>No</div>
<div><b>Holiday Rotation: </b>No</div>
<div></div><div>Glencoe Regional Health (GRH) fosters a culture that cares. Our mission is to improve every life by offering high-quality, safe, and accessible healthcare. We stive to be both the provider of choice and the employer of choice. Our family of care includes a critical access hospital, skilled nursing facility, independent senior apartment complex, and three primary care clinics.
</div>
<div></div><div><div>We see every day that engaged employees provide the best care. Our people set us apart, and we recognize our employees through gratitude programs and events throughout the year. Like our staff, our engagement scores go above and beyond, scoring higher than the national average for healthcare employers. We provide compassionate care for all by hiring people who align with our values. At GRH, we care for you like family.</div>
</div>
<div></div><div>Position Summary:</div>
<div><div>The GlenFields Care Coordinator supports daily administrative and operational functions in a skilled nursing environment, maintaining accurate financial records, including resident trust accounts, insurance verification and payer coordination. Utilizes <b>electronic medical record (EMR/EHR) systems</b> to reconcile financial data tied to resident services, ensuring accuracy, compliance, and efficient coordination with billing and clinical documentation teams.</div>
</div>
<div></div><div>Education and Experience:
<ul><li>Must be a high school graduate with average typing skills and bookkeeping experience.</li>
<li>2 years bookkeeping experience, preferably in an acute care/long-term care setting.</li>
</ul></div><div>Required Skills and Abilities:</div>
<div><ul><li>Previous clerical experience (SNF setting preferred)</li>
<li>Proficiency in Microsoft Office (Word, Excel, Outlook) preferred</li>
<li>Strong organizational and multitasking skills</li>
<li>Ability to work in a fast-paced environment</li>
<li>Excellent communication and customer service abilities</li>
<li>Experience with EHR systems</li>
</ul></div><div>Compensation and Benefits:</div>
<div>Compensation decisions are made based off of several factors including relevant work experience, education, certification and licensure as well as internal equity. It is not typical for an individual to be hired at the top of their hourly range.</div>
<div></div><div><div>Hourly Range:</div>
<div>$22.71 to $31.81</div>
</div>
<div></div><div>Wages are just one part of our employee compensation package. To review our Employee Benefits, visit Employee Benefits | Glencoe Regional Health</div>
<div></div><div>Glencoe Regional Health is an equal opportunity employer. We recruit, employ, train, compensate, and promote without regard to any protected characteristics under applicable law.</div></div>

Care Coordinator | Full-Time

DAYBREAK

<div><p><b>Summary</b></p><p>
Provide individualized, therapeutic-based support to youth and young adults (YYAs) experiencing homelessness. Support YYAs in quickly securing safe and stable housing while connecting them to resources that promote long-term stability and overall well-being. Work closely with clients to create individualized service plans that emphasize self-sufficiency, community integration, and holistic care, tailored to each client&rsquo;s unique needs and strengths.</p><p>
The Care Coordinator builds trusting relationships with YYAs and collaborates with service providers to connect clients to housing, employment, healthcare, and personal development opportunities. This role requires active collaboration and teamwork to meet client needs, achieve program goals, and ensure consistent adherence to policies and procedures. The role requires strong communication skills, cultural competence, persistence, and a passion for helping young people move from homelessness to stability and independence.</p><p>
</p><p><b>Duties and Responsibilities</b></p><p><b>
Case Management and Client Support</b></p><ul><li><p>
Ensure all care coordination and housing-focused services are rooted in Housing First for Youth principles, prioritizing rapid placement in stable housing without preconditions while offering flexible, youth-centered support that promotes independence and resilience for long-term success.</p></li><li><p>
Provide individualized case management services, life skills education, and linkage to educational, employment, financial, medical, housing, and other social resources tailored to the YYA&rsquo;s treatment plan goals.</p></li><li><p>
Foster life skill development, social skills enhancement, and housing stability through personalized support, empowering YYAs to overcome challenges and achieve their goals.</p></li><li><p>
Develop and oversee the implementation of individualized treatment plans with YYAs and their service teams, identifying strategies or treatment options to ensure progress toward YYA goals.</p></li><li><p>
Engage, mentor, and meet with YYAs regularly as determined by program standards, promoting trusting relationships while delivering care coordination services that align with Housing First for Youth principles, including YYA choice and trauma-informed approaches.</p></li><li><p>
Conduct home visits as needed, ensuring at least one visit per month to the YYA&rsquo;s apartment to assess progress and identify areas for growth as they work towards independence.</p></li><li><p>
Assist YYAs in developing schedules to track activities and appointments, ensuring consistency and follow-through. Accompany YYAs to court dates, SSI hearings, and other appointments, advocating for their needs when appropriate.</p></li><li><p>
Assist YYAs in developing an exit plan and provide aftercare services to ensure long-term housing stability.</p></li></ul><p><b>
Collaboration and Coordination</b></p><ul><li><p>
Act as a central point of communication among team members and external community providers to promote a collaborative, youth-centered approach. Regularly evaluate progress and adjust strategies as needed to ensure YYA goals are achieved.</p></li><li><p>
Collaborate with Daybreak providers and external community partners to help YYAs progress toward their individualized treatment plan goals.</p></li><li><p>
Coordinate YYA&rsquo;s activities with the service team, ensuring their needs are met and barriers to success are identified and addressed promptly. Provide guidance and support to ensure responsibilities are completed successfully.</p></li></ul><p><b>
Documentation and Compliance</b></p><ul><li><p>
Maintain monthly productivity according to standards set by Senior Management by providing individual and groups services, as appropriate.</p></li><li><p>
Maintain accurate YYA records in compliance with agency procedures and funder requirements, ensuring all documentation is completed within a timely manner per agency standards.</p></li></ul><ul><li>
Bachelor's degree in social work, human services, psychology, criminal justice or a related field from an accredited four-year college or university is required.</li><li>
A minimum of two (2) years of program management or case management experience is required,</li><li>
A minimum of two (2) years of experience working directly with youth and young adults is required, those experiencing homelessness or housing instability preferred.</li></ul></div><p></p>

Care Coordinator II

Evergreen Nephrology

<div><p><b>Who We Are</b></p>
<p>
Evergreen Nephrology partners with nephrologists to transform kidney care through a value-based, person-centered, holistic, and comprehensive approach to kidney care. We believe patients living with kidney disease deserve the best care. We are committed to improving patient outcomes and improving quality of life by delaying disease progression, shifting care to the home, and accelerating kidney transplants.</p>
<p>
We help nephrologists focus on the right patients at the right time across the full care spectrum. We do this by providing them with the best-in-class interdisciplinary clinical resources, analytical insight and tools, and services to patients. We listen to the needs of our patients, our employees, and our client partners, continually working to push beyond the status quo in which the care system manages patients today.</p>
<p><b>
Who You Are</b></p>
<p>
You are devoted, compassionate, and enjoy being on the front lines of healthcare, changing the lives of patients by supporting them and the team by focusing on customers. You're excited about being part of a team that is building a healthcare delivery model that ensures the highest possible quality of life and best outcomes for those in our care. You believe people living with kidney disease deserve the best person-centered, holistic, comprehensive care and want to influence the healthcare system to drive towards that. You thrive in innovative and evolving environments with high rates of change.</p>
<p><b>
Your Role</b></p>
<p>
The Evergreen Chronic Care Management (CCM) Medical Assistant (Care Coordinator) supports proactive care coordination services for patients with complex chronic conditions, including chronic kidney disease (CKD), hypertension, diabetes, cardiovascular disease, and related comorbidities. Working under Evergreen's clinical supervision, the Care Coordinator conducts patient outreach, creates, maintains, and reinforces established care plans, supports documentation compliance, and coordinates communication between patients, providers, and healthcare partners.</p>
<p>
This role is outreach-driven and operationally focused, requiring strong organization, patient communication skills, and the ability to manage a high-volume patient panel. Experience supporting nephrology or CKD patient populations is strongly preferred.</p>
<p>
The program uses SMS as the first-line channel for patient engagement, with phone outreach used when appropriate.</p>
<p>
While this position is <b>fully remote</b>, you must be able to work 8:00am &ndash; 5:00pm in the central time zone.</p>
<p><b>
Role Responsibilities</b></p>
<p>
Some responsibilities may vary based on specific patient programs, but this role's primary duties include the following:</p>
<ul>
<li>Patient Enrollment &amp; Eligibility
<ul><li>Support CCM patient enrollment and onboarding activities.</li>
<li>Verify eligibility based on Evergreen and payer program guidelines.</li>
<li>Ensure patient consent documentation is completed prior to outreach.</li>
<li>Proactively maintain patient engagement regularly.</li>
<li>Identify inactive or non-engaged patients and escalate appropriately.</li>
</ul></li><li>Patient Outreach &amp; Engagement
<ul><li>Conduct text &amp; telephonic outreach to enrolled CCM patients weekly.</li>
<li>Achieve required engagement time standards aligned with Medicare CCM billing requirements.</li>
<li>Support achievement of required engagement time for billing compliance.</li>
<li>Reinforce provider-directed care plans during patient interactions.</li>
<li>Identify barriers to adherence including medication access, transportation, or social needs.</li>
</ul></li><li>Expected activities include:
<ul><li>High-volume outbound patient calling and texting.</li>
<li>Follow-up outreach attempts.</li>
</ul></li><li>Documentation &amp; Billing Compliance
<ul><li>Document patient interactions accurately within the CCM patient management platform and EHR systems.</li>
<li>Track engagement time consistent with Medicare CCM billing requirements.</li>
<li>Maintain audit-ready documentation standards.</li>
<li>Ensure HIPAA and PHI compliance.</li>
</ul></li><li>Patient Care Coordination &amp; Clinical Workflow
<ul><li>Facilitate patient access to their referring provider and clinical staff.</li>
<li>Support care transitions following hospitalizations or ED visits.</li>
<li>Coordinate referrals and follow-up appointments.</li>
<li>Escalate symptom concerns or medication issues to licensed clinical staff.</li>
</ul></li><li>Preferred experience includes:
<ul><li>Chronic kidney disease patient populations.</li>
<li>Dialysis patient coordination.</li>
<li>Medication adherence monitoring.</li>
<li>Kidney transplant or specialty referrals.</li>
</ul></li><li>Technology &amp; Communication
<ul><li>Utilize CCM platform and EHR systems daily.</li>
<li>Manage patient messaging workflows.</li>
<li>Collaborate with remote clinical and operational teams.</li>
</ul>
</li></ul><p><b>Required Qualifications</b></p>
<ul>
<li>Certified Medical Assistant</li>
<li>1&ndash;3 years healthcare experience</li>
<li>Chronic disease or nephrology experience is preferred.</li>
<li>Strong clinical assessment, communication, and documentation skills.</li>
<li>Comfortable working in two systems (EHR + CCM platform) simultaneously.</li>
<li>Ability to manage a structured, metric-driven workflow with reliability.</li>
<li>Intermediate skills with MS Office Suite of products including Outlook and Teams</li>
<li>Able to work effectively in a primarily remote environment:
<ul><li>Home internet must support a minimum download speed of 25 Mbps and upload speed of 10 Mbps. Cable, Fiber, or DSL connections hardwired to the internet device are recommended</li>
<li>Evergreen will provide remote employees with telephony applications and equipment to meet the business requirements for their role</li>
<li>Employees must work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information</li>
</ul>
</li></ul><p><b>Preferred Qualifications</b></p>
<ul>
<li>Experience in chronic disease management</li>
<li>Prior work in virtual care, remote nursing, or telehealth programs.</li>
<li>Familiarity with CCM regulatory requirements.</li>
<li>Strong patient education and motivational interviewing skills.</li>
</ul>
<p><b>Compensation</b></p>
<p>
The pay range for this role is <b>$45,000 to $52,000 </b>annually. Exact pay is determined based on experience, education, demand for the role, and other role-specific factors.</p>
<p>
This role is also eligible for a bonus.</p>
<p><b>
Benefits
</b></p><p>Evergreen Nephrology's total rewards program is designed to support you in and outside of work. You can expect:</p>
<ul>
<li>Paid time off starting at 4 weeks for full-time employees</li>
<li>12 paid holidays per year</li>
<li>Medical, dental, vision and life insurance, including an HSA with employer match</li>
<li>Reimbursement for continuing medical education for eligible roles</li>
<li>A 401(k) program where Evergreen matches up to 4% of contributions after six months of tenure</li>
<li>Paid parental leave</li>
<li>A robust training and development program that starts with onboarding and continues throughout your career with Evergreen Nephrology</li></ul><br>
<p></p>
<p>
Evergreen Nephrology is an equal opportunity employer. Applicants will not be discriminated against because of race, color, creed, sex, sexual orientation, gender identity or expression, age, religion, national origin, citizenship status, disability, ancestry, marital status, veteran status, medical condition or any other protected category under local, state or federal laws.</p><br>
<p></p>
<p>
If you are an applicant with a disability who requires reasonable accommodation for any part of the hiring process, please contact us for assistance at recruiting@evergreennephrology.com.</p></div>

Care Coordinator, MA - CST

Seldovia Village Tribe IRA

<div><p><b>Come join our team at Seldovia Village Tribe (SVT)!</b></p>
<p>
This position is based in Homer, Alaska.</p><p></p><p><br>
This position is responsible for providing effective clerical and electronic records support to the SVT Health &amp; Wellness clinical care team.</p><p></p><p><b><br>
Hours:</b> 40 hours per week, Monday through Friday</p><p></p><p><b><br>
Salary Range:</b> $22 to $24 per hour, depending on experience</p><p></p><p><b><br>
Type of Employment:</b> In-person, not a remote position</p><p></p><p><b><br>
What You'll Do:</b></p>
<ul>
<li>Assist RN Care Coordinators with administrative care coordination tasks.</li>
<li>Assist with medical office duties such as scanning, faxing, answer multiline phone system and recording messages.</li>
<li>Assist with scheduling for case management patients.</li>
<li>Maintain health record indexes and storage and retrieval systems in both paper and electronic formats. Ensure that medical record documentation is complete according to SVT Health and Wellness policy, state and federal law.</li>
<li>Responsible for communicating with and disseminating information to internal and external sources, including requesting/releasing medical record information.</li>
<li>Responsible for ensuring security and confidentiality of all records according to SVT Health &amp; Wellness Policy</li>
<li>Complete Release of Information requests, ensuring compliance with privacy and security standards; track and support the receipt of electronic filing of Release of Information requests and receipts.</li>
<li>Process all outside imaging orders ensuring these are sent to outside facilities in a timely manner; performing prior authorization of imaging as needed; tracking imaging orders</li>
<li>Be able to travel as needed to other communities including to and from Homer / Seldovia by small airplane and sometimes by boat when airplanes are on weather hold. Travel is a day trip, but inclement weather may require an overnight stay. SVT provides lodging and meal stipend for overnight stay due to weather.</li></ul><br>
<p></p>
<p><b>
What You'll Need:</b></p>
<ul>
<li>Demonstrated proficiency in medical terminology is strongly preferred but will consider providing the training after hire to the right candidate!</li>
<li>2+ years clerical experience is required, preferably in a clinical setting.</li>
<li>Certification preferred in one of the following preferred:
<ul><li>AHIMA Accredited certification programs: Registered Health Information Technician (RHIT); OR Certified Health Data Analyst (CHDA); OR Certified Documentation Improvement (CDIP)</li>
<li>National Healthcareer Association: Certified Electronic Health Records Specialist (CEHRS)</li>
</ul></li><li>Associate&rsquo;s Degree or comparable education is preferred</li></ul><br>
<p></p>
<p><b>
What You'll Get:</b></p>
<ul>
<li>11 Paid Holidays per year</li>
<li>12 Days of Sick Leave per year</li>
<li>15 days (3 weeks) of Annual Leave per year (starting accrual, more days with more years of service)</li>
<li>FEHB (Federal Employees Health Benefits) - Health Insurance, a variety of plans to choose from. We pay 100% of employees monthly health insurance premiums! And we pay 50% of the monthly premiums for your spouse and/or children. Insurance is effective the first day of the pay period after we receive your enrollment form.</li>
<li>Dental and Vision insurance available on the first of the month following 90 days of employment.</li>
<li>Group life insurance, minimum benefit is $50,000 and up to 2x your annual salary. Maximum of $250K life insurance.</li>
<li>Long term disability insurance</li>
<li>Employer matching 401K, 5% match, effective January 1 or July 1, following one year of employment.</li>
<li>Wellness Incentive Program, up to $300 per calendar year for full-time employees, or $150 for part-time employees, effective after 90 days of employment. Examples of items that can be reimbursed are walking/running shoes, active wear, exercise equipment, gym membership, CSA food boxes and more!</li></ul><br>
<p></p>
<p><b>
About Us:</b></p>
<ul>
<li>Seldovia Village Tribe (SVT) promotes the wellness of our people and communities through healthcare, social services, economic development, education, and cultural enrichment. SVT is a federally recognized Tribe that serves everyone - both Native and non-Native - in the communities of the South Kenai Peninsula, from Seldovia and beyond, including Homer and Anchor Point.</li></ul></div>

Care Coordination Assistant

PPL Corporation

<div>Company Summary Statement : As one of the largest investor-owned utility companies in the United States, PPL Corporation (NYSE: PPL), is committed to creating long-term, sustainable value for our 3.5 million customers, our shareowners and the communities we serve. Our high-performing regulated utilities &mdash; PPL Electric Utilities, Louisville Gas and Electric, Kentucky Utilities and Rhode Island Energy &mdash; provide an outstanding experience for our customers, consistently ranking among the best utilities in the nation. PPL&rsquo;s companies are also addressing challenges head-on by investing in new infrastructure and technology that is creating a smarter, more reliable and resilient energy grid. We are committed to doing our part to advance a cleaner energy future and drive innovation that enables us to achieve net-zero carbon emissions by 2050 while maintaining energy reliability and affordability for the customers and communities we serve. PPL is a positive force in the cities and towns where we do business, providing support for programs and organizations that empower the success of future generations by helping to build and maintain strong, diverse communities today. Overview:<div></div><div><div><div><br>
This role supports the Absence Management Department in handling Sick, Short-Term Disability (STD), Long Term Disability (LTD), Family Medical Leave Act (FMLA), Parental Leave, and work injury cases. The position involves coordinating data across multiple systems to process employee leave in accordance with company policies for both union and non-union employees.</div></div></div><div><br>
<br>
</div>Responsibilities:<div></div><div><div><div><div><br>
Responsibilities</div></div></div><div><div><ul><li><br>
</li></ul><div><br>
Daily oversight of incoming and outgoing communications via central line or group email.</div></div><div><ul><li><br>
</li></ul><div><br>
Serve as an Absence Management resource for employees and business units.</div></div><div><ul><li><br>
</li></ul><div><br>
Provide high-quality customer service with accurate, timely information.</div></div><div><ul><li><br>
</li></ul><div><br>
Manage the Absence Management mailboxes, supporting the Absence Management team with tasks such as Sick Leave End Date (SLED) calculation, time coding, and wage information.</div></div><div><ul><li><br>
</li></ul><div><br>
Upload and file digital documents.</div></div><div><ul><li><br>
</li></ul><div><br>
Engage in interactive processes with employees and business lines regarding leave status.</div></div><div><ul><li><br>
</li></ul><div><br>
Support team projects related to leave administration and compliance.</div></div><div><ul><li><br>
</li></ul><div><br>
Utilize Microsoft Office, Teams, Excel, Adobe, and various vendor applications daily.</div></div><div><ul><li><br>
</li></ul><div><br>
Assign tasks including reminders for forms and return-to-work communications.</div></div><div><ul><li><br>
</li></ul><div><br>
Support the ADA (American Disabilities Act) accommodation interactive process.</div></div><div><ul><li><br>
</li></ul><div><br>
Collaborate with the Third-Party Administrators ensuring compliance with service level agreements, federal laws, and state laws.</div></div><div><ul><li><br>
</li></ul><div><br>
Performs other duties as assigned</div></div><div></div><div><ul><li><br>
</li></ul><div><br>
Complies with all policies and standards</div></div></div></div><br>
<div></div>
Qualifications:<div></div><div><div><div><div><br>
Required Education</div></div><div><div><br>
Education Level</div><div><br>
Education Details</div></div></div><div></div><div><div><br>
Bachelor's Degree</div><div><br>
in a relevant field or an equivalent combination of education and experience on a year-for-year basis.</div></div></div><div></div><div><br>
</div><div><div><div><div>Preferred Qualifications</div></div><div></div><div><div><br>
Preferred Qualifications</div></div></div><div><div><ul><li><br>
</li></ul><div><br>
Experience in absence management (short-term disability/leave management).</div></div><div><ul><li><br>
</li></ul><div><br>
General understanding of leave processing and applicable state family leave regulations and laws.</div></div></div></div></div><div></div>

Absence Mgmt Coordinator

Keystone Health

<div><p>At Keystone Health, we aspire for you to feel empowered and fulfilled as you work towards our shared mission of delivering heartfelt care. Earn a living where your heart truly belongs.</p><p></p><h2 class="jobSectionHeader"><b>
Case Manager</b></h2><p><i>
Full-Time | Monday&ndash;Friday | Occasional Weekend Hours for Events</i></p><p><br>
Keystone Enabling Services is seeking a compassionate, resourceful, and community-focused <b>Case Manager</b> to support patients and families in navigating healthcare and social service systems. This role is ideal for someone who is passionate about advocacy, care coordination, and helping individuals overcome barriers to care.</p><p></p><p><b>
What You&rsquo;ll Do</b></p><ul><li><p>
Partner with providers, care teams, and community organizations to support patients&rsquo; social, emotional, and environmental needs</p></li><li><p>
Connect patients and families with community resources and support services</p></li><li><p>
Provide short-term care coordination and patient-centered education</p></li><li><p>
Help reduce barriers to care and improve access to essential services</p></li><li><p>
Support individuals from many different cultural and socioeconomic backgrounds with empathy and professionalism</p></li><li><p>
Collaborate across interdisciplinary teams to promote positive patient outcomes</p></li><li><p>
Maintain accurate documentation within the electronic health record (EHR)</p></li></ul><p><b><br>
What Makes You Successful</b></p><ul><li><p>
Strong communication, relationship-building, and active listening skills</p></li><li><p>
Ability to work independently while collaborating effectively with a team</p></li><li><p>
Skilled at managing multiple priorities in a fast-paced environment</p></li><li><p>
Comfortable navigating difficult conversations and resolving conflict professionally</p></li><li><p>
Adaptable, organized, and motivated to improve processes and patient experiences</p></li><li><p>
Committed to equitable, culturally responsive care and community support</p></li></ul><p><b><br>
Skills &amp; Experience We&rsquo;re Looking For</b></p><ul><li><p>
At least one year experience supporting individuals through healthcare, community, or human services</p></li><li><p>
Knowledge of community resources, care coordination, or patient advocacy</p></li><li><p>
Familiarity with EHR systems and Microsoft Office applications</p></li><li><p>
Bilingual communication skills are a plus, but not required</p></li></ul><p><b><br>
Education &amp; Background</b></p><ul><li><p>
Bachelor&rsquo;s degree in Social Work, Human Services, or a related field</p></li><li><p>
Equivalent combinations of education, training, and relevant experience will also be considered</p></li></ul><p></p><p>
Keystone Health is an Equal Opportunity Employer</p></div>

Case Manager

Hope Christian Health Center

<div>Description:
<p>
JOB SUMMARY: The Care Manager plays a vital role in delivering comprehensive, patient-centered care within an integrated health team at a Federally Qualified Health Center (FQHC). This position supports patients with complex medical, behavioral, and social needs by coordinating services, promoting health education, and facilitating access to appropriate care. The Care Manager works collaboratively with primary care providers, behavioral health providers, community health workers, and other team members to ensure high-quality, culturally competent, and equitable care.</p><p>
DUTIES AND RESPONSIBILITIES:</p><p>
Care Manager Duties:</p><p>
Care Coordination</p><ul><li>
Develop, implement, and monitor individualized care plans in collaboration with patients and the care team.</li><li>
Coordinate care transitions, including hospital discharges, specialty referrals, and community resource connections.</li><li>
Provide care through in-person visits, telephone, and telemedicine to ensure continuity.</li><li>
Proactively conduct outreach to patients who may benefit from services, introducing available programs and supports.</li><li>
Facilitate communication between patients, families, and interdisciplinary team members.</li></ul><p>
Patient Education and Advocacy</p><ul><li>
Deliver health education and coaching to support chronic disease management and preventive care.</li><li>
Advocate for patients and collaborate with community health workers to address social determinants of health.</li><li>
Assist in issuing medical equipment and supplies, ensuring proper documentation and follow-up.</li></ul><p>
Data and Quality Improvement</p><ul><li>
Document care management activities and track patient outcomes in the electronic health record (EHR).</li><li>
Partner with the Population Health Manager to analyze reports related to patient outcomes, care gaps, and required data metrics.</li><li>
Participate in quality improvement initiatives and population health strategies.</li><li>
Contribute to the development and refinement of care coordination workflows and reporting tools.</li></ul><p>
Other Duties:</p><ul><li>
Promotes and demonstrates Hope values of: Gospel motivation, Prayer, Excellence, Stewardship, Patience, Thankfulness, Humility, Service, Dignity through Relationship and Hospitality and Joy</li><li>
Primarily onsite in a clinical setting with occasional community outreach or home visits.</li><li>
May require flexible hours to meet patient needs.</li><li>
Complies with HIPAA and protects patient information.</li><li>
The Care Manager ensures compliance with all 19 Health Resources and Services Administration (HRSA) Health Center Program Requirements.</li><li>
The Care Manager is also expected to actively participate in and support quality improvement activities and the clinical practice team efforts emphasizing the importance of the individual patient and putting the patient&rsquo;s needs first.</li><li>
Other duties as assigned.</li></ul>
Requirements:
<p>
QUALIFICATIONS:</p><ul><li>
Registered Nurse (RN) with a current state license in Nevada - required</li><li>
Valid AHA Certified Basic Life Support (BLS) certification- required</li><li>
Bilingual in Spanish (depending on patient population) - preferred</li><li>
Minimum of 2 years of clinical nursing experience, preferably in primary care, community health, or care management - preferred</li><li>
Experience working in an integrated care setting or with underserved populations - preferred</li><li>
Proficiency in EHR systems and care coordination platforms, and data management.</li><li>
Experience with data reporting and population health tools preferred.</li></ul><p>
Education:</p><ul><li>
Bachelor&rsquo;s degree in Nursing - required</li></ul><p>
KEY COMPETENCIES FOR SUCCESS:</p><ul><li>
Faith to believe that Hope is a ministry of God, exemplifying the love of Christ, and held and directed by the Holy Spirit.</li><li>
Ability to operate general office machinery (computers, calculators, copy/fax machine, telephones, etc.)</li><li>
Excellent communication skills, both written and verbal.</li><li>
Demonstrated passion for community health care.</li><li>
Proven leadership, teambuilding, and organizational skills.</li><li>
Proven ability to maintain integrity in a fast paced and high-demand environment.</li><li>
Proven ability to manage performance goals.</li><li>
Ability to interact with people from all ethnic backgrounds, ages, and lifestyles; ability to understand and respond appropriately, effectively, and sensitively to special populations.</li></ul><p>
TYPICAL PHYSICAL DEMANDS:</p><p>
Occasional standing, walking, lifting, reaching, kneeling, bending, stooping, pushing, pulling, and lifting and/or moving up to 25 pounds. Frequent sitting. Manual dexterity. Proficient reading, eyesight, and vision for close work. Ability to communicate by speaking and hearing in person or on the phone. Ability to travel to various locations.</p></div>

Care Manager

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