care coordinator nurse

Considracare Pakistan

<p><b>Job Overview:</b> Considracare Pakistan is seeking a dedicated and experienced <b>Care Coordinator Nurse</b> to manage client services and caregiver operations. This is a management-level role requiring strong coordination, clinical understanding, and leadership skills in a home healthcare or hospital setting.</p><p><b>Key Responsibilities:</b></p><ul><li>Manage daily <b>caregiver rosters, scheduling, and shift planning</b></li><li>Coordinate with clients and caregivers for smooth service delivery</li><li>Conduct <b>patient assessment visits</b> when required</li><li>Handle incoming calls from clients and caregivers professionally</li><li>Ensure timely resolution of <b>caregiver attendance, arrival, and checkout issues</b></li><li>Maintain accurate <b>client and caregiver records</b> on the Considracare platform</li><li>Monitor service quality and ensure client satisfaction</li></ul><p><b>Working Hours:</b></p><ul><li>9 hours daily (On-site)</li><li>Sunday off</li><li>Must be <b>available on-call (24/7)</b> for urgent situations such as emergency visits or caregiver issues</li></ul><p><b>Eligibility Criteria:</b></p><ul><li><b>BSN (BSc Nursing) or General Nursing Diploma</b></li><li>2&ndash;4 years of relevant experience</li><li>Prior experience in a <b>management/coordination role</b> in a home healthcare company or as an <b>in-charge nurse</b> in a hospital</li><li>Strong communication, organizational, and problem-solving skills</li></ul><p><b>Preferred Skills:</b></p><ul><li>Experience in home healthcare coordination</li><li>Familiarity with digital systems/CRMs</li><li>Ability to handle pressure and manage multiple cases simultaneously</li></ul><p><b>Salary &amp; Benefits:</b></p><ul><li>Monthly Salary: PKR 75,000</li><li>Performance-based salary increments</li><li>Yearly salary increments</li><li>Career growth opportunities</li><li>Professional working environment</li></ul><p><b>How to Apply:</b> Apply via Indeed or send your CV to:</p><p>Pay: Rs65,000.00 - Rs75,000.00 per month</p><p>Work Location: In person</p>

Care Coordinator Nurse (Home Healthcare) Lahore

US Department of Veterans Affairs

Registered Nurse (RN) - Home Telehealth (HT) Care Coordinator

Humana

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  Become a part of our caring community
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 The Utilization Management Registered Nurse uses clinical nursing skills to interpret and support the coordination, documentation and communication of medical services and benefit administration determinations. You will report to the Manager of Utilization Management and serve as a member of the One Home/Home Solutions Utilization Management team. This team manages post-acute care services. These services include Skilled Nursing Facility (SNF), Home Health, and Durable Medical Equipment (DME). The team's goal is to ensure members receive the appropriate level of care in the most appropriate setting.
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  As a Utilization Management Registered Nurse
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   You will use clinical nursing skills to interpret and support the coordination, documentation and communication of medical services and benefit administration determinations.
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   Using established medical criteria, you will make determinations based on information provided by the attending physician and other care providers
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   You will complete request determinations within established processing time frames. (i.e. 10 reviews per day?)
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   You will communicate with providers, members, or other parties to facilitate care and treatment.
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   You will help deliver coordinated care for our members
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   You will understand department, segment, and organizational strategy and operating goals, including their linkages to related areas.
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  Required Qualifications
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  Use your skills to make an impact
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   Must hold Compact Registered Nurse (RN) license in your state of residence
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   Greater than one year of clinical experience as a RN in a hospital, SNF, Home Health, or acute care setting.
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   Must be passionate about contributing to an organization focused on improving consumer experiences
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  Preferred Qualifications
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   Previous experience in utilization management/utilization review for a health plan or acute care setting
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   Basic knowledge of medical necessity criteria such as Milliman Care Guidelines or Interqual.
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   Experience working in a fully remote, metrics-focused role
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   Experience as an MDS Coordinator or discharge planner in an acute care setting
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   Experience as an RN for a Medicare Certified Home Health agency
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   Health Plan or Medicare / Medicaid Experience
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   Call center or triage experience
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   BSN or bachelor's degree in a related field
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 Additional Information
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  Work-at-Home Information
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 To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria:
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   At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested.
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   Satellite, cellular and microwave connection can be used only if approved by leadership.
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   Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
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   Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job.
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   Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.
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 Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
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  Scheduled Weekly Hours
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 40
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  Pay Range
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 The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
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 $71,100 - $97,800 per year
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 This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
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  Description Of Benefits
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 Humana, Inc. and its affiliated subsidiaries (collectively, &ldquo;Humana&rdquo;) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
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  About Us
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 About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health &ndash; delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer at Humana.com and at CenterWell.com.
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  Equal Opportunity Employer
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 It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
</div>


Utilization Management Registered Nurse

Cahaba Medical Care Foundation

<div><div><b>Chronic Care Management Nurse/RN</b></div><div></div><div><i><br>
Reports to </i><b><i>Chief Quality Officer</i></b></div><div><b><br>
 Cahaba Medical Care Foundation</b></div><p><b>
 Supervised by: </b>Chief Quality Officer</p><h3 class="jobSectionHeader">
Position Overview:</h3><p>
The Chronic Care Management Nurse plays a pivotal role in providing personalized care for patients with chronic conditions, including but not limited to diabetes, hypertension, asthma, COPD, heart disease, and other long-term illnesses. This role involves monitoring patients' health status, educating them on their conditions, ensuring adherence to treatment plans, and promoting proactive measures to prevent complications. The Chronic Care Management Nurse collaborates closely with physicians, care teams, and patients to deliver high-quality care in a clinic setting.</p><h3 class="jobSectionHeader">
Working Environment:</h3><ul><li><p>
Clinic Hours: Monday to Friday, 8:00 AM &ndash; 5:00 PM (with occasional extended hours depending on patient needs).</p></li><li><div>
Environment: Fast-paced, team-oriented, and patient-focused clinic setting.</div></li><li><p>
Physical Demands: Standing, walking, and sitting for extended periods. Occasional lifting of patients or equipment may be required.</p></li></ul><h3 class="jobSectionHeader">
Key Responsibilities:</h3><h4 class="jobSectionHeader">
Patient Care &amp; Management:</h4><ul><li><p>
Chronic Disease Management:</p><ul><li><div><br>
Monitor and assess the health status of patients with chronic conditions, including vital signs, lab results, medications, and treatment adherence.</div></li><li><div>
Provide ongoing education and support to patients on managing their chronic conditions and improving health outcomes.</div></li><li><div>
Collaborate with physicians and other healthcare providers to develop and implement personalized care plans based on patient needs.</div></li><li><div>
Offer routine assessments for patients in both in-person and remote settings, such as phone calls or telehealth visits.</div></li></ul></li><li><div>
Medication Management:</div><ul><li><div><br>
Educate patients on the proper use of prescribed medications and monitor for adherence, side effects, and potential drug interactions.</div></li><li><div>
Coordinate medication refills and communicate with pharmacies/providers as necessary.</div></li><li><div>
Assist in adjusting medication regimens as ordered by the physician, in accordance with established protocols.</div></li></ul></li><li><div>
Care Coordination:</div><ul><li><div><br>
Act as a point of contact for patients with chronic conditions, ensuring that all aspects of care are coordinated, including referrals, tests, and specialist visits.</div></li><li><div>
Communicate and follow up with patients to ensure continuity of care and address any issues or concerns promptly.</div></li><li><p>
Monitor patients' progress and identify early signs of complications or deterioration in their condition.</p></li></ul></li></ul><h4 class="jobSectionHeader">
Education &amp; Support:</h4><ul><li><p>
Patient Education:</p><ul><li><div><br>
Provide education on managing chronic diseases, including self-management skills, lifestyle changes, diet, exercise, and coping strategies.</div></li><li><div>
Educate patients and their families on the importance of preventative care, such as routine screenings, immunizations, and other health-related behaviors.</div></li><li><div>
Use self management methods to ensure patients understand their treatment plans and health goals.</div></li></ul></li><li><div>
Health Promotion:</div><ul><li><div><br>
Help patients set realistic, measurable goals to improve their health and quality of life.</div></li><li><div>
Guide patients through disease-specific management strategies, including symptom monitoring, tracking triggers, and recognizing warning signs.</div></li><li><p>
Empower patients to take ownership of their health and become active participants in their care plans.</p></li></ul></li></ul><h4 class="jobSectionHeader">
Documentation &amp; Reporting:</h4><ul><li><p>
Patient Records:</p><ul><li><div><br>
Maintain accurate and up-to-date patient records in compliance with clinic policies and relevant regulations (e.g., HIPAA).</div></li><li><div>
Document patient assessments, care plans, interventions, progress notes, and any changes in condition or treatment in the electronic health record (EHR).</div></li><li><p>
Complete required reports related to chronic care management programs, including billing and outcome documentation.</p></li></ul></li></ul><h4 class="jobSectionHeader"><br>
Quality Improvement:</h4><ul><li><p>
Outcomes Monitoring:</p><ul><li><div><br>
Track and report on the effectiveness of chronic care management services, identifying areas for improvement in care delivery.</div></li><li><div>
Participate in quality improvement initiatives aimed at improving patient outcomes and enhancing the overall care process.</div></li><li><p>
Support the clinic&rsquo;s efforts to meet accreditation standards, quality measures, and performance benchmarks for chronic care management.</p></li></ul></li></ul><h3 class="jobSectionHeader">
Skills and Qualifications:</h3><ul><li><p>
Education and Certification:</p><ul><li><div><br>
Registered Nurse (RN) or Licensed Practical Nurse (LPN)with an active state license.</div></li><li><div>
BLS (Basic Life Support) certification</div></li></ul></li><li><div>
Experience:</div><ul><li><div><br>
Minimum of 2-3 years of nursing experience, with a focus on chronic disease management, geriatrics, or related areas.</div></li><li><div>
Experience working in a clinic or outpatient setting preferred.</div></li><li><div>
Knowledge and experience in patient education, health promotion, and care coordination.</div></li></ul></li><li><div>
Technical Skills:</div><ul><li><div><br>
Proficiency with Electronic Health Records (EHR) systems.</div></li><li><div>
Basic knowledge of chronic care management programs and healthcare regulations.</div></li><li><div>
Familiarity with telemedicine platforms and remote patient monitoring is a plus.</div></li></ul></li><li><div>
Interpersonal Skills:</div><ul><li><div><br>
Excellent communication skills, both verbal and written, to effectively interact with patients, families, and healthcare professionals.</div></li><li><div>
Ability to work collaboratively within a multidisciplinary team.</div></li><li><div>
Strong critical thinking and problem-solving skills, with the ability to assess complex situations and make sound clinical decisions.</div></li></ul></li><li><div>
Personal Attributes:</div><ul><li><div><br>
Empathy and compassion for patients with chronic conditions.</div></li><li><div>
Strong organizational skills and attention to detail.</div></li><li><div>
Ability to manage a high volume of patients and prioritize care effectively.</div></li></ul></li></ul><h3 class="jobSectionHeader">
Additional Information:</h3><p>
The Chronic Care Management Nurse is a critical member of our care team, dedicated to improving the health and quality of life of patients with chronic conditions. This role provides an opportunity to make a meaningful difference in the lives of patients, empowering them to manage their health and prevent complications associated with chronic diseases.</p></div>

Chronic Care Management Nurse

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Care Coordinator Nurse (Home Healthcare) Lahore

Registered Nurse (RN) - Home Telehealth (HT) Care Coordinator

Utilization Management Registered Nurse

Utilization Management Registered Nurse

Utilization Management Registered Nurse

Utilization Management Registered Nurse

Chronic Care Management Nurse