nurse care manager

Included Health

<div>
 We're looking for Oncology Nurse Care Managers for our Care and Case Management team, who are passionate about caring for members holistically through their healthcare journey and ensuring needs are met with industry-leading interventions. As a telephonic Nurse Care Manager you will report to the Manager, Care and Case Management and will guide members through complex medical and behavioral Health situations, partnering with a diverse clinical team that includes a variety of healthcare professionals, care coordinators, and records specialists, to deliver integrated remote care in a creative way. The Nurse Care Manager should enjoy spending time on the phone, listening to members' needs, answering questions, and serving as an advocate. You will excel at creating cohesive care plans, and have the clinical skills to guide members clinically and navigate available benefits and resources. Nurse Care Managers will support members through complex care management, disease management, and acute case management, ensuring they receive longitudinal care that results in excellent health outcomes.
 <br/>
 <br/>
 <strong>
  Responsibilities
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Deliver coordinated, patient-centered virtual Care Management by telephone or video that improves members' health outcomes.
  </li>
  <li>
   Create impactful care plans together with members and our diverse care team, and help members achieve the desired goals.
  </li>
  <li>
   Help members navigate complex medical conditions, treatment pathways, benefits, and the healthcare system in general.
  </li>
  <li>
   Partner with the members' local providers to ensure coordinated care.
  </li>
  <li>
   Provide compassionate, longitudinal follow-up care, building supportive relationships.
  </li>
  <li>
   Assist throughout acute healthcare episodes, such as hospitalizations and rehabilitation stays, providing coordinated Case Management to support the member and their family.
  </li>
  <li>
   Coordinate necessary resources that holistically address members' problems, whether clinical or social
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  Qualifications
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Bachelor of Science in Nursing (BSN) required
  </li>
  <li>
   Oncology experience highly preferred
  </li>
  <li>
   5+ years of experience in nursing
  </li>
  <li>
   2+ years experience working in care management
  </li>
  <li>
   Must reside in a compact NLC state.
  </li>
  <li>
   Active Compact RN license in good standing with the nursing board of their state.
  </li>
  <li>
   Willingness to become (and maintain) licensure in multiple states.
  </li>
  <li>
   Work until 9-6PM PST
  </li>
  <li>
   Be comfortable discussing several medical conditions and experience with populations across the age ranges
  </li>
  <li>
   Spanish speaking desirable
  </li>
  <li>
   Experience working remotely, and strong competence and ability to use multiple computer/medical record systems.
  </li>
  <li>
   Be empathetic. We work with patients and their families who are going through challenging times. You practice empathy and reassure patients that we are available to help them.
  </li>
  <li>
   We are a fast-growing company and we are busy. Our team will meet volume goals without sacrificing quality.
  </li>
  <li>
   Strictly follow security and HIPAA regulations to protect our patients' medical information.
  </li>
  <li>
   Be pleasant, responsive, and willing to work with and learn from our team.
  </li>
  <li>
   A lot of time is spent on the phone with patients and families, and a lot of time communicating with colleagues. Therefore, the ability to gather a clinical history, answer questions at a patient level, and summarize findings is critical.
  </li>
  <li>
   Efficient at writing medical information in easy-to-understand, patient-centric language.
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  Physical/Cognitive Requirements
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Prompt and regular attendance at assigned work location.
  </li>
  <li>
   Capability to remain seated in a stationary position for prolonged periods.
  </li>
  <li>
   Eye-hand coordination and manual dexterity to operate keyboard, computer and other office-related equipment.
  </li>
  <li>
   No heavy lifting is expected, though occasional exertion of about 20 lbs of force (e.g., lifting a computer \/ laptop) may be required.
  </li>
  <li>
   Capability to work with leadership, employees, and members in an appropriate manner.
   <br/>
   <br/>
  </li>
 </ul>
 The United States new hire base salary target range for this full-time position is:
 <br/>
 <br/>
 $73,700 - $103,180 + equity + benefits
 <br/>
 <br/>
 <em>
  This range reflects the minimum and maximum target for new hire salaries for candidates based on their respective Zone. Below is additional information on Included Health's commitment to maintaining transparent and equitable compensation practices across our distinct geographic zones.
  <br/>
  <br/>
 </em>
 <em>
  Starting base salary for you will depend on several job-related factors, unique to each candidate, which may include education; training; skills; years and depth of experience; certifications and licensure; our needs; internal peer equity; organizational considerations; and understanding of geographic and market data. Compensation structures and ranges are tailored to each zone's unique market conditions to ensure that all employees receive fair and great compensation package based on their roles and locations. Your Recruiter can share your geographic zone upon inquiry.
  <br/>
  <br/>
 </em>
 <strong>
  Benefits &amp; Perks
  <br/>
  <br/>
 </strong>
 <em>
  In addition to receiving a great compensation package, the compensation package may include, depending on the role, the following and more:
  <br/>
  <br/>
 </em>
 <em>
  Remote-first culture
  <br/>
  <br/>
 </em>
 <em>
  401(k) savings plan through Fidelity
  <br/>
  <br/>
 </em>
 <em>
  Comprehensive medical, vision, and dental coverage through multiple medical plan options (including disability insurance)
  <br/>
  <br/>
 </em>
 <em>
  Paid Time Off ("PTO") and Discretionary Time Off ("DTO")
  <br/>
  <br/>
 </em>
 <em>
  12 weeks of 100% Paid Parental leave
  <br/>
  <br/>
 </em>
 <em>
  Family Building &amp; Compassionate Leave: Fertility coverage, $25,000 for surrogacy/adoption, and paid leave for failed treatments, adoption or pregnancies.
  <br/>
  <br/>
 </em>
 <em>
  Work-From-Home reimbursement to support team collaboration home office work
  <br/>
  <br/>
 </em>
 <em>
  Your recruiter will share more about the salary range and benefits package for your role during the hiring process.
  <br/>
  <br/>
 </em>
 <strong>
  About Included Health
  <br/>
  <br/>
 </strong>
 Included Health is a new kind of healthcare company, delivering integrated virtual care and navigation. We&rsquo;re on a mission to raise the standard of healthcare for everyone. We break down barriers to provide high-quality care for every person in every community &mdash; no matter where they are in their health journey or what type of care they need, from acute to chronic, behavioral to physical. We offer our members care guidance, advocacy, and access to personalized virtual and in-person care for everyday and urgent care, primary care, behavioral health, and specialty care. It&rsquo;s all included. Learn more at
 <strong>
  includedhealth.com.
  <br/>
  <br/>
 </strong>
 Included Health is an Equal Opportunity Employer and considers applicants for employment without regard to race, color, religion, sex, orientation, national origin, age, disability, genetics or any other basis forbidden under federal, state, or local law. Included Health considers all qualified applicants with arrest or conviction records in accordance with the San Francisco Fair Chance Ordinance, the Los Angeles County Fair Chance Ordinance, and California law.
 <br/>
 <br/>
 Included Health uses AI-assisted tools at select stages of the hiring process to enhance efficiency, consistency, and communication. AI does not make hiring decisions&mdash;final decisions are made exclusively by our recruiting and hiring teams.
 <br/>
 <br/>
</div>


Oncology Nurse Care Manager, Adult

<div><div>We're looking for Oncology Nurse Care Managers for our Care and Case Management team, who are passionate about caring for members holistically through their healthcare journey and ensuring needs are met with industry-leading interventions. As a telephonic Nurse Care Manager you will report to the Manager, Care and Case Management and will guide members through complex medical and behavioral Health situations, partnering with a diverse clinical team that includes a variety of healthcare professionals, care coordinators, and records specialists, to deliver integrated remote care in a creative way. The Nurse Care Manager should enjoy spending time on the phone, listening to members' needs, answering questions, and serving as an advocate. You will excel at creating cohesive care plans, and have the clinical skills to guide members clinically and navigate available benefits and resources. Nurse Care Managers will support members through complex care management, disease management, and acute case management, ensuring they receive longitudinal care that results in excellent health outcomes.</div><div>
#LI-Remote</div>
<h3 class="jobSectionHeader"><b>Responsibilities:</b></h3><ul><li>
Deliver coordinated, patient-centered virtual Care Management by telephone or video that improves members' health outcomes.</li><li>
Create impactful care plans together with members and our diverse care team, and help members achieve the desired goals.</li><li>
Help members navigate complex medical conditions, treatment pathways, benefits, and the healthcare system in general.</li><li>
Partner with the members' local providers to ensure coordinated care.</li><li>
Provide compassionate, longitudinal follow-up care, building supportive relationships.</li><li>
Assist throughout acute healthcare episodes, such as hospitalizations and rehabilitation stays, providing coordinated Case Management to support the member and their family.</li><li>
Coordinate necessary resources that holistically address members' problems, whether clinical or social</li></ul><h3 class="jobSectionHeader"><b>
Qualifications:</b></h3><ul><li>
Bachelor of Science in Nursing (BSN) required</li><li>
Oncology experience highly preferred
</li><li>5+ years of experience in nursing</li><li>
2+ years experience working in care management</li><li>
Must reside in a compact NLC state.</li><li>
Active Compact RN license in good standing with the nursing board of their state.</li><li>
Willingness to become (and maintain) licensure in multiple states.</li><li>
Work until 9-6PM PST</li><li>
Be comfortable discussing several medical conditions and experience with populations across the age ranges</li><li>
Spanish speaking desirable</li><li>
Experience working remotely, and strong competence and ability to use multiple computer/medical record systems.</li><li>
Be empathetic. We work with patients and their families who are going through challenging times. You practice empathy and reassure patients that we are available to help them.</li><li>
We are a fast-growing company and we are busy. Our team will meet volume goals without sacrificing quality.</li><li>
Strictly follow security and HIPAA regulations to protect our patients' medical information.</li><li>
Be pleasant, responsive, and willing to work with and learn from our team.</li><li>
A lot of time is spent on the phone with patients and families, and a lot of time communicating with colleagues. Therefore, the ability to gather a clinical history, answer questions at a patient level, and summarize findings is critical.</li><li>
Efficient at writing medical information in easy-to-understand, patient-centric language.</li></ul><h3 class="jobSectionHeader"><b>
Physical/Cognitive Requirements</b></h3><ul><li>
Prompt and regular attendance at assigned work location.</li><li>
Capability to remain seated in a stationary position for prolonged periods.</li><li>
Eye-hand coordination and manual dexterity to operate keyboard, computer and other office-related equipment.</li><li>
No heavy lifting is expected, though occasional exertion of about 20 lbs of force (e.g., lifting a computer \/ laptop) may be required.</li><li>
Capability to work with leadership, employees, and members in an appropriate manner.</li></ul><div>
The United States new hire base salary target range for this full-time position is:</div><div>
$73,700 - $103,180 + equity + benefits</div><div></div><div><i><br>
This range reflects the minimum and maximum target for new hire salaries for candidates based on their respective Zone. Below is additional information on Included Health's commitment to maintaining transparent and equitable compensation practices across our distinct geographic zones.</i></div><div><i>
Starting base salary for you will depend on several job-related factors, unique to each candidate, which may include education; training; skills; years and depth of experience; certifications and licensure; our needs; internal peer equity; organizational considerations; and understanding of geographic and market data. Compensation structures and ranges are tailored to each zone's unique market conditions to ensure that all employees receive fair and great compensation package based on their roles and locations. Your Recruiter can share your geographic zone upon inquiry.</i></div><div></div><div><b><br>
Benefits &amp; Perks:</b></div><div><i>
In addition to receiving a great compensation package, the compensation package may include, depending on the role, the following and more:</i></div><div><i>
Remote-first culture</i></div><div><i>
401(k) savings plan through Fidelity</i></div><div><i>
Comprehensive medical, vision, and dental coverage through multiple medical plan options (including disability insurance)</i></div><div><i>
Paid Time Off (&quot;PTO&quot;) and Discretionary Time Off (&quot;DTO&quot;)</i></div><div><i>
12 weeks of 100% Paid Parental leave</i></div><div><i>
Family Building &amp; Compassionate Leave: Fertility coverage, $25,000 for surrogacy/adoption, and paid leave for failed treatments, adoption or pregnancies.</i></div><div><i>
Work-From-Home reimbursement to support team collaboration home office work</i></div><div><i>
Your recruiter will share more about the salary range and benefits package for your role during the hiring process.</i></div><div></div><div><b><br>
About Included Health</b></div><div></div><div><br>
Included Health is a new kind of healthcare company, delivering integrated virtual care and navigation. We&rsquo;re on a mission to raise the standard of healthcare for everyone. We break down barriers to provide high-quality care for every person in every community &mdash; no matter where they are in their health journey or what type of care they need, from acute to chronic, behavioral to physical. We offer our members care guidance, advocacy, and access to personalized virtual and in-person care for everyday and urgent care, primary care, behavioral health, and specialty care. It&rsquo;s all included. Learn more at<b> </b><b>includedhealth.com</b><b>.<br>
</b></div><div></div><div>-</div><div>
Included Health is an Equal Opportunity Employer and considers applicants for employment without regard to race, color, religion, sex, orientation, national origin, age, disability, genetics or any other basis forbidden under federal, state, or local law. Included Health considers all qualified applicants with arrest or conviction records in accordance with the San Francisco Fair Chance Ordinance, the Los Angeles County Fair Chance Ordinance, and California law.</div>
<p>
Included Health uses AI-assisted tools at select stages of the hiring process to enhance efficiency, consistency, and communication. AI does not make hiring decisions&mdash;final decisions are made exclusively by our recruiting and hiring teams.</p></div>

ABILITIES FIRST

<div><p><b>PRIMARY PURPOSE OF JOB</b>:</p>
<p>
The Abilities First DD Health Home/ &ldquo;Steps Forward&rdquo; Nurse Care Manager (NCM) plays a pivotal role in managing the the population health needs and gaps in care of the DD Health Home population by adopting a whole-person approach that encompasses both physical and behavioral health aspects of individuals served in the DD Health Home program. The NCM will provide services reflecting the six core services of the DD HH program including care management, care coordination, health promotion, comprehensive transitional care, individual and family support, and referral to community and social support services.</p>
<p>
The NCM will work closely with the DD Health Home Directors, Physician Consultants or APRNs, and the Specialized Healthcare Consultants, as well as other members of the individual&rsquo;s health and care teams to assess current health needs, services, gaps in care and health assessment for each DD Health Home client assigned. The NCM will conduct health assessments, assist in developing and monitoring individual plan health goals and progress related to medical, and social determinants of health needs. The NCM is responsible for providing individual and population health education services. The NCM must provide a minimum of one core service for each assigned DD Health Home client per month. The NCM will utilize electronic health record systems to review, record health information and document health outcomes and services provided.</p>
<p><b>
This description may not include all duties, knowledge, skills, or abilities associated with this position.
</b></p><p><b>ESSENTIAL FUNCTIONS AND PERFORMANCE AREAS</b>:</p>
<ul><li>
Facilitate and participate in an organized, interdisciplinary team approach to care management for all assigned DD Health Home clients as well as the Abilities First DD Health Home overall population.</li><li>
The NCM will meet with individuals assigned to the Abilities First DD HH within the required timelines to explain to the individual the benefits and purpose of the DD HH program.</li><li>
The NCM must conduct a chart review within 30 days of enrollment of the individual into the DD HH program. In this process the NCM will become familiar with the clinical record and individual&rsquo;s history and identify and prioritize health issues which may exist and begin the health care assessment and health plan process.</li><li>
The NCM shall complete a Metabolic Syndrome (MBS) screening with individuals as needed and per the timelines and required frequency as mandated by the DD Health Home contract and provider manual. The DD HH NCM will coordinate with the individual&rsquo;s PCP to determine the recommended time frame for obtaining new lab values.</li><li>
The NCM must document services provided, clinical measures and data obtained, and reviews in each assigned individuals&rsquo; medical records; notes must, at a minimum, document the chart review occurred and be entered into the record within 72 hours of service.</li><li>
As part of comprehensive care management services, the DD HH NCM is responsible for completing standardized, comprehensive assessments of individuals&rsquo; health needs. The health information will be documented on a Health Screen form and entered into the appropriate electronic health record system/s.</li><li>
The DD HH NCM must conduct an annual face-to-face (video or in person) meeting with the individual and parent/guardian to review the health information, discuss healthcare concerns, and help translate health and wellness goals for inclusion in the individual&rsquo;s DD HH healthcare goals.</li><li>
The NCM must monitor and regularly follow up on patients' health progress, adjusting treatment plans as necessary.</li><li>
As part of Care Coordination, health promotion and family support services, the NCM will help develop an overall person-centered health plan for each individual, which coordinates and integrates all clinical and social determinants of health-related needs and services and facilitates the individuals&rsquo; participation in the ongoing revision of their DD HH healthcare goals.</li><li>
The NCM will encourage active individual involvement through appropriate linkages, referrals, coordination, and follow up to needed services and support.</li><li>
The NCM will document individual services in the individual&rsquo;s medical record including, but not limited to, comprehensive care management monitoring for care management gaps. Documentation must meet the DMH/MO HealthNet requirements.</li><li>
The NCM will utilize the DMH/DD identified system on a regular basis and are able to revise DD HH healthcare goals, as necessary.</li><li>
The NCM must perform timely medication reconciliation interventions and sign off on the medication reconciliation when complete, as mandated and defined in the DD Health Home contract and provider manual. A progress note must be entered in the individual record documenting the completion and results of the medication reconciliation. A transfer or hospital follow-up and medication reconciliation review must occur within 7 days for any DD HH enrollee that has been discharged from the hospital.</li><li>
The NCM will develop education to teach individuals how to manage their chronic illnesses and encourage healthy lifestyles.</li><li>
The NCM is responsible for overseeing the health trends of the entire population of individuals, following-up on identified trends impacting the health of the population, addressing high utilizers, participating in health education activities, including, as examples, topics on smoking cessation, disease prevention, and medication adherence.</li><li>
The NCM will coordinate care of DD HH participants enrolled in Managed Care Organizations (MCO) including keeping MCO apprised of individual&rsquo;s needs; follow up with the individual&rsquo;s interactions with the MCO during scheduled visits or phone calls; notify the MCO of individual&rsquo;s discharge from the DD HH, as applicable.</li><li>
The NCM will maintain relationships and coordinate communication with individuals&rsquo; primary care physician. Assist the enrollee in acquiring a primary care physician when needed.</li><li>
The NCM must demonstrate the ability to identify potential abuse and neglect situations and follow protocol according to all applicable regulatory requirements.</li><li>
The NCM must have the ability to bend, sit, stand, and stoop.</li><li>
The NCM must have the ability to establish effective working relationships with co-workers and the public.</li><li>
NCM may not exceed the maximum 1 FTE: 200 individuals served ratio. This includes staff filling these roles on a part-time basis.</li><li>
Other duties as assigned</li></ul>
<p><b>
WORK ENVIRONMENT</b>:
</p><p>The work environment described here is representative of those an employee encounters while performing the essential duties and responsibilities of this job. The work environment is fast-paced and result-oriented, which presents multiple demands with frequent interruptions, constantly shifting schedules and priorities and simultaneous deadlines requiring the employee to be flexible, organized and cooperative. This position has access to confidential information. This requires the employee to maintain a high level of knowledge in confidentiality, agency policy and procedure, and applicable laws.</p>
<p><b>
LEADERSHIP, ETHICS, AND PROFESSIONAL CONDUCT</b>:</p>
<p>
Abilities First employees are expected to model exemplary leadership at all times. This includes representing the agency in a positive, respectful, and professional manner through words, actions, and expressions. Employees are expected to communicate concerns, challenges, and differing perspectives through the established chain of command, using constructive, solution-focused, and professional language rather than judgmental or disparaging commentary. Abilities First expects staff to observe the highest ethical standards, maintain professional conduct above reproach and demonstrate unwavering integrity in all internal and external interactions.</p>
<p><b>
KNOWLEDGE, SKILLS, AND ABILITIES</b>:</p>
<ul><li>
Knowledge and experience teaching self-management</li><li>
Excellent telephone and interpersonal communication skills</li><li>
Ability to multi-task and prioritize, strong organizational skills</li><li>
Strong knowledge of medical terminology</li><li>
Strong knowledge of disease process/disease management and nursing care/body systems throughout the lifespan</li><li>
Computer experience required (Microsoft Office, Microsoft Teams)</li><li>
Electronic health record experience required</li></ul>
<p><b>
CORE COMPETENCIES</b>:
</p><p>Core competencies align with the Abilities First Core Values <b>&ndash; OATH</b></p>
<p><b>
One Team One Mission</b></p>
<ul><li><i>
Contributing to Team Success</i> &ndash; Actively participating as a member of a team to move the team toward the completion of goals.</li><li><i>
Engagement Readiness</i> &ndash; Demonstrating a willingness to commit to one&rsquo;s work and to invest one&rsquo;s time, talent and best efforts in accomplishing organizational goals.</li></ul>
<p><b>
Accountable, respectful service</b></p>
<ul><li><i>
Continuous Improvement</i> &ndash; Originating action to improve existing conditions and processes, identifying improvements opportunities, generating ideas, and implementing solutions.</li><li><i>
Quality Orientation</i> &ndash; Accomplishing tasks by considering all areas involved, no matter how small; showing concern for all aspects of the job; accurately checking processes and tasks; being watchful over a period of time.</li><li><i>
Technical/Professional Knowledge and Skills</i> &ndash; Having achieved a satisfactory level of technical and professional skill or knowledge in position-related area, keeping up with current developments and trends in area of expertise.</li></ul>
<p><b>
Transparent stewardship</b></p>
<ul><li><i>
Decision Making</i> &ndash; Identifying and understanding issues, problems, and opportunities; comparing data from different sources to draw conclusions; using effective approaches for choosing a course of action or developing appropriate solutions; taking action that is consistent with available facts, constraints, and probable consequences.</li><li><i>
Planning and Organizing</i> &ndash; Establishing courses of action for self and others to ensure that work is completed effectively.</li></ul>
<p><b>
Hold the rope</b></p>
<ul><li><i>
Adaptability</i> &ndash; Maintaining effectiveness when experiencing major changes in work responsibilities or environment; adjusting effectively to work within new work structures, processes, requirements, or cultures.</li><li><i>
Leadership Disposition</i> &ndash; Demonstrating the traits, inclinations, and dispositions that characterize successful leaders; exhibiting behavior styles that meet the demands of the leader role.</li></ul>
<p><b>
EDUCATION, TRAINING AND EXPERIENCE REQUIREMENTS</b>:</p>
<ul><li>
(1) Registered Nurse who has a current Missouri or compact RN license recognized by the Missouri State Board of Nursing as an RN OR (2) Licensed Practical Nurse who has a current Missouri or compact LPN license recognized by the Missouri State Board of Nursing as an LPN.</li><li>
At least one year of professional nursing experience required.</li><li>
Experience in the IDD field is preferred, but not required.</li></ul>
<p><b>
ADDITIONAL REQUIREMENTS</b>:</p>
<ul><li>
Must have a valid Missouri Driver&rsquo;s License, acceptable driving record and auto liability insurance that meets the requirements set by Abilities First.</li><li>
Must have secure and reliable high-speed internet in instance of working remotely.</li><li>
Must be able to pass a background screening.
</li></ul><p><b>PHYSICAL CONTEXT AND WORK ENVIRONMENT:</b></p>
<p><b>
Reasonable accommodations may be made to enable individuals with disabilities to perform essential job duties</b>.</p>
<div><div><div><b>
Physical Requirements</b><br>
</div><div><b> Percentage of Work Time Spent on Activity</b></div></div><br>
<div><div>
</div><div><b> 0-24%</b></div><div><b> 25-49%</b></div><div><b> 50-74%</b></div><div><b> 75-100%</b></div></div><br>
<div><div><b>
Seeing:</b> Must be able to see to read documents/reports and focus on computer for an extended period.</div><div></div><div> X</div></div><br>
<div><div><b>
Hearing:</b> Must be able to hear well enough to communicate with coworkers and general public.</div><div></div><div> X</div></div><br>
<div><div><b>
Sitting: </b>Must be able to sit for long periods of time.</div><div></div><div> X</div></div><br>
<div><div><b>
Standing/Walking:</b> Must be able to move about the work area.</div><div> X</div></div><br>
<div></div><div><div><b>
Climbing/Stooping/Kneeling:</b> Must be able to stoop or kneel to pick up items off the floor and filing in a bottom drawer file cabinet.</div><div> X</div></div><br>
<div></div><div><div><b>
Lifting/Pulling/Pushing</b>: Must be able to lift 20 pounds with or without reasonable assistance.</div><div> X</div></div><br>
<div></div><div><div><b>
Driving: </b>Must be able to drive locally for work-related assignments.<br>
</div><div> X</div></div><br>
<div></div><div><div><b>
Grasping/Feeling:</b> Must be able to type, handle documents, and use equipment and electronic devices.<br>
</div><div></div><div> X</div></div><br>
</div>
<p></p>
<ul><li>The work environment is usually a well-lighted, environmentally controlled indoor environment with moderate level of noise.</li><li>
Works in an office environment with the option for some remote work.</li></ul>
<p>
The statements herein are intended to describe the general nature and level of work being performed but are not to be seen as a complete list of responsibilities, duties, and skills required of personnel so classified. Also, they do not establish a contract for employment and are subject to change at the discretion of the employer.</p>
<p>
Created: 12.13.2023; Updated: 11.07.2024; 12.31.2025</p></div>

Nurse Care Manager RN (PT H)

Your Health

<div>
 Back to Job Openings
 <br/>
 <br/>
 Nurse Case Manager - Registered Nurse
 <br/>
 <br/>
 Greenville SC, Lyman SC, Greer SC
 <br/>
 <br/>
 Apply
 <br/>
 <br/>
 Share
 <br/>
 <br/>
 <strong>
  We are seeking Registered Nurse to service our patients throughout the Greenville area.
 </strong>
 The role of the Nurse Case Manager position is a critical part of the patient&rsquo;s care team. The nurse will visit patients and facilitate with appropriate provider. The Nurse Case Manager will be required to travel to patients&rsquo; homes, long-term care facilities, etc. to evaluate patients and initiate telemedicine visits. Provide quality healthcare in adherence to all applicable laws, regulations, and policies within the scope of practice.
 <br/>
 <br/>
 <strong>
  Nurse Case Manager's perform visits in homes and facilities (ALF and ILF's) in their designated service area
 </strong>
 .
 <strong>
  You must have reliable transportation as travel is required daily.
 </strong>
 This is a full time, salary-based working 8-hr shifts Monday-Friday (8am-5pm)
 <br/>
 <br/>
 <strong>
  The Following Service Area(s) Are Currently Available
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Greenville area
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  About
  <br/>
  <br/>
 </strong>
 We are a leading physician group serving South Carolina and Georgia, dedicated to delivering quality healthcare directly to patients in care facilities, homes, clinics, and virtual visits. Our services include comprehensive primary care, specialty services, and pharmacy support, tailored to meet diverse patient needs. Committed to excellence and innovation, our team collaborates closely with facilities and families to ensure accessible, coordinated, and compassionate care.
 <br/>
 <br/>
 <strong>
  Why Choose a Career at Your Health?
  <br/>
  <br/>
 </strong>
 Providing high quality care for our patients is the center of what we do, and we provide the same care for our employees. Here are some of the benefits that are available to our employees.
 <br/>
 <br/>
 <ul>
  <li>
   Competitive Compensation Package with Bonus Opportunities
  </li>
  <li>
   Employer Matched 401K
  </li>
  <li>
   Free Visit &amp; Prescriptive Services with HDHP Insurance Plan
  </li>
  <li>
   Employer Matched HSA
  </li>
  <li>
   Generous PTO Package
  </li>
  <li>
   Career Development &amp; Growth Opportunities
  </li>
  <li>
   Vehicle allowance
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  What Are We Looking For?
  <br/>
  <br/>
 </strong>
 Your Health is currently looking for a Registered Nurse to join our growing primary care family. A successful Nurse Case Manager will be able to perform these essential duties and responsibilities. Reasonable accommodations may be made, in accordance with applicable law, to enable individuals with disabilities to perform the essential functions.
 <br/>
 <br/>
 The following is a list of essential functions, which may be subject to change at any time and without
 <br/>
 <br/>
 notice. Management may assign new duties, reassign existing duties, and/or eliminate function(s).
 <br/>
 <br/>
 <strong>
  Area Of Responsibility
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Facilitate receiving all medical records from the patient&rsquo;s primary provider and specialists.
  </li>
  <li>
   Review medical records.
  </li>
  <li>
   Complete consents with patients.
  </li>
  <li>
   Enroll patients in Care Management, if they meet eligibility criteria.
  </li>
  <li>
   Initiate a Care Management Plan of Care, if the patient is eligible.
  </li>
  <li>
   Capture all diagnoses at the highest specificity by creating gaps and ensure they are accepted.
  </li>
  <li>
   Complete AWV&rsquo;s to be reviewed by the provider.
  </li>
  <li>
   Complete cognitive impairment screenings.
  </li>
  <li>
   Complete Social Determinants of Health (SDoH) assessments and/or screenings.
  </li>
  <li>
   Complete ACP&rsquo;s to be reviewed with the patient by the provider.
  </li>
  <li>
   Evaluate for home health, hospice, palliative, or consults with Your Health Specialty Division, etc.
  </li>
  <li>
   Evaluate for RPM devices, resources, or tools that may improve the patient&rsquo;s quality of life.
  </li>
  <li>
   Communicate and coordinate care.
  </li>
  <li>
   Reconcile prescribed and OTC medications, vitamins, supplements, herbal remedies, and other treatments.
  </li>
  <li>
   Provide post-discharge education.
  </li>
  <li>
   Evaluate for adaptive equipment and DME.
  </li>
  <li>
   Evaluate for safe environment.
  </li>
  <li>
   Evaluation of acute condition(s) or follow-up from previous visit.
  </li>
  <li>
   Appropriately and accurately document and log Care Management activities. Work in conjunction with care team to keep the patients Care Management care plans up to date.
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  Qualifications
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Must be a licensed nurse. Registered nurse preferred. License must be in good standing with appropriate board/issuer.
  </li>
  <li>
   A minimum of three (3) years clinical experience preferred.
  </li>
  <li>
   Experience in community settings preferred.
  </li>
  <li>
   Proven ability to effectively communicate and collaborate with interdisciplinary care teams, patients, and caregivers.
  </li>
  <li>
   Strong written and verbal skills.
  </li>
  <li>
   Basic computer knowledge.
  </li>
  <li>
   Ability to manage and demonstrate effective leadership skills.
  </li>
  <li>
   Should demonstrate good interpersonal and communication skills under all conditions and circumstances.
  </li>
  <li>
   Ability to foster a cooperative work environment.
  </li>
  <li>
   Team player with ability to manage multiple responsibilities and demonstrate sound judgment.
  </li>
  <li>
   Must be able to work flexible hours and travel between offices, facilities, etc. Must be a licensed driver with an automobile that is insured in accordance with state and/or organizational requirements and is in good working order
   <br/>
   <br/>
  </li>
 </ul>
 Apply
</div>


Nurse Case Manager - Registered Nurse

ArchWell Health

<div>
 ArchWell Health is re-imagining the practice of primary care. We are putting the relationship between patient and physician at the center of a value-based model focused on outstanding patient experience, improved access, and better outcomes. In our medical clinics, we provide comprehensive primary care for senior adults with Medicare Advantage plans, focused on delivering improved quality, better patient experience and lower total cost of care.
 <br/>
 <br/>
 Reporting to the Center Manager, the
 <strong>
  Registered Nurse (RN)
 </strong>
 has daily responsibility in direct patient care and education and fostering collaborative relationships with providers and other clinical operations staff. This position is ideal for an experienced nurse who enjoys performing daily patient care, has a passion for working with the senior community, and desires a day shift/Monday-Friday schedule.
 <br/>
 <br/>
 <strong>
  Duties/Responsibilities:
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Responsible for adhering to the clinical team workflows.
  </li>
  <li>
   Performs daily staff nursing activities; day-to-day patient activities, including phone and in-person patient triage and patient education.
  </li>
  <li>
   Collaborates with the Providers and Center Manager to identify opportunities to improve clinical performance of back-office personnel and functions. Develops, implements, and monitors the effectiveness of performance improvement activities.
  </li>
  <li>
   Performs regular monitoring activities to ensure compliance with national and organizational standards of care. Clinically prepares the market for internal and external quality audits and helps lead the center response to any clinical deficiencies found.
  </li>
  <li>
   Maintains current knowledge of state regulations for nursing, medicine, and pharmacy as it relates to scope of practice for back-office personnel.
  </li>
  <li>
   Identifies and provides appropriate resources to educate patients, their families and staff members on clinical conditions and processes.
  </li>
  <li>
   Oversees clinical quality and patient safety through training and education of the back-office personnel and administrative staff. Communicates effectively in all areas of practice, including how to motivate, and engage colleagues around a common goal.
  </li>
  <li>
   Ensures that clinical processes, policies, and procedures are adhered to in the center.
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  Required Skills/Abilities:
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Strong knowledge of healthcare functions, including clinical functions, practice safety processes, reimbursement practices, and quality improvement initiatives.
  </li>
  <li>
   Track record of developing and implementing processes for providing excellent customer service.
  </li>
  <li>
   Superior clinical/patient care skills.
  </li>
  <li>
   Thorough, in-depth knowledge of clinical procedures, legal rules and regulations and best practices in healthcare.
  </li>
  <li>
   Skilled in observation, training and evaluating clinical/patient care competencies.
  </li>
  <li>
   Ability to effectively leverage business and organizational knowledge within and across functional areas.
  </li>
  <li>
   Must possess a high degree of emotional intelligence and integrity, driven and focused work ethic.
  </li>
  <li>
   Continuous desire to learn and embrace new methods; ability to adapt and be resilient.
  </li>
  <li>
   Self-starter with the ability to think creatively and work effectively.
  </li>
  <li>
   Ability to build a relationship and work effectively with various seniorities and diverse populations including staff, providers, members, and family members.
  </li>
  <li>
   Excellent critical reasoning, decision-making, and problem-solving skills to analyze situations, determine risks, and find solutions to prevent future issues and resolve recurring defects.
  </li>
  <li>
   Proven skills in budgeting and fiscal management preferred.
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  Education and Experience:
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   AA/AS degree in Nursing required; BA/BS degree in Nursing (BSN) or Healthcare Administration preferred.
  </li>
  <li>
   A valid, active Registered Nurse (RN) license in state(s) of employment required.
  </li>
  <li>
   A minimum of 5 years&rsquo;, current direct nursing/medical work experience required.
  </li>
  <li>
   Work in a community-based clinic, public health department or specialization with the senior population preferred.
  </li>
  <li>
   BLS certification for healthcare providers required.
  </li>
  <li>
   A problem-solving orientation and eagerness to identify process gaps and implement practical solutions in a matrixed organization.
  </li>
  <li>
   Proficient PC skills.
  </li>
  <li>
   Fluency in Spanish or other languages spoken by people in the communities we serve is helpful.
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  Embodies and serves as a role model of ArchWell Health&rsquo;s Values:
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Be compassionate.
  </li>
  <li>
   Strive for excellence.
  </li>
  <li>
   Earn trust.
  </li>
  <li>
   Show respect.
  </li>
  <li>
   Remain resilient.
  </li>
  <li>
   Do the right thing and do it with passion.
   <br/>
   <br/>
  </li>
 </ul>
 ArchWell Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to their race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other protected classification.
</div>


Center Care Team - Registered Nurse

Sidra

<div><p><b>JOB SUMMARY
</b></p><p>The Clinical Nurse Manager - Homecare and Case Management has 24-hour operational accountability for all clinical, operational and budget responsibility of the Case Management and homecare units incorporating the hospitals vision and strategic plan. The Clinical Nurse Manager - Case Management and Homecare directs and coordinates clinical planning activities for both services and is responsible for the recommendation, development and implementation of case management and homecare procedures, standards and guidelines, and for keeping the Director of Nursing informed of progress and potential problems. As a key member of the hospital&rsquo;s senior nursing management team the incumbent assumes accountability for the overall management and the delivery of quality Nursing Services to achieve optimal patient experience and outcomes for the service delivery area. S/he ensures that standards for case management and homecare are adhered to. The incumbent is fully responsible for the Case Management and Homecare unit budgets, patient experience and outcomes and staff performance and development. S/he works collaboratively to ensure that commissioning, recruitment, onboarding, orientation and service activation responsibilities are carried out in accordance with Sidra&rsquo;s plans and timelines. The Clinical Nurse Manager - Homecare and Case Management is professionally accountable to the Chief Nursing Officer.
</p><p><b>QUALIFICATIONS, EXPERIENCE AND SKILLS &ndash; SELECTION CRITERIA
</b></p><p><b>EDUCATION
</b></p><p><b>Essential:
</b></p><ul><li>Bachelor Degree in Nursing (4 years)
</li><li>Master&rsquo;s degree in Nursing or health related field, or Masters in Business Administration
</li><li>Registered Nurse
</li></ul><p><b>Preferred:
</b></p><ul><li>Master&rsquo;s degree in Nursing or health related field, or Masters in Business Administration
</li><li>Post graduate specialty qualification/certification
</li></ul><p><b>EXPERIENCE
</b></p><p><b>Essential:
</b></p><ul><li>7+ years of clinical experience including 5+ progressive management experience within the relevant specialty area in an acute care hospital Experience in an Academic Medical Center
</li></ul><p><b>Preferred:
</b></p><ul><li>Demonstrated experience with clinical Information systems
</li><li>Hospital Commissioning
</li><li>Previous accreditation experience
</li><li>Evidence of publications / presentations in the past 5 years
</li></ul><p><b>CERTIFICATION &amp; LICENSURE
</b></p><p><b>Essential:
</b></p><ul><li>Valid professional nursing license in country of origin
</li><li>Case Manager Certification from an accredited national organization
</li><li>Meets licensing requirements of the State of Qatar
</li></ul><p><b>PROFESSIONAL MEMBERSHIP
</b></p><p><b>Preferred:
</b></p>Member of a professional nursing association<br>
<ul><li>
</li></ul><p></p><p><b>JOB SPECIFIC SKILLS &amp; ABILITIES<br>
</b></p><p></p><p><b>Essential:
</b></p><ul><li>Proactive approach to planning
</li><li>Demonstrated ability to cope with rapid and sustained change, competing demands and tight deadlines
</li><li>Demonstrated ability to develop and maintain effective relationships with a range of stakeholders internally and externally
</li><li>Effective communication and presentation skills and demonstrated ability to present to large audiences.
</li><li>Empowering and enabling leadership style
</li><li>Effective coordination of resources to maintain safe patient care
</li><li>Proficiency with Microsoft Office suite
</li><li>Fluency in written and spoken English
</li></ul><p><b>Preferred:
</b></p><ul><li>Arabic speaking and/or bilingual in other languages
</li></ul><p><b>KEY ROLE ACCOUNTABILITIES
</b></p><ul><li>Formulates, communicates and oversees the implementation of the case management and national homecare strategy in collaboration with key stakeholders.
</li><li>Develops, directs and ensures continuous improvement to the implementation of operational plans for case management and homecare.
</li><li>Makes decisions on budget planning, clinical operation, resource allocation and staff performance for case management and homecare units.
</li><li>Ensures all nursing staff work within their scope of practice and within QCHP licensure of Qatar.
</li><li>Implements patient experience and quality plans for homecare and case management.
</li><li>Translates the pediatrics nursing strategy into plans for case management and homecare and drives their execution.
</li><li>Leads and coordinates collaborative multi-disciplinary partnerships working towards the achievements of constant improvement in quality patient care and patient experience.
</li><li>Assumes accountability and oversight for patient experience and clinical outcomes for the Case Management and Homecare units.
</li><li>Continually reviews nursing practice to ensure that the most effective research based and timely care is provided for patients and their families. Addresses any issues that negatively impact on patient care outcomes.
</li><li>Develops goals, KPIS and objectives for Case Management and Homecare in collaboration with the Director and other key stakeholders by embracing evidence and research to support transformational changes.
</li><li>Ensures that patient care is provided in accordance with established case management and standards of nursing care, accreditation, policies, guidelines and protocols of Sidra and the State of Qatar.
</li><li>Develops and implements processes to ensure authorization of appropriate services for continued stay and during discharge.
</li><li>Plans for resource allocation that meets patient population needs. Ensures staffing ratios and patient assignments are reflective of patient census, acuity, level of education, and capabilities of staff.
</li><li>Assumes financial responsibility through budget management for the unit to ensure that patient services are provided in a timely, efficient and effective manner. Balances financial responsibility against safe patient care.
</li><li>Manages ongoing individual performance appraisals, development plans and professional goals for case management and homecare staff members.
</li><li>Leads, plans, implements and evaluates the operational care delivery for case management and homecare.
</li><li>Achieves goals and objectives by embracing evidence and research to support transformational changes.
</li><li>Sets and monitors performance standards against patient outcomes.
</li><li>Monitors and implements the comprehensive unit based safety program takes corrective action as required.
</li><li>Establishes and analyzes areas of improvement through data to prepare necessary reports.
</li><li>Develops, reviews and revises unit procedures as required.
</li><li>Leads and participates in organization-wide performance improvement activities and committees as assigned.
</li><li>Provides support for Shared Governance for case management and homecare.
</li><li>Partners with clinical educators in planning, implementation and evaluation of patient and staff education requirements.
</li><li>Drives the implementation of patient experience principles, provides service recovery, and identifies and implements continuous improvement opportunities as required.
</li><li>Monitors and analyzes performance data to ensure that unit KPIs are achieved, identifies opportunities for improvement and implements solutions.
</li><li>Leads and manages the selection, development and retention of all staff within the unit
</li><li>Serves as a professional and clinical role model for staff and acts as an advocate for patients and their families
</li><li>Promotes positive staff morale by building and maintaining relationships.
</li><li>Ensures clinical practitioner competence and professional nursing credibility.
</li><li>Deputizes for the Director of Nursing as required.
</li><li>Adheres to Sidra&rsquo;s standards as they appear in the Code of Conduct and Conflict of Interest policies
</li><li>Adheres to and promotes Sidra&rsquo;s Values
</li></ul><p><i>In view of the evolving needs and opportunities within Sidra, this position may be required to perform other duties as assigned and reporting relationships may vary.</i></p></div><p></p>
<br><div><div>About US</div>
<div><div>Sidra Medicine a healthy population is essential to a strong, prosperous society, and throughout 2020, Sidra continued to provide uninterrupted comprehensive specialist healthcare services for children and young people; and exceptional maternity, gynecology, and reproductive medical services for women, previously unavailable in Qatar and the region.&rdquo; &ndash; H.H Sheikha Moza bint Nasser, Chairperson of Qatar Foundation
</div><div>Sidra Medicine represents the vision of Her Highness Sheikha Moza bint Nasser who serves as its Chairperson. This high-tech facility is home to world-class patient care, scientific expertise, and educational resources.</div></div></div><div></div>

Clinical Nurse Manager - Homecare and Case Management

WellVisor

<p>Job Title: Case Manager</p><p>Job Summary:<br/>We are seeking a dedicated and compassionate Case Manager to join our team. The Case Manager will be responsible for coordinating and managing the care of patients in a remote setting. The ideal candidate will have strong organizational and communication skills, as well as a deep understanding of patient care.</p><p>Duties:<br/>- Conduct comprehensive assessments of patients' needs and develop individualized care plans</p><p>- Provide Utilization Management including prior authorization approvals<br/>- Collaborate with healthcare professionals to ensure the delivery of high-quality patient care<br/>- Coordinate and monitor patient progress throughout their healthcare journey<br/>- Advocate for patients' rights and ensure they receive appropriate medical treatment<br/>- Provide education and support to patients and their families regarding their medical conditions and treatment options<br/>- Assist in discharge planning and facilitate transitions of care<br/>- Maintain accurate and up-to-date documentation of patient interactions and interventions</p><p>Qualifications:<br/>- Bachelor's degree in nursing<br/>- Current license as a registered nurse (RN)<br/>- Minimum of 3-5 years of experience in case management</p><p>- Certified Case Manager preferred<br/>- Strong knowledge of medical terminology, disease processes, and treatment modalities<br/>- Excellent communication, interpersonal, and problem-solving skills<br/>- Ability to work independently and collaboratively within a multidisciplinary team<br/>- Proficient computer skills, including electronic medical record systems</p><p>Benefits:<br/>- Competitive salary based on experience<br/>- Professional development opportunities</p><p>If you are passionate about providing exceptional patient care and making a difference in people's lives, we encourage you to apply for the position of Case Manager. Please submit your resume and cover letter detailing your relevant experience and qualifications to cfran@wellvisor.com. We look forward to reviewing your application.</p><p>Job Types: Contract, Part-time</p><p>Pay: $40.00 - $50.00 per hour</p><p>Schedule:</p><ul><li>Monday to Friday</li></ul><p>Experience:</p><ul><li>Nursing: 3 years (Preferred)</li><li>Case management: 3 years (Preferred)</li></ul><p>License/Certification:</p><ul><li>RN (Required)</li></ul><p>Willingness to travel:</p><ul><li>25% (Preferred)</li></ul><p>Work Location: Remote</p>

Nurse Case Manager

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