Care Manager – Registered Nurse

The Care Manager Registered Nurse (RN) serves as a key clinical member of the interdisciplinary care team as part of the Care at Home Solutions program. The Care Manager RN partners closely with the Medical Director, Advanced Practice Provider (APP), Licensed Clinical Social Worker (LCSW), Community Health Worker (CHW), Pharmacist, and Care Navigators to coordinate care for patients with complex medical, behavioral, and social needs. The Care Manager RN develops and implements individualized care plans, provides clinical assessment and education, conducts telephonic and in-home care management visits as appropriate, supports transitions of care, and collaborates with primary care providers to improve quality, patient experience, and health outcomes. The Care Manager RN plays a critical role in reducing avoidable utilization, addressing barriers to care, and helping patients successfully manage chronic conditions.

• →Principles of utilization management; care management principles; basic knowledge of health plan contracts and benefit eligibility requirements; Hospital structures, Managed Care and payment systems
• →Timely and accurate documentation of day-to-day activities in designated technology platform
• →Adaptable to new technologies and software
• →Proficiency in EMR system(s), Outlook and data entry experience preferred
• →Basic PC skills (MS Word/Outlook/PPT/Excel)

• Ability to use independent judgment and to manage and impart confidential information.
• Ability to analyze and solve problems; requires details, data and facts that must be analyzed and challenged prior to making decisions.
• Strong communication and interpersonal skills.
• Ability to clearly communicate medical information to professional practitioners and/or the public.

• Excellent organization, prioritization, follow up, analytical and time management skills with ability to handle multiple priorities and deadlines.
• Good interpersonal skills, sense of urgency, being proactive and ownership for one’s work.
• Dependable, with strong work ethic and extremely high degree personal integrity.
• Ability to deal with multiple interruptions on a continual basis that must be met with a friendly exchange with others.
• Ability to develop and implement new approaches to improve processes, procedures, or the general work environment.
• Ability to review critical issues, effectively solve problems and create action plans.

• Requires in home visits with patients roughly 50% of the time
• Otherwise based in LA office

To apply for this position or for more information about COPE Health Solutions, visit us at https://copehealthsolutions.com/careers/open-positions/.