Registered Nurse Care Manager Howard

Job Summary

Registered Nurse (RN) Care Manager coordinates and manages the continuum of care for an assigned patient population to promote optimal health outcomes, effective resource utilization, and high-quality patient-centered care. This role implements evidence-based clinical guidelines, supports care transitions, and collaborates with providers, patients, and families to reduce avoidable utilization and improve clinical, financial, and quality outcomes.

• Coordinate comprehensive care management activities across the continuum, including pre‑visit planning, care transitions, and follow‑up after hospital or emergency department encounters.
• Collaborate with internal and external care teams.
• Educate patients and families on disease management, treatment plans, preventive care, and clinical measurements, reinforcing self‑management skills and informed decision‑making.
• Facilitate efficient care delivery by coordinating multiple clinician visits, diagnostic testing, and services, when possible, and identifying connections to appropriate insurance, financial, and community resources.
• Develop, implement, and evaluate individualized care plans with patients, families, and providers, establishing treatment goals and addressing barriers to successful outcomes related to medications, appointments, social determinants, and adherence.
• Implement standing orders and evidence‑based protocols for medication refills, diagnostic testing, preventive services, and disease‑specific management, ensuring timely and appropriate care delivery.
• Manage transitions of care by reviewing external clinical information, contacting patients post‑discharge, coordinating follow‑up services, and developing written transition plans for patients moving between care settings or providers.
• On an as‑needed basis, prepare and review patient charts prior to appointments and conduct clinical triage to determine urgency of care needs.
• Provide telephonic nursing guidance within established protocols.

• Graduated from an accredited nursing program and hold a valid RN license.
• Experience in care management or related roles preferred.

Prevea is an Equal Employment Opportunity/Affirmative Action employer.