Lead Care Manager – Registered Nurse

Work Schedule Monday to Friday from 8:00 AM to 5:00 PM

Salary Range $44.50 to $56.00 per hour

The Lead Care Manager – Registered Nurse is responsible for providing comprehensive patient-centered case management and care coordination services to patients with complex medical, behavioral and social needs. The Lead Care Manager – Registered Nurse assesses patient’s needs, develop and monitors individual care plans, coordinates services across healthcare providers and community resources, and promote continuity, quality and positive health outcomes.

The Lead Care Manager – Registered Nurse works collaboratively with healthcare teams to identify high-risk patients, address barriers to care, support chronic disease management, provide patient and family education, and advocate for appropriate cares based on patients’ needs. The Lead Care Manager – Registered Nurse must maintain accurate and timely records of patient information, encounters and ensure compliance with local, state and federal regulations.

Listed below you will find essential duties and responsibilities to successfully perform this job. Reasonable accommodation will be granted, as necessary, to perform the essential duties and function of this position.

• Providing management oversight of the ECM benefit which provides for a whole person approach to care to address the clinical and non-clinal circumstances of high need
• Identifying, developing and implementing program partnerships, care delivery models, and community-based health practices to successfully achieve ECM’s strategic and tactical objectives
• Providing leadership and support for successful integration of ECM services through interdepartmental collaboration, integration, and communication across all departments
• Conducting meetings with ECM Staff
• Collaborating with internal stakeholders to ensure that ECM providers are aware of the ECM Unit’s core service components and delivery strategies
• Researching and identifying ECM best practices and sharing that information with ECM providers and care teams
• Collaborating with staff across all departments to ensure that ECM services and benefits are implemented according to contractual requirements
• Interviewing and participating in the selection of staff in conjunction with ECM Director
• Collaborating with the ECM Director in developing staff training plans, career pathways and routine individual staff performance reviews
• Evaluating employee performance, providing feedback to staff, and coaching and counseling or disciplining staff when performance issues arise
• Overseeing or conducting staff training, including the development and maintenance of training materials, in conjunction with the Training and Development team
• Identifying training gaps and opportunities for improved performance
• Overseeing staff in multiple office locations and/or telecommute settings
• Performing assessments and creating care plans for escalated ECM patient cases
• Conduct home visits to participants of the program to assess participant’s health needs, living conditions, and risk factors
• Assist in addressing barriers to healthcare access, such as transportation, insurance, or language barriers.
• Monitor vital signs of patient and health outcomes
• Conduct regular follow-up visits to ensure patients comply with treatments and care plans
• Assist patients with managing conditions such as diabetes, hypertension, or asthma by reinforcing medical guidance
• Document interactions with participants, health assessments, and services provided during home visits
• Prepare and submit reports on participant progress, referrals and follow-up to healthcare teams
• Ensure all documentation follows HIPAA and other relevant privacy laws and regulations
• Obtain…