Nurse Care Manager; remote Praxis Health

Nurse Care Manager (remote!), Praxis Health

Remote

Join Our Team as a Nurse Care Manager!

The Nurse Care Manager supports patients through every stage of their healthcare journey by coordinating care, ensuring timely follow-up, and promoting evidence‑based practices. This role bridges communication between patients, families, and providers to improve outcomes, reduce avoidable hospitalizations, and enhance patient satisfaction across Praxis Health clinics.

Compensation
: $30‑$37/hour, depending on experience

Schedule
:
Full‑time; 4 days per week, 9‑hour shifts; 5 days per week: four 8‑hour shifts and one 4‑hour shift

Essential Duties and Responsibilities

• Serve as a patient advocate and navigator, guiding patients and caregivers through the healthcare system.
• Review provider notes, discharge summaries, and clinical documentation to provide personalized patient education based on condition‑specific knowledge and best practices.
• Complete emergency‑room and hospital follow‑up calls, offering education on alternative access points (e.g., urgent care, same‑day appointments, telehealth) to reduce avoidable ED visits.
• Perform comprehensive medication and allergy reconciliation with patients, caregivers, or facilities; verify names, dosages, and frequencies per clinical protocols.
• Facilitate medication education and adherence support, including alignment with standing orders, protocols, and chronic disease‑management goals.
• Identify and support high‑risk patients, including those with chronic conditions, frequent hospitalizations, or complex care needs, through proactive care coordination and outreach.
• Communicate clinical updates to Primary Care Providers (PCPs), ensuring timely follow‑up appointments within the appropriate care windows.
• Coordinate continuity of care across settings (e.g., inpatient, outpatient, specialty, post‑acute), including referrals and collaboration with external providers and facilities.
• Collaborate with interdisciplinary care teams, including primary care, chronic care management, and the Quality department, to identify barriers to care and improve care delivery.
• Actively participate in system‑wide quality and population health initiatives, including but not limited to:
  • Medication adherence programs
  • Statin use monitoring
  • High‑cost care management
  • Emergency department utilization reduction
  • Advance care planning
  • Reduction in readmission
• Monitor daily reports and EHR‑based alerts to identify patients in need of outreach or follow‑up based on clinical risk or recent utilization.
• Maintain timely, complete, and compliant documentation of all patient interactions, care coordination activities, lab orders, charges, and communications within the EHR.
• Coordinate patient documentation needs, including requesting and organizing medical records in compliance with organizational and regulatory standards.
• Promote effective communication across care teams, ensuring awareness of care plans, follow‑up needs, and changes in clinical status.
• Evaluate care delivery processes and contribute to the development and refinement of workflows, tools, and procedures to support quality and efficiency.
• Participate in internal and external improvement initiatives, collaborative partnerships, and payor‑aligned programs focused on patient outcomes and system performance.
• Support onboarding and mentoring of clinical team members as appropriate to experience and licensure.
• Complete assigned EHR tasks and responsibilities accurately and on time, as delegated by leadership.
• Maintain compliance with state licensure requirements and practice within the legal scope of an RN or LPN, as applicable.
• Stay current with required continuing education, certifications, and competencies.
• Adhere to all HIPAA, privacy, and security standards, as well as organizational policies.
• Demonstrate a consistently professional, respectful, and constructive attitude in all interactions, fostering a positive, team‑oriented work environment.
• Perform other duties as assigned, which may include additional responsibilities essential to the operation of the department or company.

Qualifications

Education

• Required
  :
  • LPN certificate/diploma, Associate Degree in Nursing (ADN), or…