Nurse Care Manager

About this position

At Suvida Healthcare, we are not just caregivers; we’re compassionate advocates dedicated to enriching the lives of our cherished seniors. As a Team Member with us, you will embark on a fulfilling journey where your skills and empathy converge to make a meaningful impact on the well‑being of an underserved community and their families. Our multi‑disciplinary primary care program is built to address the physical, behavioral, social, and cultural needs of Medicare‑eligible Hispanic seniors.

Celebrate diversity and inclusivity in a workplace that attracts, engages, values, rewards, and recognizes the unique needs and backgrounds of both our patients and our team. We believe that a rich tapestry of experiences, shared interests, and perspectives enhances the care we provide, making us a stronger, service‑centered, and more compassionate healthcare family and Employer of Choice! Will you join us Suvidanos, to help achieve our Higher Purpose?

What Makes Us Unique

We are an empowered primary care team, clinical operations, and support team creating health equity through an exceptional clinical and consumer experience that improves the quality of life for the people, families, and neighborhoods we serve. We tailor our primary care program to the culture, language, social, and overall well‑being of the seniors we serve.

How We Work

Our Culture & Core Beliefs:
Earn Trust, Building Relationships, Creating Joy, Doing Right, Improving Every Day, Moving Forward

Our Promise

Purpose Driven Career, Competitive Pay, Best‑In‑Class Medical/Dental Coverage, Free Mental Health & Life Coaching for Team Members and their Dependents, Holiday Time Off with Pay, Paid Community Service Day, Paid Parental/Family Leave, Paid Bereavement Leave, Generous Paid Time Off (PTO), 401k Retirement Plan with Company Match, and much more…

Position Summary

The Nurse Care Manager will work with Suvida Healthcare’s multidisciplinary care team to provide high quality care for our high‑risk patients. They will collaborate with their multidisciplinary neighborhood center care team to develop organization‑wide approaches to problem solving, tracking, and managing complex cases and populations. This nurse will need to plan effectively in order to meet patient needs, identify social determinants of health, manage chronic conditions, and promote efficient utilization of resources.

The Nurse Care Manager will implement Suvida’s care pathways for patients with chronic conditions. They will also oversee transitions of care for patients to ensure safe transitions from acute to post‑acute care by coordinating timely and cost‑effective care. The Nurse Care Manager will oversee highly complex and resource‑intensive patients within their assigned care team.

They will collaborate with all providers, care team, patients, caregivers, payers, community resources, and external providers to promote quality of care.

• Oversee chronic care and transitions of care management of high‑risk patients within their care teams and neighborhood centers.
• Serve as a resource to the multidisciplinary team for the management of complex patients, including chronic care management assessments and care plans.
• Perform triage for patients via phone and address issues appropriately or forward message to appropriate parties for further interventions.
• Ensure efficient, organized patient transitions from acute and post‑acute settings to home or other transitional care facilities.
• Perform comprehensive assessments for physical, mental, and social risk factors that support individual patient needs while identifying and addressing barriers.
• Collaborate with medical staff, nursing staff, and ancillary staff to eliminate barriers to efficient delivery of care in the appropriate setting.
• Coordinate/facilitate patient care progression throughout the continuum.
• Collaborate with the physician and all members of the multidisciplinary team to facilitate care for designated patients; monitor the patient’s progress, intervene as necessary, and ensure that the plan of care and services provided are patient‑focused, high‑quality, efficient, and cost‑effective.
• Faci…