LPN Nurse Care Manager

About the role

To support the continued delivery of quality and compassionate care in our communities, we are offering a retention bonus of $4,000 for Nurses.

Responsibilities

• Manage a caseload of up to 250 Health Care Home patients
• Complete annual care plans and ongoing monitoring of patients’ medical needs
• Develop and support health-related treatment plan goals for patients with chronic conditions
• Provide client education on health conditions, medications, prevention, and self-care
• Collaborate with primary care providers, care teams, and specialists to coordinate comprehensive care
• Maintain patient records, reports, and alerts (e.g., hospital admissions, medication needs)
• Perform medication reconciliations after hospital discharges and assist with follow-up care
• Analyze data and trends (e.g., DRVS reports) and contribute to performance improvement efforts
• Serve as a clinical resource for patients, staff, and care team members
• Participate in multi-disciplinary team meetings and contribute to holistic care planning
• Seek and provide culturally responsive services to meet individual and family needs
• Report to the Regional Primary Care Nursing Director for clinical supervision and support

Requirements, Skills, Knowledge and Expertise

• High School/GED required
• Practical Nursing or Associate of Nursing degree required
• Proficiency in Microsoft Office Suite and Electronic Medical Records preferred
• Licensed Practical Nurse (LPN) required