RN Case Manager

About the role

The RN Case Manager works with the clinical department and acts as a liaison with our physician practices. The RN Case Manager advocates for personalized treatment options that address a patient’s unique care needs. The RN Case Manager has a patient-forward approach that is centered in the value-based care model, offers education and guidance for navigating complex medical decisions, and creates and manages the plan of care for patients with chronic or serious conditions.

Responsibilities

• Engage with patients in need of clinical support to determine and prioritize their needs.
• Deliver patient-centered care, provide exceptional customer service, and work within your scope of practice to provide evidence-based education, assessment, and care navigation.
• Identify patient/caregiver education needs through telephonic assessment/engagement and ensure that the patient/caregiver has adequate information to participate in the successful transition back to their home setting from an inpatient or post-acute facility stay.
• Conduct timely telephonic clinical outreach to identified patients.
• Collaborate with PCPs, NPs, and other members of the healthcare team to coordinate care for patients and actively help keep them stable at home.
• Serve as the point of contact and informational resource for patients, care teams, family/caregivers, payers, and community resources.
• Implement interventions that improve health outcomes, lower costs, and enhance the patient experience.
• Work collaboratively with provider offices, SNFs, hospitals, and other Clinical Services teams to support each patient’s needs efficiently and effectively.
• Maintain a comprehensive working knowledge of community resources.
• Absolute accountability for the quality of care.
• Continually seek new knowledge and learning that supports clinical care coordination.
• Depending on market location, minimal travel may be required to visit provider offices to help enhance provider office engagement (less than 5%).

Requirements

• Must be located in the Kansas City, MO region preferably, or reside in Kansas.
• Bachelor’s degree in Nursing preferred, or Associate’s degree in Nursing with relevant experience.
• 5 years’ experience as an RN or RN Case Manager providing complex care management.
• Minimum of 3 years’ experience in Med Surg or Home Health.
• Experience providing Transitions of Care.
• Startup experience preferred.
• Unencumbered RN license, compact nursing license, or compact nursing license obtained within 6 months of hire.
• Accredited Case Manager (ACM) preferred.
• Comfortable and able to adapt to rapid changes.
• Excellent verbal and written communication skills.
• Excellent organizational skills and attention to detail.
• Entrepreneurial spirit, with a sense of ownership and comfort operating in ambiguity.
• Solution-oriented with the ability to think strategically and creatively in decision-making.
• Able to work independently and engage as part of a fully remote team.
• Coachable and able to take direction and feedback well, while also being forward-thinking to challenge the status quo.
• Comfortable providing care management using telehealth capabilities.
• Proficient with Microsoft Office Suite or related software.
• Ability to effectively and efficiently use various documentation tools and technological platforms, including EMRs; comfortable with digital technologies.
• Demonstrates a positive attitude and respectful, professional customer service.

Qualifications

• Must have a Bachelor’s degree in Nursing or an Associate’s degree in Nursing with relevant experience.
• At least 5 years of experience as an RN or RN Case Manager providing complex care management.
• At least 3 years of experience in Med Surg or Home Health.
• Experience providing Transitions of Care.
• Preferred startup experience.
• Unencumbered RN license, compact nursing license, or compact nursing license obtained within 6 months of hire.
• Accredited Case Manager (ACM) preferred.

Skills

• Telehealth capabilities.
• Microsoft Office Suite or related software.
• Various documentation tools and technological platforms, including EMRs.

Benefits

• Competitive base compensation.
• Annual bonus potential.
• Health benefits effective on start date.
• Health & Wellness Program: up to $300 per quarter for your overall well-being, available on start date.
• 401(k) plan effective the first of the month after your start date; 100% match of up to 4% of your annual salary.
• Opportunity to help build a market leader in value-based healthcare at a rapidly growing organization.