Overview We are looking for a RN Care Manager at P3 Health Partners. The position is responsible for ensuring that assigned patient population(s) receive continuous, comprehensive and coordinated care throughout the continuum. Through case finding, data and other tools, high risk patients will be identified and guided to enhance the achievement of the Quadruple Aim: improved outcomes, improved experience of care for patients and providers and lower healthcare costs. The Care Manager will utilize the nursing process of assessment, planning, implementation and evaluation as well as clinical judgement. Interventions with patients and/or stakeholders may be face to face or telephonic. The Care Manager may be responsible for activities overlapping with utilization review and quality management programs.
Essential Job Functions Promote the mission, vision and values of P3 Health Partners
Responsible for comprehensive patient assessments through medical records, clinician and patient interviews, telephonic and/or face to face
Develops, implements and evaluates patient care plans
Collaborates with Medical Management teams regarding care plans and patient’s progress
Identifies care needs and barriers to care. Develops plans to improve
Prepares documentation, as per timelines and policy
Coordinates care for assigned high risk patient population
Works with patients, families and care-givers to promote self-management and meet care plan goals
Builds relationships with PCPs, internal and external customers
Addresses gaps in care
Experience Strong clinical judgment and problem-solving skills required
Experience in Care Management preferred
Experience with Special Needs Programs [SNPs] preferred
Managed care experience preferred
Utilization review and discharge planning experience preferred
Excellent communication skills with patients, providers, internal and external customers required
Must have excellent computer skills
Must have excellent organizational skills and ability to work independently, with minimal supervision
Licensure / Certification Ability to obtain and maintain current registration to practice as a Registered Nurse in Nevada, Arizona, Oregon, and California
Certification in case management or ability to obtain within two years of employment
CPR certified or ability to obtain within 60 days of employment
Education Graduate from an Accredited School of Nursing or other applicable clinical role. Bachelor’s degree in Nursing preferred.
Seniority level Entry level
Employment type Full-time
Job function Health Care Provider
Industries Hospitals and Health Care