Nurse Care Manager - Primary Care

Job Description

Job Description

Overview

The Nurse Care Manger is an LPN who plays a crucial role in delivering patient-centered care by focusing on clinical assessments, care planning, and patient education. Working closely with field-based providers, the Nurse Care Manager assesses patient needs, coordinates care, and ensures that clinical care plans are effectively implemented to achieve positive health outcomes.

Responsibilities

• Clinical Assessment and Documentation :
• Conduct initial and ongoing clinical assessments of patients, inquiring about vital signs, gathering all information regarding pt condition or issue, prioritizing pt issues, assigning risk category and documenting all patient care data in the Electronic Health Record (EHR).
• Contribute to the development and updating of individualized care plans in collaboration with care team and providers.
• Maintain productivity metrics.
• Care Coordination and Patient Education :
• Coordinate with providers, family members, and caregivers to facilitate the implementation of care plans, ensuring all parties are informed and engaged in patient care.
• Provide education to patients and caregivers on treatment plans, medication management, and other care needs to improve patient outcomes and adherence.
• Medication and Treatment Management :
• Handle medication-related inquiries, process prior authorizations, and document all interactions with patients regarding medication adjustments.
• Review and process clinical orders as needed, ensuring compliance with provider instructions and patient needs.
• Compliance and Quality Assurance :
• Ensure all clinical documentation meets regulatory and compliance standards, adhering to HIPAA and company policies.
• Participate in regular care management meetings and quality assurance checks to maintain high standards of patient care.
• Collaboration and Communication :
• Work closely with Care Facilitators for scheduling support and non-clinical inquiries to focus on core clinical duties.
• Participate in team meetings and provide insights on patient care processes, identifying areas for clinical improvement

Qualifications