Nurse Care Manager
On-siteDallas, Texas, United States
Job Summary
Oversee chronic care and transitions of care management for high-risk patients within assigned care teams and neighborhood centers. Serve as a resource for complex patient assessments, care plans, and triage via phone, ensuring efficient transitions from acute to post-acute settings. Collaborate with multidisciplinary teams, physicians, and external providers to coordinate discharge plans, resolve barriers to care, and facilitate timely follow-ups within seven days of discharge. Monitor readmissions, analyze performance data to drive quality improvement, and document all interactions in the Electronic Medical Record. Requires bilingual skills, a Bachelor's degree, and an active RN license in Texas, Arizona, or a Multi-State Compact.
Required Qualifications
- Minimum 2 years of experience as a Registered Nurse
- Minimum 2 years of experience in utilization management, case management, chronic care management, discharge planning, transitions of care management, cost/quality management program, and/or other related field
- Current working knowledge of chronic care management, discharge planning, utilization management, case management, performance improvement and/or managed care reimbursement
- Competency in chronic care management, pre-acute, and post-acute venues of care, and post-acute community resources
- Active Texas, Arizona or Multi-State Compact Registered Nurse License
- Ability to work in the center full time
Desired Qualifications
- Bilingual/Bicultural (English and Spanish) strongly preferred
- Bachelor's degree in Nursing, Healthcare Administration, or related field preferred
- Experience with Medicare Advantage, Value-based care, and/or Managed Care desirable
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