Job Description

Job Title: RN Care Manager

Job Summary:

The RN Care Manager is responsible for coordinating patient care, providing education, triaging condition changes, and escalating issues to the appropriate treating provider. This role serves as the primary contact for incoming patients and communicates clinical concerns while managing patient resources and services in a telehealth environment.

Job Duties:

• Manages a caseload of patients, serving as an escalation point for changes in condition or higher-level care needs.
• Supports non-licensed staff in carrying out ongoing care management tasks.
• Understands condition management, associated assessments, and signs of worsening conditions.
• Reaches out to patients based on incoming monitoring alerts indicating a need for action.
• Assess physiological data and preemptively acts on concerning information.
• Presents patient concerns to MD/NP/PA in a standard and professional format.
• Follows protocols and documents any necessary deviations when necessary.
• Assess patient concerns and escalate to appropriate resources (e.g., device management, condition change, resource procurement).
• Assist with coverage in other programs as deemed necessary by Team Leads/Project Managers for urgent staffing situations.
• Perform other related duties as assigned.

Experience:

• Minimum of 2 years of clinical experience in an acute care setting.
• Graduation from an accredited registered nursing program.
• Ability to obtain multi-state licensure and maintain associated continuing education.
• At least 6 months of experience in telephonic triage and patient education.

Skills:

• Exceptional critical thinking skills
• Excellent verbal and written communication skills
• Ability to document according to general standards and follow care protocols
• Proficiency in using multiple technology systems to deliver patient care
• High proficiency in telephonic assessment, following decision support tool guidelines, and independent triage, including escalation to treating providers.
• Effective communication with team members regarding patient concerns and care plans.
• Ability to develop care plans that can be executed by multiple levels of skilled staff.
• Competence in creating patient centered clinical care plans customized to patient education levels and social determinants
• Ability to follow and initiate standing orders as appropriate.
• Ability to understand and troubleshoot telehealth and remote monitoring technology.

Preferred Qualifications:

• Multi-state RN license
• Texas, New York, Hawaii or Connecticut nursing license
• Bilingual in English and Spanish (preferred)
• Over 2 years of experience in cardiac care
• Ability to obtain endorsements from other states as needed

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