RN Care Manager

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People. Passion. Purpose. 

At P3 Health Partners, our promise is to guide our communities to better health, unburden clinicians, align incentives and engage patients.

We are a physician-led organization relentless in our mission to overcome all obstacles by positively disrupting the business of health care, transforming it from sickness care into wellness guidance.  

We are looking for a RN Care Manager.  If you are passionate about your work; eager to have fun; and motivated to be part of a fast-growing organization in Las Vegas, Nevada then you should consider joining our team. 

Overall Purpose:

This 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 judgment.  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.   

This position may reside in the provider’s office or at the central home office.

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

  • 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.

Performance Metrics (volumes will be entered depending on SNP or CM population):

  • Number of contacts per day/week/month

  • HRAs

  • Patient Outreach

  • Active Caseload

  • Numbers of opt in/opt out

  • 90% compliance with post hospital follow-up within 5 days

  • Percentage of overdue tasks

  • Utilization metrics as per PCPs assigned

Location: Las Vegas, NV
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Apply at: https://pinnacle-health-group-holdings-llc.prismhr-hire.com/job/87478/rn-care-manager