Nurse Care Manager

About Care Medical Practice

Care Medical Practice is an innovative health and care company on a mission to eliminate barriers and to improve care in high-need, urban and rural communities. Care Medical’s purpose is to every day improve the health and well-being of those who need care the most – in their homes and communities. 

Overview

The Nurse Care Manager will lead coordination of Healthy Start (HS) Program participants’ whole-person care, including (re)assessments, care planning and updates, constituting and coordinating each participant’s interdisciplinary care team, monitoring information flows for deterioration of participant condition, facilitating transitions of care, and marshaling other HS Team members to provide wraparound perinatal care.

Key Responsibilities

• Lead the coordination of HS participants’ whole-person care, including medical, behavioral, and health-related social care
• Partner with the CHW Supervisor to marshal the project’s Community Health Workers to facilitate non-clinical care interventions, targeted health education, and social support
• Conduct clinical assessments using evidence-based tools, under the guidance of the Program Manager, Director of Maternal Health, and Chief Medical Officer (CMO)
• Prepare participant-centered care plans
• Constituting and coordinating each participant’s interdisciplinary care team
• Coordinate and monitor care plan implementation and triage changes in status
• Facilitate transitions of care to and from a higher level of care
• Lead daily huddles and weekly case conferences with Program Manager and Project Director support
• Conduct reassessments and update care plans according to practice standards
• Facilitate participant discharges according to HS program guidelines
• Complete in- home, virtual or telephonic visit as indicated by Program Manager’s direction
• Coordinate participant educational materials with Program Manager, Director of Maternal Health, and CMO’s support
• Report significant medical changes to program physician(s) and director
• Correlate and coordinate reports for Project Director

Required Qualifications

• Current unrestricted New York State Registered Nurse license (multi-state license preferred)
• Valid driver’s license and auto insurance in nurse’s name as a driver
• Reliable transportation
• Current CPR/BLS certification
• At least 3 years’ patient care management experience, preferably in an obstetric practice setting (maternal health experience preferred)
• Strong experience with electronic medical records, health information exchanges, coding, and related systems and tools
• Excellent written and verbal communication skills and experience communicating and leading interdisciplinary care teams
• Comfort working in a diverse, fast-paced environment

Our Benefits

At Care Medical Practice, we care for our team like we care for our patients—holistically. We offer flexible, comprehensive benefits so you can thrive while delivering top-notch care.

• Medical Plans: Two comprehensive options offered to Team members.
• 401K: 4% employer match for your future.
• Dental & Vision: Flexible plans with in-network savings.
• Paid Time Off: Generous PTO, holidays, and wellness time.
• Extras: Pet insurance, commuter benefits, mileage reimbursement, CME for providers, and company-provided phones for field staff.

The working environment and physical requirements of the job include:

This position requires both Field and office-based work. The job requires frequent travel for home visits and travel to physician offices, hospitals, sub-acute facilities, community partners and non-home-based market offices in all types of weather conditions. In-office work is performed indoors in a traditional office setting with conditioned air, artificial light, and an open workspace.

In this position you will need an ability to travel frequently by car and/or public transportation, the ability to communicate with customers, vendors, management, and other co-workers in person and over devices, sometimes with people who are agitated. Regular use of the telephone and e-mail for communication is essential. Sitting for extended periods is common. Must be able to receive ordinary information and to prepare or inspect documents. Lifting of up to 30 lbs. occasionally may be required. Good manual dexterity for the use of common office equipment such as computer terminals, calculator, copiers, and FAX machines. Good reasoning ability is important. Able to understand and utilize management reports, memos, and other documents to conduct business.

Equal Opportunity & Reasonable Accommodation Statement

Care Medical Practice is an Equal Opportunity Employer committed to creating an inclusive environment for all employees. We provide equal employment opportunities to all individuals regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other protected characteristic under applicable law. If you require a reasonable accommodation during the application or employment process, please indicate this in your application or speak with your recruiter during the hiring process.

Disclaimer

This job description is intended to describe the general nature and level of work being performed. It is not intended to be an exhaustive list of all responsibilities, duties, and skills required. Management reserves the right to modify, add, or remove duties as necessary.