Nurse Care Manager
hace 22 días
Buffalo
Job DescriptionWho You Are You're a collaborative professional, driven by the potential to make a meaningful impact in healthcare. The challenges of healthcare don't deter you—instead, you see them as opportunities to find innovative solutions that benefit the partners, people, and communities we serve. Honest Health's commitment to purpose, innovation, communities, and kindness resonates with you, inspiring you to bring commitment, creativity, and compassion into your work. You're ready to join a team focused on reimagining primary care for a healthier future that benefits all. Does this sound like you? If so, we should talk. Who We Are At Honest Health, we believe in purpose and partnership to lead the transformation in primary care. Our team of healthcare experts and clinicians collaborates with a range of stakeholders—from health systems, physician organizations, and payers to providers, practices, and patients — to deliver innovative solutions that elevate care, control costs, and support long-term health. Guided by our core values, we're creating a value-driven model that creates lasting benefits for everyone, now and into the future. For us, that's just an Honest day's work. Your Role You will manage patients' specialized needs based on their individual condition(s) and/or reason for recent utilization in collaboration with physicians, advanced practice providers, and care coordination team members. Your job duties will include taking full ownership of assigned patients with complex chronic conditions, serious illness, advanced frailty, or recent healthcare utilization with the goal of avoiding preventable admissions, reducing unnecessary healthcare use, and optimizing patient outcomes. Through standardized assessments and workflows you will work with the patient to identify needs based on their values, goals and preferences. From this assessment, in partnership with the patient, you will develop an effective, and comprehensive plan of care for each member. Care plans will be used to coordinate patient care delivery with Honest clinicians, network providers, contracted vendors, and community-based services. This work takes place remotely, but you must be licensed in the state or states where the role is based. Primary Functions Include: • Quickly build empathetic relationships with patients and families., • Evaluate and identify patients' needs based on their respective values, goals, and preferences, then translate these needs into clinical needs., • Interface with primary care physicians, advanced practice providers (APP), specialists, and various disciplines on the development of case management plans/programs., • In conjunction with the physician/APP, implement care/treatment plans by coordinating access to health services across multiple providers/ disciplines., • Refer patients to internal Honest team members for care management activities as outlined by defined procedures., • Monitor care and identify cost-effective measures, including recommendations for alternative levels of care and utilization of resources., • In partnership with Honest team members, effectively coordinate patient admissions and discharges from hospitals or skilled nursing facilities via coordination with respective facility clinicians and case managers., • Build relationships across network hospitals, SNFs, home health companies, and DME vendors within the respective community., • Monitor and evaluate the effectiveness of the case management plans based on quality and cost drivers and modify as necessary., • Coordinate the interdisciplinary approach to providing continuity of care, including transfer coordination, discharge planning and obtaining all authorizations/approvals/transfers as needed for outside services for patients/families., • Act as a patient advocate and educator to assure that the patient has the knowledge to care for his/her condition and patient is educated and empowered to be responsible for participating in the plan of care., • Develop individualized patient/family education plan focused on self-management and deliver patient/family education specific to a disease state., • Engage internal resources to identify and respond to social determinants of health such as lack of transportation, stable housing, or food resources., • Participate in data collection and analysis of clinical outcomes of care and customer satisfaction standards. Participate in the formulation and implementation and monitoring of action strategies and outcomes of care or customer service. Ensure that accurate records are maintained of the care associated with each patient., • Actively participate in huddles, interdisciplinary team (IDT) sessions, and patient case conferences., • Commendably represents Honest to patients, their families, and the community., • Perform other related responsibilities as assigned. How You Qualify You reviewed the Who You Are section of this job posting and immediately felt the need to read on. This makes you a match for our innovative culture. You accept things change quickly in a startup environment and are willing to pivot quickly on priorities. • Must have reliable access to high-speed internet to ensure seamless remote work communication and productivity, • Current Registered Nurse license is required in the state or states where the role is based (Michigan and/or New York), • Willing and able to obtain additional state nursing license(s) if needed, and with the support of Honest leadership., • Bachelor's of Science in Nursing preferred., • Certified Case Manager (CCM) credential preferred, • 3+ years of clinical practice in a hospital, clinic, home care, or nursing home setting highly preferred, • Case management experience with a senior population preferred, • Disease management and/or physician office experience highly preferred, • Prior experience with electronic health records or health registries required, • Microsoft Office skills, including Excel, Word, PowerPoint, Outlook required. Experience with PowerPoint preferred\ The base pay range for this role is $76,600.00 - $88,000.00. Compensation takes into account several factors including but not limited to a candidate's experience, education, skills, licensure and certifications, and organizational needs. Base pay is just one piece of the total rewards program offered by Honest. Eligible roles also qualify for short-term incentives and a comprehensive benefits package. How You are Supported Full time team members may be eligible for: Competitive Compensation • Attractive base salary with performance-based bonuses and rewards, • Flexible health, dental, and vision insurance options tailored to your needs, • Company contribution towards health savings accounts (HSA) for high-deductible health plan (HDHP) participants, • 100% company-paid short-term disability and life insurance, • Generous paid time off, including vacation, sick leave, and paid holidays annually, • Two paid volunteer days to support causes you're passionate about, • Robust onboarding program and ongoing training opportunities, • Paid parental leave for new parents, • Dependent care flexible spending accounts, • Work alongside professionals who share your commitment to Honest's high-quality, value-based care model, • Team member recognition programs Honest Health is committed to ensuring fairness, opportunity, strong teams, and full integration of team members into the organization. We take proactive steps to ensure all applicants are considered for employment based on merit, without regard to race, color, religion, sex, national origin, disability, Veteran status, or other legally-protected characteristics. Honest Health is committed to working with and providing reasonable accommodations to job applicants with physical or mental disabilities. Applicants with a disability who require a reasonable accommodation for any part of the application or hiring process should email for assistance. Reasonable accommodation will be determined on a case-by-case basis. Honest Health values a secure and transparent recruitment process. We contact candidates through our official recruiting platform, email, or text message. When working directly with candidates, Honest Health will always use an HonestHealth.com email address. Our hiring process includes a live phone call or in-person interview before any formal offer is extended. To safeguard your personal information, Honest Health will never ask for confidential details—such as social security numbers, bank accounts, or routing numbers—before making a formal offer. We will also never request financial transactions, PINs, passwords, or security access details through email, text, Venmo, or any social media platform. We encourage all candidates to verify the contact information of individuals they interact with during the recruitment process. If you have any questions about the authenticity of a communication, please reach out to our team at .
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