[Hiring] Care Manager @Curana Health, Inc.

Role Description

The Care Manager delivers telephonic care management for Curana patients enrolled in a Value-Based Care Program such as but is not limited to Advanced Primary Care Management (APCM) or Chronic Care Management (CCM). These patients often have complex, emerging health risks, or recent care transitions. Working with Curana Providers and the interdisciplinary team, the Care Manager supports quality, cost-effective care.

Essential Duties & Responsibilities

• Patient and Caregiver Support
  • Review electronic health records (EHR) to identify gaps in care for patients residing in a Long-term Care Nursing Facility.
  • Review and approve initial and ongoing health questionnaires completed by a member of the care management team.
  • Serve as a health coach to educate patients and/or caregivers about their disease process.
  • Develop patient-centered care plans.
  • Educate patients and their durable medical power of attorney (DPOA) on the benefits of APCM or CCM.
• Provider Support
  • Support quality gap closure through clinical discovery.
  • Schedule Provider visits for at-risk patients.
  • Coordinate with the Transitional Care Manager to schedule patient visits and inform the TCM nurse if a patient is discharged to acute or SNF.
  • Ensure orders, referrals, and prior authorizations are facilitated by the virtual care support team.
  • Escalate abnormal diagnostic test results to Curana providers.
• Communication Support
  • Communicate patient health updates to the Curana providers.
  • Communicate treatment plans and health updates to the patient’s caregiver in an effective and caring manner.
  • Primary liaison between the provider and administrative support team.
• Other duties as assigned.

Qualifications

• Exhibits knowledge of pathophysiology and accepted treatment protocols for common health diagnoses (i.e., diabetes, chronic heart failure, chronic obstructive pulmonary disease).
• Ability to analyze patient records to identify gaps in care and report to the provider.
• Ability to work in a remote environment that is free of distractions.
• Proficient computer skills and ability to adapt to various technology platforms.
• Excellent written communication skills.
• Demonstrated experience in the usage of clinical data to guide decision making.
• Must have the ability to function independently and as a member of the interdisciplinary care team.

Requirements

• Must hold an active, unrestricted compact LPN license.
• Ability to obtain additional state licenses, as needed.
• 2+ years of experience in nursing is required. Care settings may include inpatient, outpatient, or skilled nursing facilities.

Preferred Education and Experience

• Case Management experience.
• CCM certification (strongly preferred).
• Experience working with Electronic Health Records.

Travel Requirements

• 100% remote position requires a reliable high-speed internet connection.