[Hiring] Care Manager, LPN - compact license @Curana Health

Role Description

The Care Manager provides comprehensive care management services for Curana patients enrolled in Advanced Primary Care Management (APCM), Chronic Care Management (CCM), and other value-based care programs. Through clinical chart review, risk identification, care planning, patient and caregiver outreach, and collaboration with providers, the Care Manager helps identify gaps in care, coordinate services, and improve patient outcomes while supporting high-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.
  • Provide scheduled monthly telephonic outreach to patients and/or caregivers to improve engagement and ongoing care coordination.
  • 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.
  • Ensure orders, referrals, and prior authorizations are facilitated by the virtual care support team.
  • Escalate abnormal diagnostic test results to Curana providers.
  • Work collaboratively with providers to provide coordinated, patient-centered care.
• 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 LPN license in Pennsylvania or compact licensure.
• 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

• Prior experience in Chronic Care Management (CCM) and/or care management.
• CCM certification (strongly preferred).
• Experience working with Electronic Health Records.

Travel Requirements

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