Chronic Care Manager

As a fast-growing innovative company, we are rapidly expanding and in need of RN's for the Chronic Care Manager.

This role will be providing telephone Chronic Care Management for patients under the direction of the patient’s physician. The nurse utilizes nursing process to evaluate patient needs over the telephone and provide guidance and education to patients, adhering to organizational policies, procedures and guidelines. Provides high risk patients with chronic disease management and liaises between the patient, hospital, physicians’ office, home care agency, etc. This position is telephonic care coordination as directed by the patient’s physician.

Responsibilities

• Assess client’s needs for services and cooperatively develop an integrated patient centered care plan and goals with the client/family and other providers.
• Coordinate transitional care from an inpatient service to other settings as per care plan.
• Receive triage and respond to telephone calls from patients requiring medical guidance.
• Provides patients with clear instructions and education utilizing appropriate guidelines.
• Educates the patient on properly contacting physician office for urgent care matters / or 911 when appropriate or unsure.
• Directs patient to keep follow-up appointments with physician office and to maintain self-home care based on physician direction and outcomes of nursing assessment.
• Utilizes the in-office staff, and Clinical Call Center to meet the needs of the patient and family.
• Documents calls according to established guidelines.
• Collaborates with the Nurse Practitioner, and or physician when patient requires intervention or follow-up.
• Participates in education and in-service programs.

Qualifications

• Graduate from an accredited School of Nursing.
• Experience working with the adult population
• Prefer experience working as telecommuter or call center setting.

• Experience in clinical telephone triage
• Experience working with Electronic Health Record (EHR)
• Demonstrates progressive proficiency with the utilization of available computer technology, including typing skills.
• Demonstrated customer service, leadership, communication, interpersonal and problem solving skills, required.

• Other duties as assigned.

Job Type: Full-time

Pay: From $65,000.00 per year

Benefits:

• Dental insurance
• Health insurance
• Vision insurance

Medical Specialty:

• Geriatrics
• Home Health
• Hospice & Palliative Medicine

Physical Setting:

• Office

Schedule:

• Monday to Friday

Supplemental Pay:

• Bonus pay

Ability to commute/relocate:

• McAllen, TX 78501: Reliably commute or planning to relocate before starting work (Preferred)

Experience:

• Nursing: 1 year (Preferred)
• Case management: 1 year (Preferred)

License/Certification:

• RN (Required)

Willingness to travel:

• 25% (Preferred)

Work Location: One location