Registered Nurse - Case Manager - Parkside

Description

:
In partnership with the primary care provider, (PCP), the RN, Case Manager is the lead for care management activities, drives care coordination and collaborates with interdisciplinary teams to ensure care continuity for complex patients. This role focuses on preventing avoidable admissions, driving efficient resource utilization, and ensuring effective team-based care. It is a field-based, in-person/on-site role, requiring strong relationships between patients, providers and care team members.

Core Responsibilities:

Manages an assigned caseload of complex patients in a value-based care environment, with a focus on driving reduced admissions, readmissions, and medical utilization. 

Accountable for panel metric performance in admission prevention, readmission prevention, and transitions of care metrics.

Owns overall care coordination for assigned patients, functioning as the primary point of contact ...