Purpose/belief statement:

We are seeking compassionate and self motivated nurses to provide our patients with high quality chronic care management. Prior CCM experience is REQUIRED and we are unable to consider individuals without this experience.

Convergence Telehealth is currently recruiting full remote Care Management Team- Nurse Case Managers with a passion for delivering a high-quality customer experience, to support our clients. As a Care Management Team- Nurse Case Manager, you will be involved in chronic care management (CCM) and remote patient monitoring (RPM). You will work directly with patients, caregivers, physicians, and care teams on a daily basis. You will be accountable for developing, implementing, and evaluating comprehensive care interventions for high risk patients with 2 or more chronic conditions. You are responsible for managing high-risk patients that are at risk for poor health outcomes, frequent emergency room visits, and hospital readmissions and working with complex and varied patients and situations. Shift is 8 hours within normal business hours of your patients' timezone Monday – Friday – no holidays or weekend work.

This is a remote position that can be based anywhere in the United States and pay is based on a base hourly rate. Must be able to work independently and achieve high levels of efficiency, while being relatively self sufficient.

Job duties & responsibilities

Identifies patient/family education needs and ensures that patient/family members have adequate information to participate in transition planning.

Works collaboratively with the team on post discharge care plan

Interprets screening and selective laboratory/diagnostic tests.

Initiates and maintains communication and collaboration with physicians, social workers, care team leaders, staff nurses, other care giving disciplines, and patients/families to develop, implement, and evaluate a transition plan of care for each patient.

Conducts a comprehensive patient/family assessment and transition/home care planning evaluation upon program enrollment to the program.

Assesses financial and insurance resources to maximize the health care benefit to the patient.

Monitors the achievement of clinical outcomes and communicates with inpatient teams, primary and specialty physicians and staff, regional providers, and community resources (Home Health) regarding unanticipated variances.

Assesses complexity of care needs and potential/actual issues or gaps in care.

Arranges post-discharge medical and community referrals for patients with health problems requiring further evaluation and/or additional services.

Qualifications

Current and valid practical or vocational nurse license

Excellent communication skills, problem solving and conflict resolution skills

Ability to balance high quality care coupled with achieving high productivity

Computer skills in word processing, database management, and spreadsheets

Compact license required

3+ years of relevant CCM experience

PREFERRED

Previous experience in one or more of the following: Case Management, Transitional Care Management, Remote Patient Monitoring and Chronic Care Management

ACMA certification as a case manager

Bilingual in Spanish is highly desired but not required

Knowledge/Skills/Abilities

Work environment

·May work beyond normal working hours, on weekends and holidays, when necessary.

·Is subject to frequent interruptions.

·Field based work required. Occasional overnight travel will be required as times with field based assignments.

Physical effort/demands (With or Without the Aid of Mechanical Devices)

·Ability to move (sit, stand, bend, lift) intermittently throughout the workday.

·Ability to lift, push, pull, and move a minimum of 50 pounds.

Mental effort/demands (With or Without the Aid of Mechanical Devices)

·Ability to function independently and have flexibility, personal integrity, and ability to work effectively with staff and support agencies.

·In good health and demonstrating emotional stability.

·Ability to cope with the mental and emotional stresses of the position.

Communication (With or Without the Aid of Mechanical Devices)

·Must be able to read, write and speak the English language in an understandable manner.

Sensory requirements (With or Without the Aid of Mechanical Devices)

·Ability to see and hear or use prosthetics that will enable these senses to function adequately to assure that the requirements of this position can be fully met.

SERVING WITH H.E.A.R.T

·Honesty

·Excellence

·Accountability

·Respect

·Teamwork

The Employee Promise

In CommuniCare, our Team members are the heartbeat of the company and our most important asset. We are committed to investing in our teams; providing the necessary tools and education to enable a consistent delivery of service excellence. We embrace open communication and honest feedback, to foster an environment of growth and innovation. By applying the principles of genuine respect and empowerment, a culture of inspired teams is created and the CommuniCare mission comes to life.

BE TRUE BLUE

Be committed to our Core Values and our True Blue Standards of Excellence

Embrace open communication and honest feedback.

Treat my team members and customers as they would want to be treated

Respect others in words and actions at all times.

Understand and honor our customers’ choices.

Encourage, support, and assist my team members.

Build customer satisfaction by owning and resolving concerns.

Leave a good impression by my professional appearance.

Uphold the highest standards of cleanliness and create a safe, secure, and accident free environment.

Express myself using CommuniCare’s telephone etiquette standards

Convergence

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