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RN Nurse Care Manager
HarmonyCares. Manage a caseload of high-risk patients and their care barriers .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in care management, including Transitional Care Management, Chronic Care Management, and Disease Management Education. Proficient in coordinating patient care plans, conducting nursing assessments, and ensuring effective communication across healthcare settings.
Highest-signal resume keywords
Active Registered Nurse LicenseCare Management ExperienceClinical SkillsKnowledge of Medicare RegulationsPopulation Health Knowledge
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Transitional Care ManagementChronic Care ManagementDisease Management EducationMedication EducationNursing AssessmentsPatient Care PlansCare Gap ClosureValue-Based Care Models
Soft Skills
Effective Communication SkillsProactive ThinkingInterpersonal SkillsTime Management
Tools & Technologies
EmailWordExcelPowerPoint
Certifications & Qualifications
Registered Nurse LicenseMulti-State Licensing (if required)
Industry Keywords
High-Risk PatientsCare CoordinationHealthcare ContinuumHome Care StandardsHospice Standards
About the role
Key responsibilities & impact- Manage a caseload of high-risk patients and their care barriers
- Perform Transitional Care Management, Chronic Care Management, Disease Management Education, and Medication Education
- Develop and manage patient care plans
- Serve as co-chair of the pod alongside the pod leader
- Coordinate care services to ensure access to comprehensive, tailored services
- Collaborate with the care team to address care gaps and engage resources
- Coordinate patient transitions across the healthcare continuum and prevent avoidable hospital admissions
- Coordinate and facilitate High Risk Huddles and ensure follow-up actions are completed
- Prioritize patients according to condition severity and urgency
- Review medical records to identify gaps in care and coordinate services
- Update patient care plans regularly
- Perform nursing assessments by telephone
- Educate patients and caregivers on disease, medication, health maintenance, and prevention
- Document interactions, assessments, and updates in medical records
- Serve as liaison between patients, providers, and resources
- Facilitate communication of patient status and care plans during transitions between home, hospital, post-acute care, and home
Requirements
What you’ll need- Active Registered Nurse License
- 2+ years of care management experience in community, health plan or hospital systems
- Possesses strong clinical skills and proactive thinking
- Effective communication skills
- Ability to perform extensive telephone assessment
- Knowledge of Medicare regulations and home care and hospice standards
- Experience with small group presentations and teaching/training
- Exhibits excellent interpersonal skills
- Exhibits excellent written and oral skills
- Working knowledge of computer programs (email, Word, Excel, PowerPoint, etc.)
- Manages time effectively to ensure all duties and documentation requirements are completed in a timely manner
- May be required to obtain multi-state licensing
- Strong knowledge of population health, quality measures, care gap closure and value-based care models
Benefits
Comp & perks- Quarterly Bonuses
- Health, Dental, Vision, Disability & Life Insurance
- 401K Retirement Plan (with company match)
- Tuition, Professional License and Certification Reimbursement
- Paid Time Off, Holidays and Volunteer Time Paid
- Orientation and Training Day Time Hours (no holidays/weekends)