Care Management Nurse

About The Villages Health

The Villages Health is a patient-centered primary care driven, multi-specialty medical group with over 700 team members. Our unique care model gives us both the time and resources to truly care for our patients, along with a company culture that supports a healthy work-life balance for our team members. Our purpose, mission and vision is to empower Villagers and the surrounding communities to live out their dreams by keeping them healthy and healing them quickly. Together, we are changing the way healthcare is delivered and are making a positive difference in the lives of our patients and the communities we serve. In doing so, The Villages Health is creating America’s Healthiest Hometown.

Our Full-time Benefits

Medical, Dental & Vision Insurance | Matching HSA & 401k | PTO & Paid Holidays | The Villages Charter School Eligibility | & much more!

Hiring Events

Please bring your resume and join us:

• Friday, April 19th from 9:30 AM to 1:30 PM at Lake Deaton Care Center (779 Kristine Way, The Villages, FL 32163) – RSVPs are encouraged through Eventbrite at https://bit.ly/4bxhdKg

Essential Duties and Responsibilities:

An exempt position responsible for nursing care under the supervision of Physicians and Clinical Manager. Care Management Nurse is a collaborative process which assesses, plans, implements, coordinates, monitors and evaluates the options and services required to meet an individual’s health needs, using communication and available resources to promote quality, cost effective outcomes.

• Identify patients appropriate for Care Management through referrals and collaboration with PCP and Clinical Teams.
• Establishes a patient specific plan of care based on collaboration with patient/family, providers and payers that identify appropriate levels of care.
• Uses customer service principles and techniques to deal with patients calmly and pleasantly.
• Obtains, verifies, and records health history of patients. Gathers pertinent health data while reviewing patient's previous records. Populates information fields in the EMR.
• Documents all assessments, plans of care and Care Management activities in a timely manner.
• Ensures effective communication and collaboration with multidisciplinary patient care teams.
• Interacts in a collegial and collaborative fashion with outside clinical staff such as specialists, social workers, and other clinical and nonclinical support staff.
• Emphasizes continuity of care and seamless integration during transitions of care to avoid duplication or gaps in plan of care.
• Monitors patient progress while in the acute care and post-acute care settings. Assists, as needed, with facilitation of discharge process/transition of care to the appropriate level of care.
• Continue to monitor patient’s progress post discharge in an effort to prevent re-admission to acute care and to maximize outcomes.
• Identify opportunities for health promotion and illness prevention.
• Maintains a comprehensive working knowledge of community resources, payer requirements and network services.
• Acts as patient advocate.
• Provides patient education, monitor of health needs and coordination of community resources. Services may be provided in a variety of setting including clinic, home visits, hospitals or skilled nursing facilities.
• Other duties as assigned.

Education/Experience Requirements:

• Current, unrestricted RN license in the state of Florida.
• 2+ years’ experience in a hospital or acute care setting with direct patient care.
• Case Management experience.
• Knowledge of medical terminology, anatomy, physiology, and pathophysiology.
• Familiarity with health care systems, electronic medical records, regulations, policies, and functions.
• Understanding of documentation standards.
• Knowledge of equipment, supplies, and material needed for medical treatment.
• Understanding of basic laboratory, procedures including preparation and screening.
• Knowledge of infectious disease management and control and safety standards.
• Strong coaching ability.
• Excellent clinical skills and judgment.
• Excellent written and verbal communication skills, with the ability to build relationships.
• Excellent organizational skills
• Strong ability to work autonomously and be self-directed.
• Strong critical thinking skills.
• Skill in initiating appropriate emergency procedures.
• Skill in handling a number of tasks simultaneously.
• Skills in diplomacy and tact with all interpersonal interactions.
• Ability to communicate calmly and clearly with patients.
• Ability to use manual dexterity to perform medical treatments.
• Ability to establish and maintain effective working relationships with coworkers and diverse patient populations.
• Ability to perform mathematical calculations for drug dosages.
• Ability to work with computer and effectively use electronic medical records (EMR).
• Ability to work under pressure.

Salary commensurate with experience.

Questions? Contact us at recruitment@thevillageshealth.com