Rn, Care Management Nurse

• Make a difference every day in the lives of the underserved
• Join a mission driven organization with a people first culture
• Excellent career growth opportunities

Join us and find a career that supports:
• Caring for overlooked, underserved, and vulnerable patients
• Diversity, equity, inclusion, and belonging
• Autonomy in a warm team environment
• Growth and training

Perks and Benefits
In addition to comprehensive benefits including medical, dental, vision, paid time off, and 401k, we foster a work, life balance for team members and their family to support physical, mental, and financial wellbeing including:
• DailyPay, receive your money as you earn it!
• Tuition Assistance and dependent Scholarships
• Employee Assistance Program (EAP) including free counseling and health coaching
• Company paid life insurance
• Tax free Health Spending Accounts (HSA)
• Wellness program featuring fitness memberships and product discounts
• Preferred banking partnership and discounted rates for home and auto loans

Now is your moment to make a difference in the lives of the underserved.
If there is one unifying characteristic of everyone on our team, it is the deep desire to make a difference by helping society's most vulnerable and often overlooked individuals. Every day we have the distinct honor and responsibility to show up with non-judgmental compassion to provide hope and healing to those who need it most. For those whose calling it is to serve others, now is your moment to join our mission to provide quality care to every patient with compassion, collaboration, and innovation, to live our mantra to “Always Do The Right Thing!”, and to collectively do our part to heal the world, one patient at a time.

As a Care Management Nurse, you will work with Regional Medical Directors, Health Care Programs, and outside healthcare providers to ensure that patients receive necessary care in a timely and appropriate manner. You will use our EMR system, health records, and your clinical expertise to facilitate care coordination, and communicate outcomes as needed. Your primary goal will be to improve patient outcomes by ensuring that they receive high-quality, patient-centered care. 

• Collaborate with the Director of Care Management (DCM) to identify and resolve care issues, improve the Care Management process, and ensure the delivery of medically necessary services. 
• Work with assigned regions to manage inpatient stays, identify cost alerts, perform reinsurance notifications, and facilitate discharge planning for patients. 
• Communicate regularly with hospital utilization review departments and consult with Regional Medical Directors (RMD) and DCM as needed to address any concerns. 

• Identify areas of concern and assist in the review and improvement of the Care Management program and process. 
• Ensure appropriate documentation of all Care Management activities in the EMR system and adhere to relevant post orders and site contracts. 

Education  

• Graduation from an accredited School of Nursing 

Experience  

• Minimum 1 year of experience of care delivery in a managed care environment.  
• Computer data entry experience in MS Word, Excel and PowerPoint.  
• Previous experience working with Care Management (CM).  

• Chronic care experience highly preferred.  
• Understanding of care delivery in a correctional environment preferred. 

Licenses/Certifications  

• A current nursing license in the state of employment required.  
• Must be able to attain and maintain security clearance to the facility. 

We celebrate diversity and are committed to creating an inclusive environment for all employees.

We encourage you to apply! If you are excited about a role but your experience doesn’t seem to align perfectly with every element of the job description, we encourage you to apply. You may be just the right candidate for this, or one of our many other roles.