Complex Care Manager, RN - Population Health

April 10

🔔 Pennsylvania – Remote

Although this job is listed in Pennsylvania, this company may be open to hiring remote in other states.

⏰ Full Time

🟠 Senior

🔴 Lead

👔 Manager

🦅 H1B Visa Sponsor

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Lehigh Valley Health Network

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Lehigh Valley Health Network is a comprehensive healthcare system that is now part of Jefferson Health, one of the top 15 not-for-profit health systems in the United States. It offers a wide range of medical services, including primary care, urgent care, and specialized institutes like the Lehigh Valley Topper Cancer Institute and the Lehigh Valley Heart and Vascular Institute. LVHN provides extensive care solutions, including video visits, second opinions, and a network of doctors and clinicians in numerous locations. It emphasizes education through residencies and fellowships and prioritizes patient-centric services such as lab testing and women's health care. The network also focuses on innovation, offering clinical trials and advanced therapies like CAR-T Cell Therapy.

Ear • Nose and Throat (ENT and Otolaryngology) • Pulmonology • Endocrinology (Diabetes and Metabolism) • Rheumatology

10,000+ employees

⚕️ Healthcare Insurance

📋 Description

•Develops and implements care plans for patients with increased system utilization in collaboration with multidisciplinary care team members and providers across the continuum •Facilitates tactics to reduce unnecessary utilization through coordination between providers involved in the patients care •Coordinates activities across the continuum to ensure appropriate follow-up care, order placement, and resource support •Develops a comprehensive patient care timeline following an intensive chart review and investigation to provide a visual representation of the patient’s clinical conditions, contributing factors, and associated support services •Oversight of a population of patients with frequent healthcare system utilization through development and implementation of individualized patient care plans in collaboration with the multidisciplinary team •Identifies patient clinical conditions, testing needs, and evidence-based clinical interventions to assist in reducing unnecessary utilization •Collaborates with inpatient and outpatient team members to ensure appropriate follow-up of care that meets patient’s needs •Identifies issues or barriers related to the healthcare system, transportation, financial concerns, or behavioral health needs and works collaboratively to problem solve, coordinate services, and arrange resources

🎯 Requirements

•Bachelor’s Degree in Nursing •10 years Experience working as a registered nurse (RN) •5 years Previous experience in case management or care management •5 years Prior electronic medical record (EMR) experience •Ability to lead collaboration with multidisciplinary care team members •Ability to set priorities to coordinate care plan efficiently •Utilize effective strategies for interacting with persons from diverse backgrounds •Ability to recognize the role of cultural, social, economic, and behavioral factors in accessibility, availability, acceptability, and delivery of population health services •Knowledge of computer applications and analytical tools •RN - Licensed Registered Nurse_PA - State of Pennsylvania Upon Hire •CACRN - Certified Ambulatory Care Registered Nurse - American Nurses Credentialing Center Within 3 Years or CCCTM - Certified Care Coordination and Transition Management - American Nurses Credentialing Center Within 3 Years