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Oak HC/FT

Case Manager, RN (64798)

Curana Health

Curana Health

United States
Posted on Thursday, June 13, 2024

Job Details

Fully Remote
Full Time

Description

Curana Health is a provider of value-based primary care services exclusively for the senior living industry, including in nursing homes, assisted/independent living facilities, CCRC/life plan communities and affordable senior housing communities. Curana Health serves more than 1,100 senior living community partners across 30 states and participates in both the MSSP ACO, ACO Reach and Medicare Advantage programs with CMS. Backed by more than $300M in venture capital funding, the organization is poised to disrupt care delivery in senior living on a meaningful scale through innovative care models and applied analytics.

Position Summary:

The Case Manager, RN position is responsible for providing comprehensive telephonic case management services for Curana patients who have emerging health risks, are clinically complex, and who experience a care transition. The Case Manager works collaboratively with Curana Providers and other members of the interdisciplinary care team to promote quality and cost-effective care.

Responsibilities:

Care Facilitation and Coordination

  • Perform initial and ongoing health risk assessments on Curana patients who have emerging health risks.
  • Collaborate with patients and/or caregivers to develop healthcare goals and identify interventions to achieve these goals.
  • Serve as a health coach to educate the patients and/or caregivers, about their disease process.
  • Apply clinical judgment to incorporate strategies that reduce patient risk factors and barriers that may negatively impact the patient's overall wellbeing.
  • Communicate patient health updates to the Curana Providers.
  • Schedule Provider visits for high-risk patients.
  • Monitor remote patient monitoring (RPM) data and notify Curana Providers if adverse trends are identified.

Transition of Care Management

  • Support patients who transition from hospital to senior housing community (i.e., assisted living facility, independent living facility).
  • Implement, and evaluate transitional care interventions to reduce the risk of readmission.
  • Implement, and monitor a comprehensive plan of care in coordination with the patient and/or caregiver, Curana Providers, and other members of the interdisciplinary care team.

Required Skills and Knowledge

  • Ability to communicate with patients and caregivers in an effective and caring manner.
  • Must have the ability to function independently and as a member of the interdisciplinary care team.
  • Effective written and verbal communication skills.
  • Exhibits knowledge of pathophysiology and accepted treatment protocols for common health diagnoses (i.e., diabetes, chronic heart failure, chronic obstructive pulmonary disease).
  • Proficient in Microsoft Office such as Word, Excel, and Outlook, including the ability to navigate multiple systems and keyboarding.
  • Bi-lingual (English/Spanish) preferred.


Education & Experience

  • Must hold an active unrestricted compact RN license. BSN preferred.
  • Ability to obtain additional state licenses, as needed
  • 2+ years of experience in nursing is required. Care settings may include inpatient, outpatient, or skilled nursing facilities.
  • Case Management experience is strongly preferred.
  • Certified Case Manager Certification preferred.
  • Transition of care experience desired.

Curana Health is dedicated to the principles of Equal Employment Opportunity. We affirm, in policy and practice, our commitment to diversity. We do not discriminate on the basis of actual or perceived race, color, creed, religion, national origin, ancestry, citizenship status, age, sex or gender (including pregnancy, childbirth and related medical conditions), gender identity or gender expression (including transgender status), sexual orientation, marital status, military service and veteran status, physical or mental disability, protected medical condition as defined by applicable or state law, genetic information, or any other characteristic protected by applicable federal, state and local laws and ordinances.

The EEO policy applies to all personnel matters as outlined in our company policy including recruitment, hiring, transfers, and general treatment during employment.