Experienced Telephonic RN Nurse Care Manager - Remote in Houston, TX - Leading High-Quality Home-Based Primary Care Services

Join the HarmonyCares Family: Revolutionizing Home-Based Healthcare

HarmonyCares is a pioneering force in the healthcare industry, operating as one of the nation's largest home-based primary care practices. Our family of companies, including HarmonyCares, HarmonyCares Medical Group, HarmonyCares Home Health, and HarmonyCares Hospice, is dedicated to delivering high-quality, coordinated healthcare services directly to patients' homes. With a mission to bring personalized, quality-based healthcare to those who have difficulty accessing care, we are transforming the way healthcare is delivered.

Our Mission, Vision, and Values

At HarmonyCares, our mission is to provide high-quality, coordinated healthcare in the comfort of patients' homes. Our shared vision is that every patient deserves access to quality healthcare. We uphold a set of core values that guide our actions and interactions: The way we care is our legacy. Every interaction counts. Go the extra mile. Empower and support each other.

Why Choose HarmonyCares?

We offer a comprehensive benefits package that includes:

• Quarterly bonuses to reward your hard work and dedication
• Health, dental, vision, disability, and life insurance, along with much more
• A 401K retirement plan with company match to help you plan for the future
• Tuition, professional license, and certification reimbursement to support your career growth
• Paid time off, holidays, and volunteer time paid to ensure work-life balance
• Orientation and training day time hours (no holidays/weekends) for a smooth onboarding experience
• Great Place to Work certified, reflecting our commitment to creating a positive work environment
• Established in 11 states, with over 28 years of experience in home-based primary care

For more details about our benefits, please visit: https://careers.harmonycares.com/benefits.

Job Summary

We are seeking an experienced Telephonic RN Nurse Care Manager to join our team in Houston, TX. As a Nurse Care Manager, you will play a vital role in enhancing the health outcomes of our patients. You will manage a caseload of high-risk patients, develop and implement personalized care plans, and collaborate with the care team to ensure seamless care delivery.

Key Responsibilities

The following responsibilities are essential to the role of a Telephonic RN Nurse Care Manager:

• Care Coordination: Collaborate with the pod leader to ensure patients have access to comprehensive services tailored to their needs throughout their healthcare journey.
• Care Plan Development: Work with the care team to develop and manage personalized care plans, address care gaps, and engage with other resources to ensure access to care.
• Transition of Care: Coordinate the transition of care for patients throughout the continuum to prevent avoidable hospital admissions and ensure patient needs are met.
• High Risk Huddles: Coordinate and facilitate High Risk Huddles, ensuring follow-up actions are completed.
• Patient Prioritization: Prioritize patients based on the severity and urgency of their conditions to ensure critical cases receive immediate attention.
• Medical Record Review: Review medical records to identify gaps in care and coordinate services with the care team.
• Patient Care Plans: Regularly update patient care plans to reflect changes in patient conditions and care needs.
• Nursing Assessments: Perform thorough nursing assessments via telephone to maximize or improve current health outcomes.
• Patient Education: Provide education to patients and/or their caregivers on disease management, medication, health maintenance, and disease prevention.
• Documentation: Document necessary interactions, assessments, updates, etc., in patient medical records according to processes and guidelines.
• Communication: Serve as a liaison between patients, providers, resources, etc., to ensure seamless care delivery.

Requirements and Qualifications

To be successful in this role, you will need:

Essential Qualifications:

• Active Registered Nurse License: Current RN license in the state of practice.
• Care Management Experience: 2+ years of experience in care management within community, health plan, or hospital systems.
• Clinical Skills: Strong clinical skills and proactive thinking.
• Communication Skills: Effective communication skills, both written and verbal.
• Telephone Assessment: Ability to perform extensive telephone assessments.
• Medicare Regulations: Knowledge of Medicare regulations and home care and hospice standards.
• Presentation Skills: Experience with small group presentations and teaching/training.
• Interpersonal Skills: Exhibits excellent interpersonal skills.
• Computer Skills: Working knowledge of computer programs (email, Word, Excel, PowerPoint, etc.).
• Time Management: Ability to manage time effectively to ensure all duties and documentation requirements are completed in a timely manner.

Preferred Qualifications:

• Bachelor of Science in Nursing: Bachelor's degree in nursing or a related field.
• Multi-State Licensing: May be required to obtain multi-state licensing.
• Population Health: Strong knowledge of population health, quality measures, care gap closure, and value-based care models.

Career Growth and Learning Benefits

At HarmonyCares, we are committed to the growth and development of our employees. We offer:

• Opportunities for professional advancement within the organization
• Training and development programs to enhance your skills and knowledge
• A collaborative and supportive work environment that encourages learning and innovation

Work Environment and Company Culture

Our work environment is dynamic and supportive, with a strong emphasis on teamwork and collaboration. We value diversity and inclusion, and strive to create a workplace where everyone feels valued and respected.

Compensation and Benefits

We offer competitive compensation and a comprehensive benefits package, including:

• Competitive salary range
• Quarterly bonuses
• Health, dental, vision, disability, and life insurance
• 401K retirement plan with company match
• Paid time off and holidays

How to Apply

If you are a motivated and compassionate RN looking to make a difference in the lives of patients, we encourage you to apply for this exciting opportunity. Please submit your application through our careers website: Apply Job! or Apply to this Job.

We look forward to hearing from you and exploring how you can join our team!