The Care Manager delivers telephonic care management for Curana patients enrolled in a Value-Based Care Program
Conduct comprehensive assessments of patients’ medical, psychosocial, and functional status.
Review electronic health records (EHR) to identify gaps in care for patients residing in a Long-term Care Nursing Facility.
Review and approve initial and ongoing health questionnaires completed by a member of Curana’s care management team.
Serve as a health coach to educate patients and/or caregivers about their disease process.
Develop patient-centered care plans.
Educate patients and their durable medical power of attorney (DPOA) on the benefits of GUIDE, APCM or CCM.
Support quality gap closure through clinical discovery.
Recommend Provider visits for at-risk patients
Coordinate with the Transitional Care Manager to schedule patient visits and inform the TCM nurse if a patient is discharged to acute or SNF.
Ensure orders, referrals, and prior authorizations are facilitated by the virtual care support team.
Escalate abnormal diagnostic test results to Curana providers.
Acts as the Clinical Liaison for the non-clinical support staff
Communicate patient health updates to the Curana providers.
Communicate treatment plans and health updates to the patient’s caregiver in an effective and caring manner.

Must hold an active, unrestricted compact RN license
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.
Exhibits knowledge of pathophysiology and accepted treatment protocols for common health diagnoses (i.e., diabetes, chronic heart failure, chronic obstructive pulmonary disease).
Ability to analyze patient records to identify gaps in care and report to the provider.
Ability to work in a remote environment that is free of distractions.
Proficient computer skills and ability to adapt to various technology platforms.
Excellent written communication skills.
Demonstrated experience in the usage of clinical data to guide decision making.
Must have the ability to function independently and as a member of the interdisciplinary care team.

Care Manager, RN

Key skills