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Gulf Coast Nurse Manager
Population Health
Houston, TX
 

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Department or Business Unit: Population Health

Reporting Structure: AVP, Population Health GC

Employment Type: FTE

Exemption Status: Exempt

Min. Experience: Mid-level

Travel Required: Yes


Overview of the Role: 


The Nurse Care Manager works closely with the population health team, networked facility partners, primary care providers, and practice operations to ensure seamless transitions in patient care. The Nurse Care Manager will provide extensive care coordination for Privia’s highest risk patients. 


Primary Job Duties: 


  • Under direction of the AVP, Population Health, work in collaboration with the Quality Manager and the Population Health Coordinators to achieve Quality targets
  • Manage a robust patient case load
  • Develop trust and build rapport with a select (high-risk/high utilizer) Privia patient population
  • Establish “call me first” relationship with your patients
  • Transitions of care
  • Engage patients telephonically, in office, in facility, or where needed
  • Act as the liaison and advocate between the PCP and patient, as well as with payer partner resources when appropriate/available
  • Assist patients in accessing care at the appropriate source
  • Have attention to detail for patients: medical, behavioral, social, and economic issues - work to mitigate these barriers
  • Review patient non-compliance issues related to open gaps and conduct outreach to attempt to close them
  • Schedule patients for diagnostic testing and follow up to ensure completion of testing
  • Develop relationships with the care coordination teams
  • Participate in special projects and perform other duties as assigned
  • Evaluate and utilize data from EMR to support patients needs
  • Maintain a courteous and helpful manner when working with patients, physicians, and associates


Minimum Qualifications:


  • BS in Nursing (or equivalent) and at least 3 years of case management or care coordination experience.  
  • Medicare Advantage experience preferred
  • Ambulatory Care Management, Home Health, or Long-Term Care experience preferred; Experience with triage preferred
  • Active unrestricted license in TX or able to obtain (if needed)
  • Must comply with HIPAA rules and regulations


Interpersonal Skills & Attributes:


  • Effectively communicates with physicians, care center office staff and patients
  • Demonstrate sound judgment 
  • Maintain a positive caring attitude towards patients
  • Strong computer and EHR skills and expertise 
  • Must be detail oriented and possess varied analytical skills
  • Possess a focused work ethic and a high level of professionalism
  • Flexible, as travel may be required


Technology:

Google Meets

Google Office Suites


Physical Demands:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is occasionally required to stand; walk; sit; use hands to finger, handle, or feel objects, tools or controls; reach with hands and arms; climb stairs; balance; stoop, kneel, crouch or crawl; talk and hear. The employee must occasionally lift or move up to 25 pounds. Specific vision abilities required by the job include close vision, distance vision, color vision, peripheral vision, depth perception and the ability to adjust focus.




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