DescriptionIntroductionMUST BE LOCAL TO THE KC METRO AREAAre you looking for a work environment where diversity and inclusion thrive? Submit your application for our RN Care Manager- WFH opening with HCA today and find out what it truly means to be a part of the HCA Healthcare team.BenefitsHCA, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:
Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.
Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
Free counseling services and resources for emotional, physical and financial wellbeing
401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
Employee Stock Purchase Plan with 10% off HCA Healthcare stock
Family support through fertility and family building benefits with Progyny and adoption assistance.
Referral services for child, elder and pet care, home and auto repair, event planning and more
Consumer discounts through Abenity and Consumer Discounts
Retirement readiness, rollover assistance services and preferred banking partnerships
Education assistance (tuition, student loan, certification support, dependent scholarships)
Colleague recognition program
Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)
Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.
Learn more about Employee Benefits (https://careers.hcahealthcare.com/pages/employee-benefits-and-rewards)We are seeking a(an) RN Care Manager- WFH for our team to ensure that we continue to provide all patients with high quality, efficient care. Did you get into our industry for these reasons? We are an amazing team that works hard to support each other and are seeking a phenomenal addition like you who feels patient care is as meaningful as we do. We want you to apply!Job Summary and QualificationsSeeking a WFH Care Manager for our practice who supports the patient and primary care relationship through care delivery enhancement. We are an amazing team that works hard to support each other and are seeking a phenomenal addition like you who feels patient care is as meaningful as we do. We want you to apply now.What you will do in this role:
Serves as a subject matter expert in quality and value-based care programs such as MIPS, ACOs, and payor pay-for-performance contracts. Assists in educating practice staff on quality, payor, and government program requirements
Develops professional working relationship with HCA/PSG primary care providers, practice managers, and their staff to collaboratively manage follow-up care and improve overall health and wellness
Attends learning sessions and shares information learned with team members
Assists in the development of tools, education and workflow processes to assist the division(s) in meeting CMS, ACO, documentation, and payor quality initiatives
Collaborates with interdisciplinary teams and leaders (PSG, Payer Contracting & Alignment, Quality and Payor Initiatives) to achieve the organization’s coordination of care goals, quality goals, and financial performance goals
Conducts in-person and virtual meetings with practice managers, staff, providers and managers to communicate program goals, results, and provide education
Prepares and submits minutes from all meetings, as directed
Maintains the strictest confidentiality in the areas of patient, employee, and physician relations
Practices and adheres to the “Code of Conduct” philosophy and “Mission and Value Statement”
Acts as a patient advocate to facilitate appropriate care management and wellness activities
Performs related work and additional duties as requested by supervisor
Care Gaps
Monitors patient compliance with preventive screening and/or behavioral health managementprocesses using internal and payor reporting tools
Accesses portals as necessary to prepare reports and other documents to evaluate progress and prioritize workload
Communicates via telephone and other virtual tools with patients regarding care needs, documenting communications appropriately in the electronic medical record
Prepares and maintains patient charting as needed and performs medical record reviews for payor projects
Assists in securing and submitting necessary documentation for annual patient assessment forms (PAFs)
Understands and addresses short term behavioral health care gaps as needed
Transitions of Care
Contacts patients after an emergency department encounter or hospital discharge to identify the need for a follow-up appointment, community resource needs, etc.
Documents assessment in the medical record to support transition of care services as specified by CMS and other program requirements
Care Management
Uses available tools to identify at-risk patients
Triages patients to determine those appropriate for medical and/or behavioral care management
Creates a care management action plan with the patient/caregiver that includes elements of self management, as appropriate
Identifies and enrolls eligible patients in longitudinal or chronic care management for medical or behavioral health conditions
Oversees the execution of patient care plans in partnership with Care Coordinators
Facilitates specialty referrals, as appropriate, for conditions/needs managed outside the primary care realm
Documents efforts in accordance with established workflow protocols
Identifies and engages community resources to assist patients as needed
Population Health
Assists with practice and provider empanelment processes
Schedules appointments related to preventive care, chronic disease management, and/or integrated behavioral health
Prepares and maintains care coordination reports and provides periodic updates to practice leaders and providers
Conducts wellness campaigns for targeted, focus areas
What Qualifications you will need:EXPERIENCE:
Knowledge of physician office practice operations and one (1) year of experience in a physician practice is preferred
CERTIFICATION/LICENSE:
Current licensure as an RN in the state of residence
Physician Services Group is skilled in physician employment, practice and urgent care operations. We are experts in hospitalist integration, and graduate medical education. We lead more than 1,300 physician practices and 170+ urgent care centers. We are HCA Healthcare’s graduate medical education leader. We provide direction for over 260 exceptional resident and fellowship programs. We focus on carrying out value-added solutions. These solutions help physicians deliver patient-centered healthcare. We support HCA Healthcare's commitment to the care and improvement of human life.HCA Healthcare has been recognized as one of the World’s Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.""Across HCA Healthcare’s more than 2,000 sites of care, our nurses and colleagues have a positive impact on patients, communities and healthcare.Together, we uplift and elevate our purpose to give people a healthier tomorrow."- Jane Englebright, PhD, RN CENP, FAANSenior Vice President and Chief Nursing ExecutiveIf you find this opportunity compelling, we encourage you to apply for our RN Care Manager- WFH opening. We promptly review all applications. Highly qualified candidates will be directly contacted by a member of our team.We are interviewing apply today!We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.