Nurse Care Manager

Privia is looking for a forward thinking, organized, energetic Nurse Care Manager that delivers on objectives and seeks an opportunity to develop, implement, and deliver change within our medical group and affiliated partners. Working closely with the population health teams, networked facility partners, primary care providers, and practice operations at Privia Health, the Nurse Care Manager will provide extensive care coordination for Privia’s highest risk patients.Develop trust and build rapport with a select Privia patient population with a goal of reduction in high cost utilization and improvement in clinical outcomesEngage patients telephonically, in office, in facility, or where neededAct as the liaison between the patient and Value-Based Care ProgramsAssist patients in accessing care at the appropriate sourceHolistic assessment of patients (medical, social, economic, behavioral) to identify opportunities or barriers to improve outcomesWork collaboratively with patient and care center teams to develop a plan of care to improve patient outcomesProvide other billable services as needed and allowed by licensure for our patient population virtually or at assigned office locations, to include assessment of vital signs, administration of vaccines, and review of past, family, and social medical history, medications, and preventive health care needs.In-person and telephonic follow up with our high risk patient populations for education and collaborative goal setting to work towards improving patient outcomes and decreasing high cost utilizationTelephonic follow up with patients testing positive for COVID-19 and participating in CVFP’s and PTC’s ambulatory monitoring protocol.Where applicable all tasks, including assessments and care planning, are completed by a RN or LPN under the supervision of an RN, and follow established protocols and standing orders.Understand and utilize the Athena and Privia Applications to identify high value opportunities to decrease utilization and close quality gapsMaintain a courteous and helpful manner when working with patients, physicians, and associatesParticipate in special projects and perform other duties as assigned