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CircleLink Health
Overview
Manage a large panel of Medicare patients with chronic conditions through monthly clinical calls to drive behavior change and reduce hospitalizations. Coordinate services, update care plans, and maintain compliant documentation to close preventive care gaps.
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Compensation
$3,000 / MONTH
Posted
22 days ago
Manage a large panel of Medicare patients with chronic conditions through monthly clinical calls to drive behavior change and reduce hospitalizations. Coordinate preventive care gaps, update care plans, and support transitions of care to ensure patient stability.
Manage a large panel of Medicare patients with chronic conditions through monthly clinical calls to drive behavior change and reduce hospitalizations. Coordinate preventive care gaps, update care plans, and support transitions of care to minimize readmissions.
TRILLIUM HEALTH RESOURCES
Provide short-term care coordination and service linkage for individuals with autism spectrum disorder and co-occurring complex needs. Conduct outreach to assess unmet needs and connect members with appropriate community resources and health services.
$54,106 - $67,210 / YEAR
23 days ago
Manage a panel of over 100 Medicare patients with chronic conditions through monthly clinical calls to drive outcomes and reduce hospitalizations. Responsibilities include updating care plans, closing preventive care gaps, and coordinating transitions of care.
1 month ago
Monogram Health
The Registered Nurse Care Manager develops and adapts patient care plans in collaboration with medical providers, performing in-home visits to execute these plans and monitor patient progress. Responsibilities also include monitoring biometrics, reconciling medications, providing extensive patient education on conditions like CKD and ESRD, and facilitating proactive care decisions.
Salary not listed
2 months ago
The Registered Nurse will work closely with medical providers to develop and adapt patient care plans, performing in-home visits to execute these plans and monitor patient progress. Responsibilities also include performing patient health assessments, delivering education on conditions like CKD and ESRD, and encouraging treatment adherence.
The Care Manager RN will work closely with medical providers to develop and adapt patient care plans, performing in-home visits to execute these plans and monitor patient progress. Responsibilities also include monitoring biometrics, reconciling medications, delivering education on conditions like CKD and ESRD, and facilitating conversations around proactive care decisions.
3 months ago
The Care Manager RN collaborates closely with medical providers to develop and adapt care plans, performing in-home visits to execute these plans, monitor biometrics, and manage medication reconciliation. Responsibilities also include delivering education on chronic kidney disease and associated conditions, encouraging adherence, and serving as the primary patient contact during business hours.
The Registered Nurse Care Manager develops and adapts patient care plans in collaboration with medical providers, performing in-home visits to execute these plans and monitor patient health data. Key duties include medication reconciliation, patient education on conditions like CKD and ESRD, and serving as the primary point of contact for patient inquiries.
The role involves managing a large panel of Medicare patients with chronic conditions by delivering monthly clinical calls focused on driving outcomes and reducing hospitalizations. Responsibilities include executing behavior change coaching, maintaining compliant documentation, closing preventive care gaps, and updating care plans.
The Registered Nurse will work closely with medical providers to develop and adapt care plans, performing in-home visits to execute these plans and monitor patient health outcomes. Responsibilities also include monitoring biometrics, reconciling medications, delivering education on chronic kidney disease, and serving as the primary point of contact for patients.
The Care Manager RN collaborates with medical providers to develop and adapt patient care plans, performing in-home visits to execute these plans and monitor patient progress. Responsibilities also include monitoring biometrics, reconciling medications, providing extensive education on conditions like CKD and ESRD, and serving as the primary patient contact during business hours.
$100,000 / YEAR
4 months ago
The Care Manager Social Worker will perform in-home and telehealth visits to assess patients' social and behavioral status, working with the Care Team to address social determinants of health needs. Responsibilities include developing action plans, building relationships with local organizations, educating patients on resources, and documenting patient progress in the care management platform.
Registered Nurses work closely with medical providers to develop and adapt care plans, performing in-home visits to execute these plans and monitor patient progress. Responsibilities also include patient education, medication management, and serving as the primary point of contact for patient inquiries during business hours.
The Care Manager Social Worker performs in-home and telehealth care management visits to assess social and behavioral status, working closely with the Care Team to address social determinants of health needs. Responsibilities include building community relationships, educating patients on resources, and documenting progress in the care management platform.
