Hopscotchprimarycare

Care Manager Registered Nurse

Western North Carolina . Posted 18 days ago

The role

The Care Manager Registered Nurse manages a panel of high-acuity patients through remote case management and in-clinic support. This role focuses on reducing avoidable admissions, improving clinical outcomes, and supporting care continuity.

What you will do

  • Manage a defined panel of high-risk patients through longitudinal case management
  • Develop, implement, and update individualized care plans with providers and care teams
  • Perform telephonic outreach and monitoring
  • Coordinate care across providers, specialists, hospitals, EDs, SNFs, and community resources
  • Partner with transitions of care team for smooth patient transitions
  • Partner with providers, MAs, LPNs, and Care Center Managers to align on care plans
  • Escalate clinical concerns and barriers to care in real time
  • Participate in team huddles, case reviews, and interdisciplinary care discussions
  • Track and improve quality and utilization metrics
  • Support high-risk patient visits and assist with care coordination in-clinic

Required qualifications

  • Minimum of 2 years of experience as a care manager embedded into an interdisciplinary team
  • Active registered nurse (RN) license in North Carolina
  • BLS certification
  • Experience working in a primary care clinic focused on chronic disease management
  • Experience with motivational interviewing, behavior change, health promotion, and coaching
  • Strong verbal and written communication skills
  • Customer service orientation

Nice to have

  • Experience with behavioral health and community-based organizations

About the company

Hopscotch Primary Care is on a mission to transform healthcare in rural America. They provide high-quality primary care through a robust care model and comprehensive care team.

Care Manager Registered Nurse at Hopscotchprimarycare | JobZoey