Care Manager RN Work from Home PSG in Richmond, Virginia, United States
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Galen College of Nursing

Care Manager RN Work from Home PSG

Richmond, VA, United States
Full-time • Work From Home
Supervisors Team Leaders and Coordinators   Job ID: 61940
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Description

Introduction

Seeking a Care Manager for our practices who provides clinical expertise to ensure all patients receive high quality, efficient care. 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.

***This position is considered "Work From Home" and qualified candidates must reside or be willing to relocate to the Richmond, VA area to support the practices in the market.***

Benefits

We are committed to providing our employees with the support they need. At Galen College of Nursing, we offer eligible colleagues an attractive benefit package that includes medical, wellbeing, dental and vision benefits along with some unique benefits including:

  • Medical, Dental, Vision, Life Insurance and Flexible Spending
  • Paid Time Off (PTO) and Personal Leave
  • 401K (100% annual match - 3% to 9% of pay based on years of service)
  • Academic Assistance and Reimbursements for Tuition and Student Loans
  • Employee Discounts including Tickets, Retail, Mental Health Apps, Education Apps, Identity Theft Protection etc.
  • HomeAuto, and Pet Insurance
  • Employee Stock Purchase Program (ESPP)
  • Short Term Long Term Disability coverage
  • Adoption Assistance
  • Legal Benefits and lots more!

Learn more about Employee Benefits

Our teams are a committed, caring group of colleagues. Do you want to work as a(an) Care Manager - WFH where your passion for creating positive patient interactions are valued? If you are dedicated to caring for the well-being of others, this could be your next opportunity. We want your knowledge and expertise!

Job Summary and Qualifications

  • 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

What Qualifications you will need:

  • Current licensure as an RN (Registered Nurse) or LSW (Licensure in Social Work) in state of residence
  • Prefer knowledge of Patient Centered Medical Home (PCMH), CPC+, government programs (CMS), accountable care organizations (ACOs), EDIS, and experience with payer cost sharing initiatives
  • Working knowledge of electronic medical records, medical terminology, ICD-10, CPT 11 coding, HEDIS measures, and medical office processes (preferred)
  • One (1) year of experience in a physician practice is preferred

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 named one of the World's Most Ethical Companies by Ethisphere Institute for over a decade.  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.


"Bricks and mortar do not make a hospital. People do."- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder

If you are looking for an opportunity that provides satisfaction and personal growth, we encourage you to apply for our Care Manager - WFH opening. We promptly review all applications. Highly qualified candidates will be contacted for interviews. Unlock the possibilities and 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.

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Details

Full-time • Work From Home

COVID-19 Vaccination

In compliance with the emergency regulation issued by the Centers for Medicare & Medicaid Services (CMS) dated November 4, 2021, and company policy, this role does not require* you to be fully vaccinated for COVID-19 based on local, state and /or federal law or regulations, or to have applied for a medical or religious exemption. (*However there are rare exceptions for some roles that may be required to comply with the mandate. Ask your recruiter for more details.)

About HCA Healthcare

What matters most to our diverse and talented colleagues is giving people the absolute best healthcare in the most compassionate way possible.

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