Nurse Care Manager

Nest Health

Nest Health

Customer Service
New Orleans, LA, USA
Posted on Wednesday, April 10, 2024
Nurse Care Manager
New Orleans, LA
About Nest Health
As featured in 60 Minutes, Business Insider, and The Times-Picayune, Nest Health, launched in New Orleans, LA, is a whole-family healthcare practice delivering convenient and compassionate in-home and virtual care to parents and their kids. We make healthcare easy for moms, dads, babies, kids, and teens living in the same home.
We are guided by our CHARJ, the Nest core values:
· Collaboration – We collaborate with each other, with families and with the communities we serve.
· Humility – We recognize that our teammates and our member families often have the answers.
· Authenticity – We bring our diverse experiences and real selves to our work.
· Resourcefulness – We are builders and problem solvers.
· Joy – We bring joy to our work and our member families.
Nest was co-founded by Dr. Rebekah Gee, the former Secretary of Health for the State of Louisiana and the former CMO for Medicaid and the Title V program; and Rebecca Kavoussi, former Western US President at Landmark Health and former head of global clinical operations at Babylon Health. Dr. Gee was recently named on New Orleans City Business Power 50 list.
Nest Health: Whole-Family Healthcare. Learn more about us at https://www.nesthealth.com/
Employees will be afforded an opportunity to develop and drive their careers with this fast paced and innovative company while receiving competitive compensation; paid holidays; vacation; excellent medical health, vision and dental coverage; short term and long-term disability coverage; and the ability to contribute to a 401K.
Role Summary
The Nurse Care Manager (NCM) reports to the Health Services leader and provides oversight, guidance and support for family care plans developed in collaboration with Nest Health clinicians and interdisciplinary team members. The NCM maintains a deep understanding of the patient panel and helps synthesize and prioritize family and patient needs and action plans based on family goals, acuity, quality gaps, and social determinants of 2 health. In collaboration with other members of the healthcare team, the NCM is responsible for organizing, coordinating, and providing care coordination and care management services to patients and families.
What You’ll Do
Care Management & Coordination Responsibilities
Manage market panels to ensure patients and families are getting the right care at the right time through identification of high-risk patients, admission/discharge/transfer notifications, claims data, and findings from visits with Nest. Aggregate individual family members’ care plans to understand and create a clear plan for the family. Lead interventions and coach Family Advocates on priority interventions.
Identify social determinants of health and work with interdisciplinary team to support family needs and decrease barriers to care.
Through various modalities (in-person, virtual, or by phone) and based on the patient’s plan of care, the NCM will provide timely, relevant, and clear education to improve patient/family understanding of their conditions and how manage those conditions to improve health outcomes.
Act as clinical liaison for payer-based Care Management programs supporting both programmatic and individual patient needs as indicated.
Ensure accountability and follow up for patient care needs through panel management, case studies, and chart reviews. Support intradisciplinary team members on what they need to execute care plans and best support patients.
Use data and reporting to identify gaps in care or services and conduct patient outreach to facilitate follow-up care or services.
Visit, educate, and serve as a resource to providers on patients with chronic and/or high-risk conditions that could benefit from extra services to provide coordination and linkage to general medical service.
Communicate and coordinate with specialists, mental health and nutrition providers regarding Nest patients as needed to ensure patients are receiving the care they need both inside and out of Nest.
Quality Improvement & Organizational Commitment
Follow-up with patients within a reasonable amount of time that the information regarding inpatient discharge and ED visits information is made available to Nest Health.
Complete chart review and preparation ahead of visits specifically related to hospital utilization, social determinants of health, HEDIS quality gaps, and immunization needs.
Assist in provider efficiency by pending immunizations due for pediatric patients.
Provide feedback and insights on Nest’s care model for continual refinement to best support patient care and employee experience.
Intermittently support field team on field visits to fully understand and appreciate the in-home care patients and families receive.
Collaborate to engage new patients and support outreach efforts.
Other duties as assigned.
Experience, Qualifications & Skills
Required: Current State RN unincumbered license required, compact license a plus
BSN preferred.
Three years of clinical practice in a hospital, clinic, or home care with pediatric experience being highly desired
One year of experience in value-based care, population health, or care coordination preferred.
Experience and comfort with being held accountable to meeting metrics designed to ensure appropriate prioritization and management of patient panel.
Experience serving underserved populations with complex health needs preferred.
Experience of working as a member of an interdisciplinary team strongly preferred.
Experience working in a start up a plus but not required.
Excellent problem solving and critical thinking skills.
Strong communicator amongst both patients, families, and colleagues
Maintains CPR certification – BLS
Nest understands that job requirements sometimes exclude people who identify with historically marginalized groups from applying to jobs for which they are qualified. Even if you don’t meet 100% of the requirements listed, or if you achieved these requirements through unconventional channels, we encourage you to apply.
Travel & Physical Requirements
This is a full-time role based in our New Orleans office.
Ability to lift (or pull) 40 pounds.
Prolonged periods sitting at a desk and working on a computer.
Some travel for training or education purposes may be required.
Capable of managing long hours from time to time.
Covid 19 Vaccination - Please Read:
To protect the health and safety of our employees, we strongly recommend any employee conducting in[1]person work to be fully vaccinated against COVID-19 by their start date.
Nest Health celebrates the diversity of our patient population and seeks diversity on our team. We are an equal opportunity employer, indiscriminate of race, religion, ethnicity, national origin, citizenship, gender, gender identity, sexual orientation, age, veteran status, disability, genetic information, or any other protected characteristic.