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Nurse Care Manager
Nest Health
Customer Service
Chicago, IL, USA
Posted on Dec 6, 2024
Nurse Care Manager
Chicago, Illinois
What is the role?
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 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.
Who is Nest Health?
As the first value-based care provider built for families, Nest is on a mission to make comprehensive medical, behavioral, and social care radically accessible to America’s highest risk families. Nest’s first-of-its-kind family-based, in-home, and virtual care model includes primary adult and pediatric care, mental health and nutrition support, vaccinations and labs, same-and-next-day acute visits, chronic condition and transitions of care management, social services and navigation, and more. In Louisiana, Nest’s headquarters and first market, Nest’s innovative model has resulted in partnerships with two of the state’s leading health plans, unlocking care for thousands of families across the state. Nest’s early success has led to national traction across states and payers, laying the groundwork for future expansion.
Nest and its leaders have won multiple awards including Rock Health’s Next-Gen Pediatric Innovations, New York Times Top Five Who Spread Hope, New Orleans City Business Power 50, and CB Insights Digital 150. Additionally, Nest has become a prominent thought and brand leader garnering national attention from outlets such as 60 Minutes, Business Insider, NYTimes, Fierce Healthcare, Axios and others.
Founded in 2022 by former Secretary of Health of Louisiana and practicing OB-GYN, Dr. Rebekah Gee, and Rebecca Kavoussi, former President at Landmark Health, Nest has raised a historical Seed round of over $20M from top healthcare and industry investors including 8VC, Blue Venture Fund, SpringTide Health, Alumni Ventures, Gaingels, MVP, Health 2047, Ochsner Louisiana Investment Fund, Tulane Ventures, and others.
What will you 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.
What do you bring to the Nest?
- 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.
What is required (travel & physical requirements)?
- This is a full-time role based in the Chicago 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
What does Nest bring to the table?
We are reimagining what a supportive workplace looks like, from the inside out. To ensure every team member feels valued, we provide competitive compensation packages that reflect your skills and contributions. On top of this, we offer a comprehensive suite of benefits such as employer-sponsored health, dental, and life options, and generous PTO, we offer an all-of-you, inclusive approach to benefits:
- Family- centric health support with access to Lyric’s comprehensive services for urgent care, behavioral health, psychology, and
psychiatry for you and your entire family, including virtual veterinary care for your pets
- Company supported Parental Leave for both primary/non-primary care givers with options for a tiered return to work, and
eligibility to receive additional hours PTO for Prenatal Care and Backup Childcare
- Receive reimbursement for work- related vehicle expenses, including commuting and travel costs, for staff who drive as part of
their job responsibilities
- Opportunity to receive up to $3,000/year Tuition Reimbursement to support your educational and professional development by
covering a portion of costs relating to fees, course materials, or other related expenses
- Receive employer sponsored short-term and long-term disability benefits to provide financial support in the event of illness or
injury that prevents you from working
- Enrollment in 401 (k) Retirement Plan through Human Interest to help save for your future with flexible contribution options
What does it mean to be a part of a startup?
Working at a healthcare startup can be a unique experience with a fast-paced, ever-changing environment that can involve varied workloads, quick changes, and high expectations. Taking a position at a Healthcare startup allows for the opportunity to be high impact in disrupting the US healthcare system. You will have the chance to be creative, solution oriented, and have your voice heard! You will need to be flexible, accountable, and self-sufficient, and you might take on multiple roles. Here are some things you can expect:
- Your role may be less defined than in other settings, with the need to wear multiple hats & juggle various responsibilities
- Learning opportunities- you will have the opportunity, at times, to function outside of your standard position and learn
about new roles & areas
- Fast Paced- Startups often must move faster than traditional large companies. This means you may be asked to cope with
or advise on quick changes regarding systems or processes
- Autonomy- You will need to be highly autonomous, as there is less structure and learning and development than at large
orgs. This requires you to be able to learn asynchronously, as well as raise your hand when help is needed, or gaps are
identified
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.