RN Clinical Care Manager - Eugene, OR

Healthmap Solutions - Eugene, OR

Job Title: RN Clinical Care Manager - Eugene, OR

Position: Care Management in Kidney Health

Job Type:

Pay:

Shift:

Work Type:

Location

Address:

City: Eugene

State: OR

ZIP Code:

Job Responsibilities

Act as a liaison between Healthmap, provider practices and Healthmap members to ensure positive engagement and performance with our program(s).
Develop new provider/partner business relationships that serve as means to better Healthmap provider and member engagement and manage assigned caseload.
Identify opportunities to improve health outcomes for Healthmap Solutions members based on provider specific data.
Incorporate education and communication on Best Practice sharing, process improvement in provider workflows, Kidney Health Management interventions and HEDIS/STAR measures for identified areas of provider low performance.
Identify opportunities to educate provider offices on topics related to Chronic Kidney Disease, End Stage Renal Disease, Renal Replacement Therapies, etc.
Partner with physicians/physician staff to identify Healthmap Solutions members that would benefit from Care Navigation support, conduct outreach, and engage members in program.
Educate Healthmap members on kidney health, related co-morbid conditions, and renal replacement therapy.
Serve as Healthmap member advocate, utilize community resources and programs, and serve as liaison between the member, the member’s support network, treating physician, and ancillary providers to assist members in meeting individualized goals.
Accountable for individual and departmental metrics and key performance indicators as identified by the organization.
Ensure timely and successful delivery of reports to internal and external stakeholders.
Maintain thorough documentation of all provider meetings/interactions and member interactions for consistency and coordination and in compliance with National Committee for Quality Assurance (NCQA) standards.
Ensure Healthmap policies and procedures are followed and complies with HIPAA privacy laws and all other federal, state, and local regulations.
Perform other related duties as assigned.

Required Skills

Core Skills

Excellent verbal, written and presentation skills.
Interpersonal skills to develop and maintain strong internal and external relationships.
Ability to multitask, prioritize, and create solutions in a fast-paced environment.
Demonstrated leadership skills and ability to create and maintain a positive work environment.
Strong critical thinking and analytical skills.
Proficiency in Microsoft Office: Outlook, Word, Excel, PowerPoint.

Preferred Skills

Bilingual preferred - Spanish, Creole, and/or Mandarin.

Requirements

Experience: 3+ years of progressive experience in healthcare services, clinical operations, quality, or care management.

Education: Bachelor's degree in Nursing required.

License & Certification:

Active, unrestricted RN license required.
Basic Life Support (BLS) Certification (required).
Advanced Cardiovascular Life Support (ACLS) Certification (based on role).

Schedule:

Moderate Travel, up to 25%.
Must reside in assigned state.

COVID-19 Requirements: Must comply with organizations policies for health screening and immunizations, including but not limited to: Proof of immunizations (e.g., COVID-19).

Benefits

Not specified

Supplemental Pay

Not specified

Special Notes

As an Equal Opportunity Employer, we will not discriminate against any job candidate or employee due to age, race, religion, ethnicity, national origin, gender, gender identity/expression, sexual orientation, disability, familial status, veteran status, marital status, parental status, or pregnancy.
In our innovative and inclusive workplace, we prohibit discrimination and harassment of any kind.

Facility Details

Name: Healthmap Solutions

Description: Healthmap Solutions is the future of specialty health management that focuses on progressive diseases, with a particular expertise in kidney health populations.

Specialties: