Nurse Care Manager

Who You Are

You are devoted, compassionate, and enjoy being on the front lines in healthcare, changing the lives of your patients. You are passionate about getting to the root cause of a patient's conditions, removing social determinants of healthcare, and ensuring the highest possible quality of life for those in your care. You don't want to sacrifice quality over quantity, and you aim to provide the same level of care and commitment to your patients that you would to your own family member.

Does this sound like you? If so, we should talk.

Who We Are

We are Honest Medical Group, a groundbreaking team of health care professionals focused on making a major impact in health care. At Honest, we align every aspect of our company to support patients and providers. We are devoted to purpose and inspired by innovation . We embrace our communities and lead with kindness . We drive health improvements, create a seamless member experience, and eliminate unnecessary cost. We listen to the needs of our patients and our employees-continually working to push beyond the status quo.

For us, it's all in an Honest day's work.

Your Role

You will collaborate with an assigned panel of physicians, advanced practice providers (APP), and ancillary team members to manage patients' specialized needs based on their individual conditions. Your job duties will include taking full ownership of patients within your panel, with an additional focus on patients with complex chronic conditions, serious illness, or advanced frailty. You will perform assessments to identify member needs based on their values, goals, and preferences. From this assessment, you will develop comprehensive care management plans for each member. These care plans will be used to coordinate patient care delivery with Honest clinicians, network providers, contracted vendors, and community-based services. This work takes place remotely alternating with potential opportunities to visit aligned practices and / or patients in Buffalo, NY or surrounding areas.

Primary Functions Include :

• Quickly build empathetic relationships with patients and families.
• Evaluate and identify patients' needs based on their respective values, goals, and preferences, then translate these needs into clinical needs.
• Interface with primary care physicians, advanced practice providers (APP), specialists, and various disciplines on the development of case management plans / programs.
• In conjunction with the physician / APP, implement care / treatment plans by coordinating access to health services across multiple providers / disciplines.
• Monitor care and identify cost-effective measures, including recommendations for alternative levels of care and utilization of resources.
• Effectively coordinate patient admissions and discharges from hospitals or skilled nursing facilities via coordination with respective facility clinicians and case managers.
• Build relationships across network hospitals, SNFs, home health companies, and DME vendors within the respective community.
• Monitor and evaluate the effectiveness of the case management plans based on quality and cost drivers and modify as necessary.
• Coordinate the interdisciplinary approach to providing continuity of care, including transfer coordination, discharge planning and obtaining all authorizations / approvals / transfers as needed for outside services for patients / families.
• Act as a patient advocate and educator to ensure that the patient has the knowledge to care for his / her condition and patient is educated and empowered to be responsible for participating in the plan of care.
• Develop individualized patient / family education plan focused on self-management and deliver patient / family education specific to a disease state.
• Engage internal resources to identify and respond to social determinants of health such as lack of transportation, stable housing, or food resources.
• Participate in data collection and analysis of clinical outcomes of care and customer satisfaction standards. Participate in the formulation and implementation and monitoring of action strategies and outcomes of care or customer service. Ensure that accurate records of the care associated with each patient are maintained.
• Actively participate in huddles, interdisciplinary team (IDT) sessions, and patient case conferences.
• Commendably represents Honest to patients, their families, and the community.
• Perform other related responsibilities as assigned

How You Qualify

You reviewed the Who You Are section of this job posting and immediately felt the need to read on. This makes you a match for our innovative culture. You accept things change quickly in a startup environment and are willing to pivot quickly on priorities.

The base pay range for this role is $76,600 - $88,000. Compensation takes into account several factors including but not limited to a candidate's experience, education, skills, licensure and certifications, and organizational needs. Base pay is just one piece of the total rewards program offered by Honest. Eligible roles also qualify for short-term incentives and a comprehensive benefits package.

How You are Supported

Honest is an equal opportunity employer that is committed to inclusion and diversity. We take affirmative action to ensure equal opportunity for all applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, Veteran status, or other legally protected characteristics.

Honest is committed to working with and providing reasonable accommodations to job applicants with physical or mental disabilities. Applicants with a disability who require a reasonable accommodation for any part of the application or hiring process should email talent[redacted] for assistance. Reasonable accommodation will be determined on a case-by-case basis.

Honest Medical Group contacts candidates via various platforms, including Honest's recruiting platform and / or email or text message. If working with candidates directly, Honest will contact candidates using an honestmedicalgroup.com email address. For reference, the recruiting process will always include a live phone call and / or real person interview prior to making a formal offer of employment. Honest will never ask for an individual's confidential personal information or financial account information (i.e., social security number or bank account and / or routing number) prior to a formal offer and will never ask for transfers of money or financial information by email, text, Venmo, or other social media. Further, Honest will never request financial account security information (i.e., PIN number, password, or security access information). We encourage all candidates to be diligent in their job search and to verify the contact information of individuals they are working with. If there are any questions as to whether a communication is coming from Honest, candidates may reach out to [redacted].