Case Management, Nurse Practitioner - Pittsburgh, PA

Description

Position at Healthmap Solutions

Company Background

Healthmap Solutions is the future of specialty health management that focuses on progressive diseases, with a particular expertise in kidney health populations. Healthmap Solutions uses clinical big data resources and high-powered analytics to power complex specialty health management programs. Healthmap Solutions is a diverse, growing company committed to our clients and our employees. We are champions for better health, for those who need us most.

Position Summary:

The Field Care Navigator will be responsible for assisting with care coordination and complex care

management duties. The role develops and maintains the care management of the member both in the home and telephonically, working to improve member outcomes.

Responsibilities:

• Assess members in the home or other face-to-face setting to assess the member’s wellbeing and develop an individual plan of care
• Evaluate the home environment for safety, infection control, and community resource needs
• Act as first level of support for the member to resolve patient related issues to ensure a positive member experience
• Identify opportunities to manage the member-centric care plan, problems, barriers, interventions, and goals as appropriate
• Partner with the Healthmap Interdisciplinary Care Team to collaborate on opportunities to improve member’s health outcomes
• Serve as a resource to members and physicians while acting as a liaison between community resources, programs, and other relevant services
• Educate Healthmap members on kidney health, related co-morbid conditions, and renal replacement therapy
• Drive and shape clinical strategy to improve outcomes for members with chronic kidney disease
• Document and maintain accurate member records that will identify all patient communication and plan. Maintain thorough documentation of all provider meetings/interactions and member interactions for consistency and coordination and compliance with regulatory standards Ensure company adherence with legal and regulatory requirements
• Assist as a preceptor, mentor, and coach for new hire orientees
• Demonstrate HIPAA understanding and complete confidentiality protocols
• Follow all company-defined security/operational policies and procedures
• Use multiple technical applications including Microsoft Word, Excel spreadsheets, electronic calendars, email, timekeeping and expense applications, and other software applications
• Perform other duties as assigned
  
  

Requirements:

• Master’s degree in nursing required
• Active, unrestricted RN license required; nurse practitioner or advanced practice nurse required in assigned state(s)
• 3 years of experience in care management roles
• Experience in a nephrology practice, dialysis center, home health delivery or transplant center preferred
• Prior experience building and managing relationships with health care providers or patients preferred
• Experience in customer service strongly preferred
• Experience with Medicare and Medicaid preferred
• Proof of valid and unrestricted driver’s license required. This position requires travel within assigned region to visit patients in their homes
• Assigned state residency required
  
  

Skills:

• Excellent verbal, written, listening and presentation skills
• Ability to show compassion and empathy for patients
• Demonstrated interpersonal relationship skills
• Ability to multitask, prioritize, and create solutions in a fast-paced environment
• Strong critical thinking and analytical skills
• Must be proficient in Microsoft Office: Outlook, Word, Excel, PowerPoint
  
  

Travel:

• Heavy Travel, Over 50%
  
  

Americans with Disability Specifications

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

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.

Healthmap Solutions is the future of specialty health management that focuses on progressive diseases, with a particular expertise in kidney health populations. Healthmap Solutions uses clinical big data resources and high-powered analytics to power complex specialty health management programs. Healthmap Solutions is a diverse, growing company committed to our clients and our employees. We are champions for better health, for those who need us most.