The RN Principle Care Management (PCM) Program Manager is responsible for overseeing the PCM program, ensuring high-quality, patient-centered care for individuals with chronic conditions. This role involves managing a team of medical assistants, coordinating care services, monitoring compliance with healthcare regulations, and implementing best practices to improve patient outcomes.
Key Responsibilities:
Manage, implement, and oversee the PCM program to ensure effective care coordination for patients with chronic conditions.
Supervise and lead a team of medical assistants, providing guidance, training, and performance evaluations.
Monitor and ensure compliance with CMS guidelines and other regulatory requirements.
Collaborate with physicians, nurses, and other healthcare providers to optimize patient care plans.
Maintain accurate patient records, ensuring timely documentation and reporting.
Establish and track key performance metrics to measure program effectiveness and identify areas for improvement.
Serve as a point of contact for patients, families, and caregivers to address concerns and provide education about PCM services.
Develop and implement workflows, policies, and procedures to enhance program efficiency.
Stay updated with industry trends and regulations to ensure continuous improvement and compliance.
Facilitate team meetings, case reviews, and interdisciplinary discussions to enhance patient outcomes.
Qualifications:
Active RN license
Bachelor's degree in Nursing (BSN) preferred.
Minimum of 3-5 years of clinical nursing experience, with at least 2 years in care management or chronic care coordination.
Experience in a supervisory or leadership role preferred.
Strong understanding of CMS regulations related to PCM and chronic care management.
Excellent leadership, communication, and organizational skills.
Proficiency in electronic health records (EHR) systems and documentation.
Ability to work collaboratively in a multidisciplinary healthcare environment.
Strong problem-solving and critical-thinking abilities.
Work Environment:
Office-based with 1 day working remote
Standard business hours with potential for occasional evening or weekend work based on program needs.
This position offers a unique opportunity for an experienced RN to lead a care management program focused on improving the health and well-being of patients with chronic conditions. If you are a dedicated nurse leader with a passion for care coordination and team management, we encourage you to apply.
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| Location | Great Neck, NY |