About Us:
Navvis is a leading population health company, driving performance in value-based care. As an operating partner to some of the country’s most innovative health systems, physician enterprises, and health plans, we provide solutions that accelerate the journey to value-based care. Our approach is market-based – we respect the unique needs of populations in each community, including access to care, culture, values, and capabilities. Together with our partners, we set a new national standard in healthcare performance that delivers the affordability, quality, access, and experience that all patients deserve.
Department Overview:
What if we routinely asked every person involved in providing or receiving care: "What matters to you and why?" How would understanding "what matters" enhance our ability to transform health in communities and strengthen the connective process, leading to deeper levels of interaction and integration? At Navvis, we are deeply passionate about understanding what matters to people to ensure the delivery of Real-Person Care. We create an ecosystem that builds a foundation for better physical, social, and emotional health.
As an RN Care Manager you will:
- Serve as the clinical bridge between the professional staff of the entire care continuum or in the community.
- Monitor and evaluate the effectiveness of the care coordination plan and modify as necessary.
- Identify gaps or barriers in treatment plans and provide appropriate education to fill in those gaps.
- Conduct complete medication reviews and gather information about medication adherence.
- Consult with medical providers regarding patient concerns and/or actions that may impact compliance with care plans.
- Work closely with practices and patients regarding patient monitoring activities while adhering to the assigned practice's protocols.
A Day in the Life:
- Responsible for performing care coordination within the scope of licensure for members with a variety of complex and/or chronic care needs by assessing, developing, implementing, coordinating, monitoring, and evaluating care plans designed to optimize member health care across the care continuum.
- Conduct assessments to identify individual needs and a specific care coordination plan to address objectives and goals as identified during the assessment.
- Communicate appropriate information to care providers in the continuum of care, monitor/report utilization trends and intervene as appropriate to ensure patients are connected with available resources.
- Interface with Medical Directors and Physician Advisors on the development of care coordination treatment plans.
- Perform patient/family/caregiver education about treatment, self-management, and medications.
- Document completed tasks and progress notes in the care coordination system.
- Other duties as assigned.
What Success Looks Like in this Role:
- Coordinate with the patient/caregiver via phone, video, or asynchronous messaging to ensure all physician appointments are made and kept, outpatient therapy is completed, lab/diagnostic testing, medication reconciliation is performed per the protocol and the patient’s physician.
- Accountable for tracking and reporting of daily metrics and productivity measures to assess performance and support data-driven decision-making.
- Accountable for ensuring efficient and effective holistic approach for patients/families/caregivers across the care continuum.
- Ability to maintain effective and professional relationships with the patient and other members of the care team.
- Ability to effectively engage patients in a therapeutic relationship.
- A personal commitment to a person-centered approach, along with strong relationship-building, communication, and active listening skills required.
Requirements:
- Current, unrestricted (Wisconsin, RN) license with the ability to become multi-state licensed, as applicable.
- Bachelor’s degree in nursing or Associate Degree in Nursing with 3+ years in critical care, population management, or acute care experience.
- Case Manager Certification (CCM) preferred.
- Registered nurse with 2+ years of complex case management or 4+ years of critical or acute care experience preferred.
- Experience in either Utilization Management, Case Management, Disease Management or Discharge Planning preferred.
- Prior telephonic care experience a plus.
- Knowledge of population health a plus.
- This position entails a requirement to work in the office for two days per week.
- Bilingual a plus.
What you'll get:
Navvis is committed to attracting the most insightful and motivated talent by providing a candidate and onboarding experience that you won't find elsewhere! We foster an environment and culture that allow people to be creative, feel connected, and be inspired to do their best work no matter where they are on the map.
Navvis offers a competitive benefits package including, but not limited to, medical, dental, vision, 401K with a safe harbor contribution and Paid Time Off plan starting at 2+ weeks.
Our Commitment:
Navvis is an equal employment opportunity and affirmative action employer seeking diversity in qualified applicants for employment. All applicants will receive consideration for employment without regard to race, ethnicity, color, gender, gender identity, age, religion, creed, national origin, ancestry, disability, perceived disability, medical condition, genetic information, military or veteran status, sexual orientation, or any other protected status, as defined by applicable law.
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