Would you like to be part of an interdisciplinary team whose mission is to transform healthcare?
Landmark Health was created to transform how healthcare is delivered to the most medically vulnerable members of our community. We are transforming healthcare by delivering high-touch, longitudinal care to patients who need it most, right where they reside. Our medical group provides home-based medical care to chronically ill patients, many of whom are frail, elderly, and ill equipped to navigate our overwhelming healthcare system.
Our model is finding success throughout the country; we are now the nation’s largest risk-based, in-home medical group located in multiple states.
The Nurse Care Manager is part of an interdisciplinary team of Physicians, Nurse Practitioners, Physician assistants, Social Workers, Pharmacists, Behavioral Health, Dieticians, Care Coordinators, “Ambassadors” or healthcare navigators, and others. This amazing team works together to care for and support patients and their families. The team works closely with community providers, PCPs, hospitals, and case managers. We improve the quality of life for members in our community and help prevent unnecessary emergency room visits and hospitalizations by providing care where patients reside.
Responsibilities • Works with the interdisciplinary team to identify and develop innovative actions to meet the needs of the patient for healthcare, as well as psychosocial and socioeconomic dimensions of care. • Utilizes skills in patient education and assessment in a primarily telephonic capacity (occasional patient and family visits in the home exist in some of our markets). • Works closely with hospital and health plan case managers to ensure a smooth transition to home from inpatient settings. • Manages a panel of higher acuity patients, and acts as team leader for interdisciplinary team discussions. • Works collaboratively with the team to close gaps in care and improve outcomes for patients with chronic conditions such as diabetes and hypertension. • Serves as a resource to the entire care delivery team.
Qualifications • RN License, BSN preferred • 2-3 years of clinical practice in a hospital, clinic or physician office, home care, or nursing home setting. • Case Management, Disease Management, or Utilization review experience useful • Passionate about being a part of the movement to transform healthcare • Enthusiastic and adapts well to change
For immediate consideration, please send your current CV to firstname.lastname@example.org