Job Description
Job Description
About Revere Medical:
At Revere Medical, we promise to provide care you can trust, outcomes you deserve, and a future you can count on. We are guided by our steadfast commitment to improving patient outcomes by empowering providers to deliver exceptional care needed to forge stronger, healthier communities. We are the leader in delivering patient-centered, provider-led services that improve patient outcomes and strengthen communities.
Job Summary:
We are seeking a RN Care Manager who coordinates and manages care for high-risk and rising-risk patients across multiple care delivery systems, ensuring optimal health outcomes. This role involves conducting comprehensive assessments, developing individualized care plans, and supporting patients in self-management while facilitating smooth transitions across the continuum of care. The RN Care Manager collaborates with interdisciplinary teams and drives process improvements to enhance quality, safety, and efficiency in patient care.
Coordinate and manage care of high-risk population
- Complete telephonic outreach and home visits as applicable based on patient acuity.
- Performs a comprehensive care management assessment of patient needs to ensure optimal health outcomes.
- Develops a self-management action plan of care, coordinates services and navigates the patient through the health care system with a goal of enabling the patient and family to effectively manage their condition(s) and optimize outcomes.
- Coordinates effective transitions of care and effective handoffs to the next level of care across the entire continuum.
- Collaborates with the patients care team including but not limited to hospital team, primary care team, specialists, home care, clinical programs, and any others involved with patients care and approved by the patient to ensure effective coordination of services and full understanding and execution of the care plan.
- Maintains required medical documentation for care management activities in the system’s care management module (electronic medical records), according to the standards of work.
- Follows standards of work and consistently maintains department established caseloads and timeframes for case completion.
- Documents and reports all quality and patient safety events by recording and adhering to all of Revere Medical’s safety reporting guidelines.
- Performs other duties as assigned
Process Improvement
- Evaluates processes, identifies problems, and proposes improvement strategies to enhance the delivery of care for patients throughout continuum of care.
- Escalates any barriers to positive outcomes to supervisor and/or manager same day.
- Participate in the refinement of and development of new standards of work.
- Maintains awareness of key performance indicators/metrics and manages caseload through appropriate management of medical expenses. Coordinates interventions to prevent adverse events such as ED visits, hospital admissions, and readmissions.
- Attend staff meetings and education offerings both in person and via teleconference as required
Education/Experience/Licensure
- Graduate of a state-approved school of nursing.
- Bachelor of Science in Nursing (BSN) preferred.
- Minimum of 3-5 years’ relevant clinical nursing experience required.
- Possess a current unrestricted RN license in the Commonwealth of Massachusetts and willing to obtain in other states as needed. Compact Multistate RN license is strongly preferred.
- Must maintain Basic Life Support (BLS) certification.
- Certified Case Management (CCM) or CCM eligible strongly preferred.
Work Related Experience/Specialized Knowledge
- Experience educating patients and families with self-management.
- Creation and implementation of patient-centered care plans
- Utilization of motivational interviewing when engaging patients/families
- Knowledge of chronic disease management
- Understanding of Medicare and Medicaid regulations
Unlock your Benefit Bundle!
Enjoy premium medical coverage with exclusive Revere discounts, a company-funded HSA, plus dental & vision plans to keep you smiling and seeing clearly.
Boost your future with a 401(k) + company match, and rest easy with company-paid life insurance.
Need flexibility? Our Vacation Exchange Program has you covered.
And that’s just the beginning—much more awaits!
Why Revere Medical:
Revere Medical gives new life to clinics in need of tools, resources, and support so they can start delivering the personalized care their communities deserve. We’re committed to supporting our colleagues by offering competitive benefits that contribute to their overall well-being.
Revere Medical is committed to a workplace that supports and sustains inclusion and belonging. Revere Medical does not discriminate in employment opportunities or practices on the basis of race, color, religion, gender, national origin, age, physical or mental disability, pregnancy, childbirth or related medical conditions, military service obligations, citizenship, sexual orientation, genetic information, or any other characteristic protected by applicable local, state, or federal law.