Licensed Practical Nurse

US Heart and Vascular is seeking a full time Registered Nurse or Licensed Practical Nurse - Care Manager to join our Virtual Care Call Center in Irving, TX.

Position Summary :

The Care Manager will perform telephonic Chronic Care Management, Principal Care Management, and Transitional Care Management services to coordinate care for patients with chronic cardiovascular diseases and manage their post-acute care.

Responsibilities & Duties :

Under the general guidance of nurse manager, practice physicians and advanced practice providers, the RN is primarily responsible for the following :

• Outreaching referred and eligible patients to introduce care management services, obtain verbal consent for enrollment, and document in EHR per standard operating procedures
• Make outgoing calls to patients to assist patients in managing their chronic diseases - including education about their conditions and treatment regimens, medication management, appointment management
• Coordinates care across the continuum for patients with chronic cardiovascular conditions in collaboration with primary cardiologist, advanced practice providers, and other members of the multidisciplinary team within outpatient clinic setting
• Assesses patient health and SDOH need, documenting and implementing care plans that optimize health outcomes
• Serves as an important liaison for the interdisciplinary team and community organizations inclusive of other inpatient and outpatient care delivery organizations
• Provide patient-and-family-centered-care in the outpatient setting and telehealth setting, including triaging calls and patient messages in the EHR
• Provides patient and caregiver education related to health conditions, patient care, transitions of care, and ongoing chronic care management
• Evaluates remote patient monitoring technology, diagnostics, and laboratory results to engage advanced practice provider for appropriate patient care and interventions
• Ensures all CMS documentation and billing guidelines are adhered to in EHR

Requirements :

About Dallas / Fort Worth, TX :

Dallas / Fort Worth, known as the Metroplex, offers a vibrant urban life and peaceful suburban living, making it an enticing place to reside. Spanning across ten major cities and thirteen counties, it stands as the largest metroplex in the south. With its extensive range of recreational parks, renowned dining scene, five professional sports teams to root for, and two bustling airports facilitating over 2,000 daily flights, Dallas / Fort Worth provides residents with a multitude of reasons to consider it an excellent place to call home.