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RN for PCM Management

RN for PCM Management

Elaya HealthGreat Neck, NY, US
30+ days ago
Job type
  • Full-time
  • Quick Apply
Job description

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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