Care Manager - RN

Job Description

Job Description

Description :

At Playground Pediatrics, we believe every child deserves the highest quality care. We are building a multi-state, value-based pediatrics practice enhancing the patient and provider experience while delivering improved outcomes. Together, our goal is to create a more supportive, seamless, and comprehensive approach to meet the unique needs of every child entrusted to our care.

Position Description :

The primary role of the care manager is to provide proactive whole person care management services that address the needs of individual patients. The care manager works closely with families, providers, clinical teams, and community resources to support care coordination and improved access to enhance the health outcomes of our patients. The care manager is responsible for the assessment, care planning, and coordination of care and services, including ongoing monitoring of an appropriate and effective person-centered care plan, patient education and care management.

Key Responsibilities :

• Perform comprehensive assessment and reassessment of patients clinical and psychosocial needs, alongside strengths and barriers to care.
• Collaboratively develop, monitor and update an individualized family-centered care plan based on practice-based risk stratification, comprehensive assessment and collaboratively defined goals.
• Assess patients via face-to-face encounter or by telephone to determine care management or care coordination needs. Care management goes beyond office based clinical diagnosis and treatment.
• Coordinate care and services across healthcare providers, outpatient therapies, community-based organizations, schools, and state- and local-services to meet patient’s needs and goals.
• Educate families on conditions, care plans, medications, and available resources including health plan benefits.
• Identify barriers for care coordination and appropriate care management interventions.
• Provide coaching and motivational interviewing to engage families, support behavior change, and empower participation in achieving health goals.

Transitional care management

Documentation

Communication & Collaboration

Leadership

Other

Requirements :

Preferred Qualifications :

Requirements :