RN for PCM Management

Job Description

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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