RN- Telehealth - Virtual Hospital

Registered Nurse Care Manager

US Heart and Vascular is seeking a Registered Nurse Care Manager to join our In Person Value Based Care Management team in Irving, TX.

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

Outreaching referred and eligible patients to introduce care management services, obtain verbal consent for enrollment, and document in EHR per standard operating procedures

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

Requires multitasking and critical analysis

Demonstrate knowledge and competence in care management inclusive of transitional care management and complex care management

EKG, patient assessment and management of care, labs/hospital test results

Strong understanding of population health concepts and clinical documentation requirements

Able to demonstrate interpersonal skills to be approachable and understandable to patients, families, and care team members

Minimum of an associate's degree in nursing; graduate of an accredited nursing program.

Currently licensed to practice as registered nurse with a compact license or licensure for Alabama, Arizona, Kansas, Louisiana, and Texas

Current BLS for Healthcare Providers certification

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.