RN Care Manager

About Us:

Navvis is a leading population health company driving performance in valuebased care. As an operating partner to some of the countrys most innovative health systems physician enterprises and health plans we provide solutions that accelerate the journey to valuebased care. Our approach is marketbased we respect the unique needs of populations in each community including access to care culture values and capabilities. Together with our partners we set a new national standard in healthcare performance that delivers the affordability quality access and experience that all patients deserve.

Learn more at: www.navvishealthcare

Department Overview:

What if we routinely asked every person involved in providing or receiving care: What matters to you and why How would understanding what matters enhance our ability to transform health in communities and strengthen the connective process leading to deeper levels of interaction and integration At Navvis we are deeply passionate about understanding what matters to people to ensure the delivery of RealPerson Care. We create an ecosystem that builds a foundation for better physical social and emotional health. Our Care Solutions Analytics Implementations Clinical and Business Operations and Learning and Development teams work tirelessly in partnership with our clients and stakeholders in communities to address the reallife healthcare needs people have every day.

As an RN Care Manager you will:

• Serves as the clinical bridge between the professional staff of the entire care continuum or in the community
• Monitors and evaluates the effectiveness of the care coordination plan and modifies as necessary
• Identify gaps or barriers in treatment plans and provides appropriate education to fill in those gaps
• Conducts complete medication reviews and gathers information about medication adherence.
• Consults with medical providers regarding patient concerns and or actions that may impact compliance with care plans
• Work closely with practices and patients regarding patient monitoring activities while adhering to the assigned practices protocols

A Day in the Life:

• Responsible for performing care coordination within the scope of licensure for members with a variety of complex and/or chronic care needs by assessing developing implementing coordinating monitoring and evaluating care plans designed to optimize member health care across the care continuum
• Conducts assessments to identify individual needs and a specific care coordination plan to address objectives and goals as identified during the assessment
• Communicate appropriate information to care providers in the continuum of care monitors/reports utilization trends and intervenes as appropriate to ensure patients are connected with available resources
• Interfaces with Medical Directors and Physician Advisors on the development of care coordination treatment plans
• Performs patient/family/caregiver education about treatment selfmanagement and medications etc.
• Documents completed tasks and progress notes in the care coordination system
• Other duties as assigned

What Success Looks Like in this Role:

• Coordinate with the patient/caregiver via phone video or asynchronous messaging to ensure all physician appointments are made and kept outpatient therapy is completed lab/diagnostic testing medication reconciliation is performed per the protocol and the patients physician
• Accountable for tracking and reporting of daily metrics and productivity measures to assess performance and support datadriven decisionmaking.
• Accountable for ensuring efficient and effective holistic approach for patients/families/caregivers across the care continuum
• Ability to maintain effective and professional relationships with the patient and other members of the care team
• Ability to effectively engage patients in a therapeutic relationship
• A personal commitment to a personcentered approach along with strong relationshipbuilding communication and active listening skills required

We are excited about you if you have these things:

• Current unrestricted (Wisconsin RN) license with the ability to become multistate licensed as applicable
• Current unrestricted (Illinois RN) licenses preferred
• Bachelors degree in nursing or Associate Degree in Nursing with 3 years in critical care population management or acute care experience
• Case Manager Certification (CCM) preferred
• Registered nurse with 2 years of complex case management or 4 years of critical or acute care experience preferred
• Experience in either Utilization Management Case Management Disease Management or Discharge Planning preferred
• Prior telephonic care experience a plus
• Knowledge of population health a plus
• This position entails a requirement to work in the office for two days per week
• Bilingual a plus

What youll get:

Navvis is committed to attracting the most insightful and motivated talent by providing a candidate and onboarding experience that you wont find elsewhere! We foster an environment and culture that allow people to be creative feel connected and be inspired to do their best work no matter where they are on the map. For all colleagues at Navvis we strive to ensure that they have everything needed to be successful. From the basics like a competitive total rewards strategy volunteering and social engagement activities to creating company experiences that challenge you to think differently and do different things as part of our never stop learning ecosystem we support the whole person when you become a team member at Navvis.

Navvis offers a competitive benefits package including but not limited to medical dental vision 401K with a safe harbor contribution and Paid Time Off plan starting at 2 weeks.

Our Commitment:

Navvis is an equal employment opportunity and affirmative action employer seeking diversity in qualified applicants for employment. All applicants will receive consideration for employment without regard to race ethnicity color gender gender identity age religion creed national origin ancestry disability perceived disability medical condition genetic information military or veteran status sexual orientation or any other protected status as defined by applicable law. Prior to the next step in the recruiting process we welcome you to inform us confidentially if you may require any special accommodation to complete your application and participate fully in our recruitment experience. Contact us at

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