Nurse Care Manager

Job description

Nurse Care Manager Department: Medical: Employment Type: Full Time: Location: Newport - Chafee Medical: Reporting To: Director of Nursing: Description: The Nurse RN Care Manager provides comprehensive clinical care management, chronic disease support, transitional care coordination, patient education, and whole-person care planning for high-risk and medically complex patients across medical and behavioral health services. This role supports Patient-Centered Medical Home (PCMH) standards, value-based care initiatives, Accountable Entity (AE) requirements, CCBHC integration, and organizational quality goals through interdisciplinary collaboration, proactive outreach, and population health management. What You'll Do: Lead High-Impact Care Management: - Identify and prioritize high-risk, high-utilizing patients using population health tools and data to target interventions that reduce preventable hospitalizations and emergency visits. - Develop and manage individualized care plans with clear goals, evidence-based interventions, and structured follow-up tailored to each patient’s needs. - Manage patient panels by closing preventive and chronic care gaps while improving performance on qu...