Experienced Telephonic RN Nurse Care Manager - Remote in Houston, TX - Leading Home-Based Primary Care Practice with Comprehensive Benefits and Growth Opportunities

Join the HarmonyCares Family: Revolutionizing Home-Based Healthcare HarmonyCares is a pioneering home-based primary care practice dedicated to delivering high-quality, coordinated healthcare services to patients in the comfort of their own homes. With a rich history spanning over 28 years, we have established ourselves as one of the nation's largest and most respected home-based primary care providers. Our mission is to bring personalized, quality-based healthcare to patients who face challenges in accessing care. We believe that every patient deserves access to exceptional healthcare, and we are committed to making a positive impact in the lives of our patients and their families. Our Culture and Values At HarmonyCares, we pride ourselves on our core values that guide every interaction and decision we make. We believe in: The way we care is our legacy - we strive to provide compassionate and empathetic care to every patient. Every interaction counts - we recognize that every conversation, every visit, and every decision has a profound impact on our patients' lives. Going the extra mile - we are committed to exceeding expectations and delivering exceptional care that surpasses our patients' needs. Empowering and supporting each other - we believe in fostering a culture of collaboration, respect, and empathy among our team members. Why Join HarmonyCares? By joining our team, you will become part of a dynamic and growth-oriented organization that offers: Quarterly bonuses and performance-based incentives Comprehensive benefits package, including health, dental, vision, disability, and life insurance 401K retirement plan with company match Tuition, professional license, and certification reimbursement Paid time off, holidays, and volunteer time paid Orientation and training day time hours (no holidays or weekends) Great Place to Work certified Established presence in 11 states with a strong reputation in the industry For more information on our benefits, please visit: HarmonyCares Benefits Job Summary: Telephonic RN Nurse Care Manager We are seeking an experienced and compassionate Telephonic RN Nurse Care Manager to join our team in Houston, TX. As a Nurse Care Manager, you will play a vital role in enhancing the health outcomes of our patients by managing their care and addressing barriers to access. You will work collaboratively with our care team to develop and implement personalized care plans, coordinate care services, and provide education to patients and their caregivers. Key Responsibilities: Coordinate care services with pod leaders to ensure comprehensive and tailored care for patients throughout their healthcare journey Develop and manage personalized care plans in collaboration with the care team to address care gaps and ensure access to care Coordinate transitions of care for patients across the continuum to prevent avoidable hospital admissions and ensure seamless care delivery Facilitate High Risk Huddles and ensure follow-up actions are completed to prioritize patient needs and improve outcomes Prioritize patients based on the severity and urgency of their conditions to ensure timely and effective care Review medical records to identify gaps in care and coordinate services with the care team to manage these issues Regularly update patient care plans to reflect changing needs and priorities Perform thorough nursing assessments via telephone to maximize or improve current health outcomes Provide education to patients and/or their caregivers on disease management, medication, health maintenance, and disease prevention to promote self-management and improve health outcomes Demonstrate strong clinical skills, critical thinking abilities, and effective communication in interactions with patients, caregivers, providers, and fellow care team members Document necessary interactions, assessments, updates, etc. in patient medical records according to processes and guidelines Serve as a liaison between patients, providers, resources, etc. to ensure seamless care delivery and facilitate communication during transitional experiences Requirements: Essential Qualifications: Active Registered Nurse license 2+ years of care management experience in community, health plan, or hospital systems Strong clinical skills and proactive thinking Effective communication skills Ability to perform extensive telephone assessments Knowledge of Medicare regulations and home care and hospice standards Experience with small group presentations and teaching/training Excellent interpersonal, written, and oral skills Working knowledge of computer programs (email, Word, Excel, PowerPoint, etc.) Ability to manage time effectively to ensure all duties and documentation requirements are completed in a timely manner Preferred Qualifications: Bachelor of Science in nursing or related field May be required to obtain multi-state licensing Strong knowledge of population health, quality measures, care gap closure, and value-based care models Career Growth Opportunities and Learning Benefits At HarmonyCares, we are committed to the growth and development of our team members. We offer: Ongoing training and education to enhance clinical skills and knowledge Opportunities for professional advancement and career growth Collaborative and dynamic work environment that encourages innovation and creativity Work Environment and Company Culture Our work environment is designed to support the well-being and success of our team members. We offer: Remote work opportunities with flexible scheduling Collaborative and supportive team culture Recognition and rewards for outstanding performance Compensation and Benefits We offer competitive compensation and a comprehensive benefits package, including: Competitive salary range Quarterly bonuses and performance-based incentives Comprehensive benefits package How to Apply If you are a motivated and compassionate RN looking to make a difference in the lives of our patients, we encourage you to apply for this exciting opportunity. Please submit your application, including your resume and cover letter, to: Apply Job! Apply to this Job We look forward to hearing from you and exploring how you can join our team! Apply for this job