A Registered Nurse provides medical care and treatment, educates patients about their conditions, and provides emotional support to patients and families. Works in hospitals, schools, clinics or community health centers. Works under the supervision of a physician or other specialist, and serves as the primary point of care for patients in a hospital setting. May specialize in emergency room work, or treatment for a particular condition, or specialize in working with infants, the elderly or other patient groups. May work as an advanced practice specialists and prescribe medications in addition to offering specialty care.
Job Summary We are seeking a dedicated and compassionate Chronic Care Management Nurse to join our dynamic healthcare team. In this vital role, you will coordinate and deliver comprehensive care to patients with complex, chronic health conditions, ensuring they receive personalized, continuous support across various healthcare settings. Your expertise will help improve patient outcomes, enhance quality of life, and promote effective management of chronic illnesses through proactive engagement, thorough assessments, and collaborative care planning. This position offers an exciting opportunity to make a meaningful difference in patients' lives while working within a vibrant, multidisciplinary environment committed to excellence in patient-centered care. Duties Conduct detailed patient assessments focusing on chronic disease management, including vital signs, physiology evaluation, and health history review. Develop and implement individualized care plans in collaboration with healthcare professionals, ensuring alignment with best practices and patient needs. Manage patient cases through clinical case management techniques, utilizing electronic health records (EHR) systems for documentation and communication. Provide education and support to patients and their families on managing chronic conditions, medication adherence, lifestyle modifications, and discharge planning. Coordinate with primary care providers, specialists, home health agencies, hospice care teams, and other healthcare entities to ensure seamless continuity of care. Monitor utilization management and conduct diagnostic evaluations to optimize treatment strategies while adhering to health regulation policies such as HIPAA. Engage in patient service activities including intake procedures, post-acute care follow-up, outpatient visits, and inpatient support within hospital medicine or emergency room settings. Qualifications Proven experience in critical care environments such as ICU or Level I/II trauma centers; experience in hospital medicine or emergency medicine is highly desirable. Strong background in infectious disease care, geriatrics, behavioral health, or pediatric intensive care (PICU), with familiarity in managing complex cases across inpatient and outpatient settings. Knowledge of medical terminology, physiology principles, medical records management, and electronic health record (EHR) systems like EMR/EHR platforms. Demonstrated ability to perform comprehensive patient assessments including vital signs and clinical evaluations; experience managing patients as a nurse case manager is preferred. Familiarity with healthcare regulations such as HIPAA and experience in discharge planning and post-acute care coordination. Excellent client communication skills with the ability to collaborate effectively with multidisciplinary teams of healthcare professionals. Certification in nursing (RN license) with additional training or experience in managed care or utilization management is advantageous. Ability to adapt quickly within fast-paced hospital or clinic environments such as emergency rooms or outpatient clinics; prior home health or hospice experience is a plus. Join us to be part of a passionate team dedicated to elevating patient care through innovative case management practices!
