Hopscotch Primary Care
Care Manager Registered Nurse
Western North Carolina · Staff+
Sponsorship not specifiedDetected 89 days ago
Patient CareCollaboration
About the role
- This role is accountable for end-to-end care management, with a strong focus on:
- Reducing avoidable admissions (ADK) and emergency department utilization (EDK)
- Improving clinical outcomes and patient experience
Responsibilities
- Manage a defined panel of high-risk patients, delivering comprehensive, longitudinal case management
- Develop, implement, and continuously update individualized care plans in collaboration with providers and care teams
- Perform ongoing telephonic outreach and monitoring to improve patient outcomes
- Partner and collaborate with transitions of care team, for a smooth transition and to ensure that the patient needs are met following the transitions of care period
- Partner with providers, MAs, LPNs, and Care Center Managers to align on patient care plans and priorities
- The CMRN partners closely with providers, clinic staff, and Care Center Managers (CCMs ) to deliver coordinated, proactive, and patient-centered care.
- Support high-risk patient visits
- Coordinate community-based services and resources to support patient care plan goals
- Build trusted relationships with patients, families, and caregivers <span data-ccp-props="{"134233117":false,"1
Skills
- About Hopscotch Primary Care
- Today, almost 20% of Americans live in a rural community, yet only 11% of physicians practice in those same communities.
- Our goal is to provide the care each of us would want for ourselves or for our family members, in the right setting, and at the right time.
Benefits
- Assess social determinants of health, home safety, and barriers to care
- Supporting care continuity across the healthcare continuum
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This listing is sourced directly from Hopscotch Primary Care's careers page and normalized into a canonical job model.