Hopscotch Primary Care

Hopscotch Primary Care

Care Manager Registered Nurse

Western North Carolina

Sponsorship not specifiedDetected 44 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.