Job Description

Job Description

Job Description

Key Responsibilities:

• Provide telephonic care management, support, and education to patients, families, and caregivers aligned with the established care plan.

• Collaborate with physicians, providers, and interdisciplinary teams to create and implement integrated, individualized care plans.

• Use motivational interviewing and solution-focused communication to engage beneficiaries and encourage self-management.

• Monitor patient progress, assess care effectiveness, and refine strategies using data-driven insights.

• Identify and address barriers to care, including Social Determinants of Health (SDOH), by connecting patients with appropriate community resources.

• Support quality performance initiatives by driving improvements in patient engagement, care outcomes, and clinical metrics.

• Reduce preventable hospital readmissions through timely interventions and comprehensive care planning.

• Demonstrate critical thinking, sound clinical judgment, and adaptability in dynamic care situations.

• Meet departmental performance targets, including daily call quotas and caseload management.

• Maintain strict adherence to confidentiality, patient advocacy, safety protocols, and regulatory standards.

• Actively participate in ongoing professional development and stay current with best practices in case management and chronic care coordination.

Required Skills and Qualifications:

• Registered Nurse (RN) with current licensure in applicable state

• Bilingual English/Spanish required

• Strong clinical knowledge in chronic disease management

• Proficient in care coordination, patient education, and telephonic nursing

• Skilled in motivational interviewing and collaborative care planning

• Excellent organizational, time management, and critical thinking abilities

• Knowledge of SDOH and experience navigating community resources

• Commitment to maintaining high ethical and professional standards

The Bachrach Group LTD. (TBG) has been building better workforces with extraordinary talent based on specific functional experience, one position at a time, for nearly 50 years. Our commitment to sourcing top-notch talent has made us national leaders in both staffing and executive search.

Company Description

The Bachrach Group LTD. (TBG) has been building better workforces with extraordinary talent based on specific functional experience, one position at a time, for nearly 50 years. Our commitment to sourcing top-notch talent has made us national leaders in both staffing and executive search.

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