Praxis Health is hiring a Nurse Care Manager to support patients through every stage of their healthcare journey by coordinating care, ensuring timely follow-up, and promoting evidence-based practices. This role bridges communication between patients, families, and providers to improve outcomes, reduce avoidable hospitalizations, and enhance patient satisfaction across our family of clinics.
What You'll Do
- Serve as a patient advocate and navigator, guiding patients and caregivers through the healthcare system.
- Review provider notes, discharge summaries, and clinical documentation to provide personalized patient education.
- Complete emergency room and hospital follow-up calls, offering education on alternative access points to reduce avoidable ED visits.
- Perform comprehensive medication and allergy reconciliation with patients, caregivers, or facilities.
- Facilitate medication education and adherence support, aligning with standing orders and chronic disease management goals.
- Identify and support high-risk patients through proactive care coordination and outreach.
- Communicate clinical updates to Primary Care Providers (PCPs), ensuring timely follow-up appointments.
- Coordinate continuity of care across settings, including referrals and collaboration with external providers.
- Collaborate with interdisciplinary care teams to identify barriers to care and improve care delivery.
- Actively participate in system-wide quality and population health initiatives.
- Monitor daily reports and EHR-based alerts to identify patients in need of outreach.
- Maintain timely, complete, and compliant documentation of all patient interactions within the EHR.
- Coordinate patient documentation needs, including requesting and organizing medical records.
- Promote effective communication across care teams.
- Evaluate care delivery processes and contribute to the development of workflows and procedures.
- Participate in internal and external improvement initiatives and payor-aligned programs.
- Support onboarding and mentoring of clinical team members.
- Complete assigned EHR tasks and responsibilities accurately and on time.
- Maintain compliance with state licensure requirements and practice within your legal scope.
- Stay current with required continuing education, certifications, and competencies.
- Adhere to all HIPAA, privacy, and security standards, as well as organizational policies.
- Demonstrate a consistently professional, respectful, and constructive attitude.
What We're Looking For
- LPN certificate/diploma, Associate Degree in Nursing (ADN), or Bachelor of Science in Nursing (BSN).
- At least three years of clinical experience in ambulatory care, care coordination, transitional care, or discharge planning preferred.
- Proficient in EHR documentation and experience in multidisciplinary team collaboration.
- Current LPN or RN license in good standing in state of practice; willingness to obtain additional licensure in Praxis states as needed.
- Valid driver’s license and reliable transportation if travel between sites is required.
Nice to Have
- Additional coursework in care coordination or population health.
- Experience working with high-risk patient populations, acute care, chronic disease management, or value-based care models.
- Prior involvement in quality improvement initiatives, population health programs, or patient navigation.
- Certification in Care Coordination, Case Management, or related fields (e.g., CCM, CCTM, CHW).
- Current Basic Life Support (BLS) certification.
Technical Stack
- EHR systems
- Microsoft Office 365 applications (including SharePoint)
Team & Environment
You will collaborate with interdisciplinary care teams, including primary care, chronic care management, and the Quality department. At Praxis Health, we’re more than just coworkers—we’re a family. We take pride in fostering a supportive and collaborative workplace where every team member is valued and empowered to succeed. The Praxis family approach is dynamically different from other healthcare companies in Oregon.
Benefits & Compensation
- Compensation: $30-$37/hour, depending on experience
Work Mode
This role is based on-site at our clinics in Oregon.
Praxis Health is an equal opportunity employer.
