RN Care Manager - HEB Wellness Primary Care

Responsibilities Job Summary: As a Nurse Care Manager, youll work closely with physicians, social workers, and other medical / non-medical professionals to meet patient needs; youll promote quality care that includes advocating proper use of available resources and stay engaged so you can recognize the need for current / future care. Key Responsibilities & Essential Functions: Patient Care: Conduct patient assessments and contribute to individualized, patient-centered care plans Help triage and clinically assess our high-risk patients when needed Provide care coordination for outpatient and inpatient encounters to support continuity of care Support transitional care following hospital discharges, including timely outreach and follow-up scheduling Identify gaps in care and opportunities for