Nurse Care Manager

Job Description

Overview of the Role:

Privia is looking for a forward thinking, organized, energetic Nurse Care Manager that delivers on objectives and seeks an opportunity to develop, implement, and deliver change within our medical group and affiliated partners. Working closely with the population health teams,

networked facility partners, primary care providers, and practice operations at Privia Health, the Nurse Care Manager will provide extensive care coordination for Privia's highest risk patients.

Develop trust and build rapport with a select Privia patient population with a goal of reduction in high cost utilization and improvement in clinical outcomes

Collaborate across a variety of teams, including Payer Contracting, Care

Management,Performance Management, and Analytics

Develop and collaborate strategic relationships with payers, taking our group from fee-for-service to fee-for-value based care

Engage patients telephonically, in office, in facility, or where needed

Act as the liaison between the PCP, patient, and payer contract

Attend and engage in operations meeting with payers

Assist patients in accessing care at the appropriate source

Holistic assessment of patients (medical, social, economic, behavioral) to identify opportunities or

barriers to improve outcomes

Work collaboratively with patient and care center teams to develop a plan of care to improve patient outcomes.

In-person and telephonic follow up with our high risk patient populations for education and

collaborative goal setting to work towards improving patient outcomes and decreasing high cost utilization

Where applicable all tasks, including assessments and care planning, are completed by a RN or LPN under the supervision of an RN, and follow established protocols and standing orders.

Understand and utilize the Athena and Privia Applications to identify high value opportunities to decrease utilization and close quality gaps

Maintain a courteous and helpful manner when working with patients, physicians, and associates

Participate in special projects and perform other duties as assigned