Care Management Specialist - LPN/RN (Internal Candidates Only)

Job Title: Care Management Specialist – RN or LPN

Reports to: Director of Population Health

Department: Population Health

FLSA Class: Exempt

Updated: November 2025

Summary: The Care Management Specialist - RN provides operational support to the Care Management and clinical teams to provide support and high-quality care for Hunter Health Clinic (HHC) patients. In collaboration with the Director of Population Health and Care Management team, the Care Management Specialist – RN is also responsible for maintaining compliance with all federal grants, HRSA, HIPAA, and HHC policies and procedures.

Essential Functions:

• Assists in developing and implementing the Care Management program by reviewing utilization, discharge planning, transition of care, communication with hospitals and resources, chronic care case management, and care plans related to patients’ social drivers of health.
• Improves health outcomes by implementing changes to the care management processes and assisting with the development and updating of policies and procedures.
• Coordinates patient discharge and post-discharge actions per program requirements.
• Collects the patient’s physical and mental wellness needs, preferences, and abilities to facilitate improved clinical interactions.
• Coordinates care plan implementation and revision for high-risk patients across providers to support patient health outcomes and accountability.
• Collaborates with care teams to ensure value-based care gap closure and improve value-based care data collection to satisfy program requirements.
• Partners with providers and care teams to schedule and complete designated visits.
• Collaborates cross-departmentally to ensure compliance and assists patients with enrollment and scheduling in a variety of programs including chronic care management, remote monitoring of hypertension control program, transportation services, Prescription Assistance Program (PAP), etc., based on program requirements.
• Documents attribution-based patient data into electronic health record (EHR) and value-based care platforms, as directed.
• Performs duties consistent with clinical skills training, as needed.
• Prepares reports by collecting, analyzing, and summarizing results, data, and trends.
• Participates in monthly meetings with accountable care organizations and similar companies to improve care management program outcomes.
• Updates job knowledge by participating in educational opportunities, reading professional publications, maintaining personal networks, and participating in professional organizations.
• Travels when necessary to meet operational needs.
• Performs all other duties as assigned.

Qualifications:

• Current Licensed Practical Nurse (LPN) or Registered Nurse (RN) license in the state of Kansas is required.
• 1-3 years of experience in a medical clinical or hospital setting is preferred.
• Prior experience with Electronic Health Records software and Patient Registration is preferred.
• Care Management experience is preferred.
• Bilingual abilities are preferred, but not required.

Skills:

• Listens, identifies, and responds quickly and effectively to internal and external needs.
• Communicates effectively with all patients.
• Displays organizational skills, the ability to multi-task, and uses time and resources effectively.
• Displays good judgment and decision-making skills.
• Effectively collaborates and seeks clarification and confirms accuracy as needed.
• Utilizes teamwork to achieve desired results and contributes to projects while developing positive working relationships.
• Pursues goals with commitment and shows initiative.
• Demonstrates accuracy, thoroughness, and reliability; manages time and priorities; develops and follows work procedures.
• Evaluates own performance and accepts constructive feedback to continue learning.
• Ability to maintain appropriate clinical privileges.

Physical and Mental Demands of the Job:

All employees, including those who become disabled, must be able to perform the essential job function listed below, either unaided or with the assistance of a reasonable accommodation. The functions listed below are intended only as illustrations of the various types of work that may be performed. The omission of specific statements of duties does not exclude them from the position if the work is similar, related or a logical assignment to the position. This essential functions document does not constitute an employment agreement between the employer and employee and is subject to change by the employer as the needs of the employer and requirements of the job change.

• Talking: The ability to speak clearly and effectively.
• Average Hearing: The ability to hear average conversations and respond accordingly.
• Repetitive Motion: The ability to sit, stand, walk and use hands to handle, feel and reach.
• Finger Dexterity: The ability to use fingers to make small movements such as typing, picking up objects and pinching fingers together.
• Average Visual Abilities: The ability to focus on items clearly, including close vision, color vision and the ability to adjust focus.
• Working Conditions: The ability to work in a well-lit, climate-controlled environment, with a noise level that is occasionally high. There is potential exposure to infectious diseases.
• Physical Strength: The ability to occasionally lift and/or move up to 35 pounds.
• Mathematical Ability: The ability to add and subtract two-digit numbers and to multiply and divide with 10's and 100's.

The above statements are intended to describe the general nature and level of work being performed by people assigned to this job.  This is not an exhaustive list of all duties and responsibilities associated with this job. Hunter Health Clinic Inc. reserves the right to amend and change responsibilities to meet business and organizational needs.