Do you want to make a difference in healthcare?
Landmark Health was created to transform how healthcare is delivered to the most medically vulnerable members in our community. Our medical group provides home-based medical care to chronically ill patients, many of whom are ill-equipped to navigate our overwhelming healthcare system.
Because many of our patients are frail and elderly, we deliver care primarily in the comfort of their home. Our Program is also offered to eligible patients at no incremental financial cost to them. We are not a fee-for-service practice; we benefit economically only if we deliver high-quality patient outcomes and satisfaction. As a result, our clinical teams can spend quality-time caring for a smaller number of patients, giving all patients the space, respect, compassion and care they deserve.
At Landmark, our interdisciplinary teams collaboratively manage our complex patient panels. These teams are led by Physicians, Nurse Practitioners, and Physician Assistants, with supporting care provided by RN Nurse Care Managers, Social Workers, Pharmacists, Behavioral Health, and other employed team members.
Join Landmark to be part of a growing company full of purpose-driven, action-oriented, and compassionate team members working to dramatically transform healthcare for our communities.
The DELTA team Develops Exemplary Leadership, Teamwork and Accountability and serves a critical role from team member onboarding and market implementation to ongoing education and standardization. The DELTA team member serves as a “leader-coach-player” for new Landmark market employees to provide on the job training, as well as takes a role in supporting mature markets.
As a critical member of the Landmark DELTA team, the DELTA Nurse Care Manager (NCM) will provide administrative and clinical support for new and mature Landmark markets. He or she will provide hands-on tactical training for all newly hired NCMs, directly case manage their own panel during a new market transition and provide administrative support for new and/or mature market offices. This is a travel position, which may require up to 25% travel. In between new market implementations, this person will be asked to provide remote NCM support in an existing Landmark market.
The DELTA NCM will work closely with the other members of the DELTA team. The key success metrics for this position will be:
• Building a best-in-class NCM team through training and hands-on mentorship
• Implementing standardized clinical and operational best practices in each new market or reinforcing standardized best practices in existing mature market
• Helping build the administrative infrastructure for a new Landmark office
• Supporting market growth by directly case managing patients and as a dyad partner to the assigned provider(s)
• Training and Team-Building
o Leads on-boarding process for new NCMs
o Conducts on the job training, with other DELTA team members, and may also include classroom training, EMR mentorship and job shadowing
o Completes NCM competency checks as appropriate
o Serves as a peer mentor and resource for new NCMs, helping them learn and master the “Landmark Way” of case management
o Acts as an ambassador for the Landmark culture, helping to build strong, mission-driven, high performance teams in fitting with the Landmark mission, vision and values
• Implementing Best Practices
o Establishes and maintains comprehensive understanding of Landmark clinical and operational best practices.
o Reinforces best practices with all team members through example, training and mentorship
• Building Administrative Infrastructure
o In partnership with the DELTA leadership team, may take some responsibility for setting up core pieces of administrative infrastructure prior to go-live in a new market
o Partner with the DCOI to support the health plan partnerships, build direct relationship with health plan case manager peers as appropriate
• Patient Care
o Become licensed and credentialed in multiple states as requested, including assisting the Landmark credentialing team with timely and responsive processing of all required licensing and credentialing paperwork
o Acts as an advocate for the member in all activities including nursing assessments, care coordination, care plan development, and communication.
o This position is accountable for identifying and developing innovative actions to meet the needs of the member from both the health care and psychosocial / socioeconomic dimensions of care as well as taking action for provision of services to meet those needs
o The DELTA NCM may utilize nursing assessment skills and decision-making authority to make recommendation and direct member care to meet the needs of the member and support the care recommendations of the multidisciplinary care team, the member, family and caregiver
o Complete an initial member assessment on all new enrolled members, including a medical record review where available
o Development of a plan of care to establish a collaborative approach to member needs across clinicians and care delivery
o Coordinate care across the continuum of care delivery model as the point of contact for member/caregiver and clinicians
o Act as liaison between providers, nursing facilities, hospitals and program staff, including making recommendations about care alternatives or equipment that will aide in the safety of the member while promoting optimal clinical outcomes
o Participates in team meetings that include, but may not be limited to:
DELTA and ELO meetings
Weekly IDT meetings
Monthly staff meetings
Continuing education/journal club programs
o Monitor member during admissions to both acute and skilled level of care to support member needs, establish as the point of contact to clinicians and member/responsible party/families to ensure consistent and ongoing communication between all involved parties
o Serve as a resource and SME to the entire care delivery team
o Identification and reporting of any quality of care issues
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
• Current RN License, BSN preferred
• 3-4 years of clinical practice in a hospital, clinic, home care, or nursing home setting
• Case management experience desired
• Disease management experience useful
• Physician office experience helpful
• Health plan experience and NCQA experience preferred
Full COVID-19 vaccination is an essential requirement of this role. Landmark Health will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination prior to employment to ensure compliance.
We are now part of Optum and the United Health Group family of businesses, backed by the resources of a global health organization working to help people live healthier lives and to help make the health system work better for everyone.
As part of our hiring process, upon accepting an offer, candidates will be required to complete a 9-panel drug test. Due to our partnership with the Medicare Advantage program, our drug testing policies are consistent with Federal law.
Please be aware that Landmark Health does not solicit money or offer payment for job applications, nor do we ask candidates to email or submit any personal information over unsecured channels.
Landmark Health requires all new hires and employees to report their COVID-19 vaccination status.