Registered Nurse | Chronic Care Management

 Posted 11 hours ago
     
2-5 years experience
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AI Summary

The CCM RN will provide clinical triage, conduct health assessments, and develop individualized care plans for patients with chronic conditions. They will also coordinate care, provide patient education, and document clinical encounters in accordance with regulatory requirements.

Critical Care Management Registered Nurse (CCM RN)

Full-Time | Remote | Monday–Friday


Are you an experienced Registered Nurse who enjoys using your clinical judgment to make a meaningful difference in the lives of patients? Do you thrive in a role where you can combine clinical assessment, triage, care coordination, patient education, and relationship-building?


Oak Medical is looking for a Critical Care Management Registered Nurse (CCM RN) to join our team and help support the ongoing healthcare needs of patients with chronic conditions in long-term care and senior living settings.

This is an excellent opportunity for a nurse who enjoys being a clinical resource and advocate while working closely with patients, families, facility staff, providers, and other healthcare professionals. This is a full-time, remote position. The CCM RN may occasionally travel to our corporate office in Waukesha, Wisconsin for training.


What You'll Do

As a CCM RN, you will serve as an important point of contact for clinical concerns and help ensure patients receive timely, coordinated, and appropriate care.

Your responsibilities will include:

  • Provide clinical triage by responding to calls, electronic messages, and health concerns from patients, families, facility staff, and care partners.
  • Use your clinical judgment and assessment skills to determine the appropriate level of care, from routine follow-up and education to provider notification or urgent escalation.
  • Conduct telephonic, electronic, and occasional in-person assessments related to symptoms, changes in condition, chronic conditions, medications, and other health concerns.
  • Develop and maintain individualized care plans in collaboration with patients, families, facility staff, providers, and the healthcare team.
  • Coordinate referrals, medication questions, lab and order clarification, DME needs, prior authorizations, follow-up care, and other patient needs.
  • Provide education and reassurance to patients, families, and facility staff regarding chronic disease management, medications, preventive care, symptom monitoring, and when to seek additional medical attention.
  • Monitor patients' needs and follow-up plans, ensuring recommendations and provider-directed interventions are completed timely.
  • Accurately document clinical encounters, assessments, interventions, care coordination, and follow-up in accordance with established protocols and regulatory requirements.
  • Support Medicare Part B Chronic Care Management (CCM) services and documentation requirements.
  • Collaborate with a multidisciplinary team to identify opportunities to improve the quality and coordination of care for our patients.

Why You'll Love This Role


Make an impact without the traditional bedside schedule.


This position offers the opportunity to use your nursing expertise in a collaborative, patient-centered environment while helping seniors receive the right care at the right time.

You'll enjoy:

  • 🏡 Remote work environment
  • 📅 Monday–Friday schedule
  • ❤️ Meaningful work supporting the health and well-being of seniors
  • 🤝 Collaboration with an experienced multidisciplinary healthcare team
  • 🩺 An opportunity to use your clinical judgment, assessment, and triage skills in a different way
  • 📚 Opportunities to grow your knowledge of chronic care management and care coordination
  • 💰 401(k) with employer contribution
  • 🏥 Medical, Dental & Vision Insurance
  • ❤️ Employer-paid Life Insurance

What We're Looking for Required:

  • Current, unrestricted Wisconsin RN license
  • Strong clinical assessment and critical thinking skills
  • Excellent communication and interpersonal skills
  • Ability to manage multiple priorities and respond appropriately to time-sensitive clinical concerns
  • Ability to work independently while collaborating effectively with a multidisciplinary team
  • Knowledge of geriatric care and the unique healthcare needs of seniors
  • Familiarity with electronic health records

Preferred:

  • BSN
  • Certification in Gerontology or Chronic Care Management (CCM)
  • Experience in triage, senior living, long-term care, care coordination, or a similar nursing role
  • Experience with Medicare Part B Chronic Care Management programs or CMS quality reporting


Join Oak Medical and bring your nursing expertise to a role where your clinical judgment truly matters.

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