Care Manager Registered Nurse Job at Advocate Health Care (Mint Hill)

Job Description

Facilitates a lifelong, proactive partnership with patients to enhance and personalize management of health-related needs. The Care Manager assesses needs, plans, coordinates, and evaluates services of patients with the goal of equipping and empowering individuals and their families to easily access resources and adopt healthy lifestyles that will increase their ability to remain in the most appropriate care setting. Care Managers focus on five primary areas: 1) population management, 2) patient self-management support, 3) transitions in care, 4) resource connection, and 5) appropriate resource utilization. Works collaboratively and maintains active communication with the multidisciplinary care team including providers, pharmacists, social workers, behavioral health specialists, and nurses to achieve timely, appropriate patient management.

Job Responsibility

Facilitates a lifelong, proactive partnership with patients to enhance and personalize management of health-related needs
Assesses needs, plans, coordinates, and evaluates services of patients with the goal of equipping and empowering individuals and their families to easily access resources and adopt healthy lifestyles
Focus on five primary areas: 1) population management, 2) patient self-management support, 3) transitions in care, 4) resource connection, and 5) appropriate resource utilization
Works collaboratively and maintains active communication with the multidisciplinary care team including providers, pharmacists, social workers, behavioral health specialists, and nurses to achieve timely, appropriate patient management
Utilizes RN process as a framework to focus the activities of the healthcare team on the achievement of optimal outcomes, resource utilization, clinical expertise, and improvement strategies
Interacts with patients, professionals, and the community to achieve continuity of care, coordination of services and to document plans of care across multiple care settings
Conducts or participates in comprehensive “all-system” needs assessment for identified patients
knowledgeable of appropriate care-related services to match identified needs disease management for health maintenance, and appropriate clinical goal expectations/outcomes for identified population
Develops and maintains accurate case records of each referred customer/patient
Documents fully and accurately
knowledgeable of and utilizes accurate computer databases and documentation systems
Maintains knowledge of various reimbursement criteria and documentation necessary for reimbursement, including Medicaid, Medicare, and Managed Care
Demonstrates leadership in the professional practice of nursing evaluating his or her own nursing practice in relation to professional practice standards and guidelines, relevant statues, rules and regulations

Requirements

BSN required
Masters preferred
Current RN license or temporary license as a Registered Nurse Petitioner in the state in which you work and reside
Two years' experience required in health care
Experience includes case management/discharge planning in one of the following settings: Acute care, Home care, LTC care, Physician Office, or Managed Care company
Appropriate professional certification required within 3 years of hire date
Clinical competence in disease management and case management principles
Must possess excellent interpersonal communication and negotiation skills, problem-solving skills, strong organizational and time management skills, and the ability to work independently and as a member of the care team
Requires demonstrated knowledge and proficiency in appropriate tools
BLS required per policy guidelines
3+ years RN: Experience in case management, triage, with prior telephonic/remote experience
Strong background in Med/Surg Nursing with a Cardiac/Stroke focus
Must have high speed internet
Must live within 1 hour of Mint Hill, NC Primary Care office

What we offer

Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
Flexible Spending Accounts for eligible health care and dependent care expenses
Family benefits such as adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs
Educational Assistance Program
Premium pay such as shift, on call, and more based on a teammate's job
Incentive pay for select positions
Opportunity for annual increases based on performance

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Care Manager Registered Nurse

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