Care Manager RN

• Facilitates communications among patient/family, multidisciplinary team, medical management team, community resources and other disciplines to anticipate, identify, evaluate, and act to resolve any potential barriers and constraints to delivery of care
• Collaborates with the patient/family and inter-professional team to provide a model of care that ensures the delivery of quality, efficient, and cost-effective healthcare services
• Uses evidenced-based approaches to increase patient and family activation and engagement in their own care
• Partners with patient and family to develop SMART goals
• Assists in the development, procurement, and adoption of patient self-management educational resources
• Identifies potential barriers to learning and/or to the optimal delivery of care
• Independently manages CM caseload according to department expectations
• Ensures timely completion of tasks and documentation related to MCO, regulatory and contractual requirements
• Partners with identified at-risk patients throughout the diagnosis, treatment and follow-up to deliver continuity of care
• Coordinates patient information and communication between and among the patient/family, the referring/accepting facilities and physicians, community caregivers and other members of ACM to ensure smooth transitions of care
• Coordinates referrals to other internal AAH departments and/or external community resources as necessary

• Registered Nurse license issued by the state in which the team member practices
• Bachelor's Degree in Nursing or related field
• Typically requires 5 years of experience in clinical nursing or 1-2 years of care management experience
• Must be self-directed with the ability to work well independently and within a team environment
• Excellent oral, written and interpersonal skills
• Critical thinking, problem solving and excellent organizational skills
• Ability to work productively and effectively in a complex environment with multiple changing priorities
• Demonstrated ability to work well with physicians and other healthcare professionals
• Proficient computer/Microsoft-suite skills and previous Epic EMR experience
• Ability to handle multiple responsibilities

Applicable certification is encouraged

• 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
• Opportunity for annual increases based on performance
• Premium pay such as shift, on call, and more
• Incentive pay for select positions