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Registered Nurse, Ambulatory Care Manager – Population Health
Job Description:
- Provide clinical care management services to identified eligible patients
- Coordinate care to obtain desired health outcomes, improve self-care abilities, and decrease unnecessary cost of care
- Perform standardized comprehensive needs assessment, addressing barriers to care
- Collaborate with patient, provider and care team to develop and implement a plan of care
- Utilize Motivational Interviewing techniques as a patient-centered approach
- Maintain a caseload of patients according to department policies
- Identify, enroll and manage patients in program for Transitions of Care/Complex Case Management/Chronic Disease Management
- Develop and implement care plans to maximize healthcare outcomes
- Perform medication review and teach-back to ensure patient understanding
- Document all communications with patient and/or care team in electronic medical record,
- Assist patient in advanced care planning to complete Advanced Directives
Requirements:
- Associate’s Degree (required) Specialty/Major- Nursing
- Bachelor’s Degree (preferred) Specialty/Major- Nursing (BSN)
- RN compact license, or Multi-State License (required)
- Case Management certification (preferred)
- 2-3 years acute care, home health or case management experience
- Excellent interpersonal communication and negotiation skills.
- Strong analytical, data management and computer skills.
Benefits:
- Competitive pay, incentives, referral bonuses and 403(b) with employer contributions (when eligible)
- Medical, dental, vision, prescription coverage, HSA/FSA options, life insurances, mental health resources and discounts
- Paid time off, parental and FMLA leave, short- and long-term disability, backup care for children and elders
- Tuition assistance, professional development and continuing education support
