Registered Nurse, Ambulatory Care Manager – Population Health

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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
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