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