Care Manager - RN

Care Manager - RN

Care Manager - RN

Position Status

Full Time

Department

Population Health

Location

Facility

Position Days

Flexible

Hours Per Week

40

Weekends Required

Occassional

Reports To

Director of Population Health

Contact Info

Job Description

CompleteCare Health network is looking for a Care Manager to join our healthcare team!CompleteCare offers employees the unique opportunity to use their skills to help those most in need of care in the communities we serve. CompleteCare employees are a particularly dedicated group of individuals who care about our patients, the organization, their co-workers as well as their community and work together to further our mission. As a Patient Centered Medical Home, we offer the opportunity to practice in a team-based environment that uses the latest technology to track and manage the health of our patients. If you are someone who wants to make a difference every day, then we want you to join our team!

Our Mission: To improve lives by providing comprehensive, high-quality healthcare to every person in every community that we serve.

Our Vision: CCHN will maintain its position as the leading community health center in the state and become a model for all other healthcare organizations to follow.

Our Values: Quality – Affordability – Accessibility – Cultural Diversity

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Major Function: To provide friendly, professional and high-quality care management services for high comorbidity/high risk CompleteCare patients within a team-based, patient-centered medical home model of care.

Qualifications & Knowledge :

  • Current RN License - unrestricted
  • High school diploma or equivalent
  • BSN preferred
  • Ability to interact with physicians and other health care professionals in a professional manner.
  • Working knowledge of chronic medical conditions, wellness and prevention strategies.
  • Basic level of proficiency in Microsoft Office suite applications (Word, Excel, Outlook/Email, Internet), including the ability to type and talk at the same time and toggle between multiple applications
  • Willingness to travel within a designated geographical region for visits, as well as access to reliable transportation
  • Experience with electronic documentation methods
  • May require long periods of sitting and/or standing
  • Strong commitment to CompleteCare’s mission
  • Ability to multi-task, must be organized and attention to detail
  • Excellent Customer Service and communication Skills
  • Bilingual a plus (Spanish/English)

Responsibilities:

  • Complete initial and routine assessments for the purpose of identifying patient care needs
  • Initiate care planning and implementation of a comprehensive care plan and addresses medical
  • Assist patient with follow up for preventive health and screening tests
  • Engage members routinely telephonically and in-person via home/facility visits to coordinate services, community resources, and provide health education
  • Provide education and assist with follow up appointments how to access appropriate care
  • Identify early risk factors and targeted condition management interventions as necessary
  • Create, review and revise Care Plans with a focus on health education and improving health outcomes
  • Advocate for patient needs and services and provide assistance to members in navigating the healthcare system
  • Patient care coordinators are liaisons between patients and the healthcare system
  • Ensure that patients receive the care they need and that they understand their medical condition, medications, and other instructions
  • Focus on reducing hospital admissions through coordinated care and effective discharge planning with other team members
  • Collaborate with the member's PCP and other care team members to deliver and coordinate quality care and services
  • Ensure completion of required touch points and care coordination activities and document all activities within the member clinical record and/or population based software.
  • Other job responsibilities may be assigned as needed