High Risk Care Manager RN

High Risk Care Manager RN Allentown, PA Job Details 1 day ago Benefits 403(b) matching Paid holidays Health insurance Dental insurance Tuition reimbursement Paid time off Employee assistance program Vision insurance 403(b) Qualifications Collaborate with healthcare professionals Nursing Medication reconciliation Electronic health records (EHR) management RN License Patient assessment Master's degree in nursing Patient advocacy Mid-level Master's degree Databases Bachelor's degree Case management Motivational interviewing Master of Nursing Care plan development Patient care Clinical documentation Bachelor's degree in nursing Client advocacy in social work Home health Patient referrals Managing patient records Care coordination 2 years Communication skills Hospital experience Health education and counseling

Full Job Description Care Manager, RN- Center For Women's Medicine Valley Health Partners, Allentown, PA Job Summary:

Conducts assessments of patient/family needs for the highest risk patients or those patients at risk for poor outcomes. Collaborates with health professionals across the continuum; formulates a documented plan of care that ensures continuity and goal-setting that equips individuals and their families to easily access resources and adopt healthy lifestyles.

Education:

Bachelor's Degree in Nursing or related field. Master's Degree in Nursing, preferred.

Experience:

3 years' experience in at least one of the following settings: case management, disease management, home health care, hospital, or physician office setting and 2 years' prior electronic medical record (EMR) experience Licensure Registered Nurse in PA Skills needed: Ability to incorporate strategies for interacting with persons from diverse backgrounds. Effective behavioral and educational strategies such as motivational interviewing, teach-back method, and self-management support. Ability to set priorities to coordinate care plan efficiently. Ability to recognize the role of cultural, social, economic, and behavioral factors in accessibility, availability, acceptability, and delivery of public health services.

Essential Functions:

Oversees care management functions and related tasks for a designated population. Utilizes computer databases and documentation systems and develops and maintains accurate case records of all patients. Promotes patient self-management, provides education about disease processes, and empowers patients and families to achieve maximum levels of wellness and independence. Evaluates medical, rehab, psychosocial socioeconomic, psychological, and physical needs and makes referrals. Provides medication management, including medication reconciliation during care transitions for the highest risk patients. Identifies issues related to the healthcare system, transportation, financial, and/or psychological barriers and works collaboratively to problem solve, coordinate services, and to advocate for patients/families. Provides care management for the highest risk patients to reduce risk and emergency department utilization to improve outcomes. Identifies patient and/or clinic staff knowledge to understand deficits regarding specific programs. Collaborates with all levels of the clinical team to improve processes, communication, and team skills needed to provide the best care to patients. Provides coordination of care for the highest risk patients experiencing a transition to or from care facilities and/or providers. Performs other duties as assigned.

Benefits:

Choice of medical, dental, and vision plans with great coverage at VERY affordable rates. 403b Retirement Plan with generous company match Paid Time Off for holidays, vacation, sick & personal days Employee Assistance Program Tuition Reimbursement