RN Care Manager

GENERAL DUTIES AND RESPONSIBILITIES

The RN Care Manager is responsible for providing assistance to the care management team by working collaboratively to support patient care plans and needs. Serving as an advocate for patients, the RN Care Manager will be part of the care management team and work in tandem with healthcare providers and community-based organizations to improve outcomes for patients they serve. Working within his/her scope of practice, this role coordinates between health care services, recognizing the holistic needs of the patient, inclusive of patient specific social and cultural dynamics. The RN Care Manager may work remotely within regions to cover the needs across the network. This position will support managed care goals and objectives in meeting performance improvement targets, meeting expectations of standardizing the plan of care, and supporting team development.

SPECIFIC DUTIES AND RESPONSIBILITIES

Assist RHCC in maintaining a daily productivity goal as designated by President/CEO. Ensure quality patient care per JCAHO, Bureau of Primary Health Care, and RHCC standards. Perform other necessary duties as required by the Robeson Health Care Corporation to meet the goal of providing primary health care services. Addresses the needs of the population served by assessing, planning, implementing, coordinating, monitoring, and evaluating the options and services required and using communication and available resources to promote quality, cost-effective health outcomes. Ensures the coordination and continuity of health care for patients as they transition from one facility to other settings. Works within the Registered Nurse scope of practice, and in concert with the Primary Care Provider, patient, caregivers, family members, other members of the Care Management Team and the community to coordinate a full continuum of health care services considering the holistic needs of the member, inclusive of unique social and cultural dynamics. Supervises and manages care teams. Oversight of the Care Management team. Oversight of Care Management services and activities based on care management standards of practice for enrolled populations. Develop, review, and complete comprehensive assessments that are patient-centered and considers the total individual, inclusive of medical, biopsychosocial, behavioral, spiritual, and cultural needs of the enrolled population, throughout the continuum of care to improve their health outcomes. Work with patients/caregivers, to identify and address behavioral, social, cultural, and environmental strengths and barriers as it relates to his/her diagnosis, treatment, and access to care. Implement Care Management interventions, set goals, and develop the plan of care based on transitional care discharge plans/instructions, the comprehensive assessment, and patients' goals. Implement patient-centered plans using therapeutic skills and techniques such as trauma-informed care, motivational interviewing, strengths-based, and solution-focused modalities. Facilitate and provide education to patients/family about clinical diagnosis, medications, available resources, prevention, and risk factors to achieve optimal self-management. Monitor quality and effectiveness of interventions to the enrolled populations by setting patient-centered SMART goals in collaboration with the patients' and families' identified goals. Delegates tasks and referrals to members of the care management team appropriately, accurately, and timely according to established workflows. Serve as an advocate and liaison among the patient/family, community services, primary provides, specialists, and other care team members to coordinate services. Work collaboratively with multi-disciplinary team members to facilitate achievement of desired health outcomes. Maintain appropriate and timely documentation in the Care Management documentation platform, in accordance with organizational policies and procedures. Engage and maintain collaborative relationships with community provider agencies that promote quality care and cost-effective health care utilization. Adhere to RHCC privacy and security policies to ensure that patient and network data are properly safeguarded. Attend departmental and corporate meetings, local and regional trainings, or other events as required. Will perform home visits as required by clinical judgment, patient needs and policies and procedures. Support organizational goals and objectives in meeting performance improvement targets for various initiatives, programs, and standards of care. Review data analysis that supports care management, standardized plans of care expectations, and team development, to ensure organizational and team goals are met. Manage and supervise team members to ensure work is done timely and accurately. Participates in Quality Improvement initiatives to improve efficiency and effectiveness of patient health outcomes. Adheres to RHCC guidelines, policies and procedures and privacy and security policies to include HIPAA regulations.

QUALIFICATIONS

Associate degree or better from an accredited School of Nursing with an unrestricted license to practice nursing in NC as a Registered Nurse Proficiency in Microsoft Office 365 and email communication. Sufficient experience to perform the duties of this position. Must have a valid North Carolina driver's license. Basic Cardiac Life Support Certificate.

Job Type:

Full-time Pay:

From $55,000.00 per year

Benefits:

401(k) Dental insurance Health insurance Life insurance Mileage reimbursement Paid sick time Paid time off Retirement plan Tuition reimbursement Vision insurance

Experience:

Nursing:

1 year (Preferred) Case management: 1 year (Preferred)

License/Certification:

RN License (Required) Driver's License (Required) Willingness to travel: 25% (Preferred)

Work Location:

In person