Nurse Care Manager
Nurse Care Manager
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USD 74000 - 85000
1 Vacancy
Job Description
CCAP Mission Statement To empower all people and communities challenged by poverty as well as social and cultural barriers through advocacy education and access to high quality health and human services.
SCOPE OF ASSESSMENT AND PATIENT MANAGEMENT:
The Nurse Care Manager will have the opportunity to work on a multidisciplinary healthcare team in a community health clinic care setting. The Nurse Care Manager will be part of a program charged with working within the patient care medical home and administering health care in a new and innovative way. The Nurse Care Manager is responsible for providing comprehensive screenings assessment care coordination services disease education and selfmanagement support to patients with chronic health conditions such as coronary artery disease and depression.
WORK SCHEDULE DEMANDS
- The position is full time.
- Occasional unscheduled overtime.
- May be required to work in any Family Health Services locations at the discretion of the Director of Quality Improvement and Compliance/ any CCAP location.
REQUIRED QUALIFICATIONS
- Licensed Registered Nurse from an accredited school.
- Three 3 to five 5 years experience in community health setting public health chronic disease management community nursing case management preferred.
- Current BLS certification
- Experience working with patients regarding their care coordination and disease management / education is preferred. Perform quality work within deadlines with or without direct supervision.
- Share best practices among all teams serve as a medical home advocate mentor and lead by example to support a positive work environment and encourage other staff to do the same.
- Represent the practice in a positive manner to all patients and all applicable external clients.
KEY RESPONSIBILITIES
- Works under the direct supervision of the Nursing Director.
- Complete initial patient assessment including a comprehensive medical psychosocial and functional assessment of the patient including in the home setting if needed.
- Provide detailed education about patients specific chronic illness including the pathology signs and symptoms complications and medications used in treatment.
- Assure that preventive screening tests are up to date.
- Establish care management plans interventions treatment goals including selfmanagement goals and contact schedules.
- Promote compliance with chronic care plan.
- Coordinate care and communicate with multiple providers both within and external to the practice
- Review test results and tracks outcomes.
- Review patient compliance issues.
- Work oneonone with patients.
- Arrange group visits.
- Leverage EMR / chronic disease registry reporting to prioritize patient followup.
- Identify and utilize cultural and community resources.
- Develop quarterly reports on service volume distribution of patients by plan and types of services provided.
- Ensure open and effective communication regarding patient status with physicians and office staff.
- Act as liaison to hospital longterm care and specialists.
- Attend required training and collaboration sessions i.e. learning sessions outcomes congress care management collaboration meetings and practice team meetings as scheduled.
- Train staff on motivational interviewing
- Interact and coordinate with insurance companies and other external agencies Case and Disease Management staff when applicable in caring for the patients within the Patient Centered Medical Home.
COMMUNICATION SKILLS
- Interpreting technical medical terminology daily.
- Use all available methods of communicating with patients such as
- Interpreters individual counseling group discussions written materials and visual aids.
- Communicating and identifying cultural social and economic character of
- the patient population served.
- Ability to communicate with staff and providers tactfully and effectively.
CONFIDENTIALITY OF INFORMATION
- Full access to clients medical record and some access to financial/ statistical material.
- Maintains client confidentiality at all levels of interaction in accordance with State and Federal
- Laws and CCAP policies and procedures in the form of presentations flyers group work etc.
PHYSICAL EFFORT / ENVIRONMENT
Frequent use of phone writing typing and doing vital signs and verbal communication. The tasks of this position are normally performed in a physician office setting. Mobility is required to attend meetings and give presentations. The ability to travel to various locations in the state typically via car is required. Regular lifting of up to 25 pounds is expected. Must be able to maintain a good attendance record. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
CCAP is an Equal Employment Opportunity employer and is committed to providing equal employment opportunities to all qualified individuals without regard to race color religion sex sexual orientation gender identity gender expression national origin age disability status as a protected veteran or any other protected characteristics as established by applicable federal state or local laws. This applies to all terms and conditions of employment including but not limited to recruiting hiring placement promotions terminations layoff recall transfer leaves of absence compensation and training.
Our Benefits
Our comprehensive benefits package includes 403(b) health insurance vision and dental insurance life insurance long term disability flexible spending accounts health reimbursement accounts tuition reimbursement up to $1000 annually Employee Assistance Program generous vacation sick and personal days and up to 12 available paid holidays for fulltime employees and some benefits are included for parttime employees.
Required Experience:
Manager
Employment Type
Full-Time
