RN High Risk Care Manager - Charleston
RN High Risk Care Manager - Charleston
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Job Description
Job Description Summary
The Nurse Care Manager (Population Health) reports to the Director of Value Based Care Coordination. Under general supervision the Nurse Care Manager (Population Health) functions as a member of population health primary care outpatient focused teams.This role coordinates a patient-centered evidence-based plan of care to achieve optimal clinical outcomes for targeted high-risk populations; coordinating efforts with acute care and ambulatory providers and care team members and community partners.
This position promotes medical home concepts and a patient/family-centered team approach to care. The Nurse Care Manager (Population Heath) serves as a clinical expert and resource related to care transitions and outpatient care management.
Entity
Medical University Hospital Authority (MUHA)Worker Type
EmployeeWorker Sub-Type
RegularCost Center
CC002347 SYS - Population Health ProgramPay Rate Type
SalaryPay Grade
Health-28Scheduled Weekly Hours
40Work Shift
Job Description
The RN High Risk Care Manager reports to the Manager of Population Health Care Coordination. Under general supervision the Care Manager functions as a member of the Population Health and Primary Care Medical Home (PCMH) teams to provide care coordination and management services to targeted high-risk populations.
The RN Care Manager works collaboratively with the patient and caregiver(s) the Population Health team PCMH team other specialty providers and case management/care coordination teams and community agencies to develop and implement a coordinated plan of care to achieve optimal clinical outcomes and value-based program goals. The RN Care Manager provides education and support to patients enrolled in the program spending time with patients that is not achievable in a traditional office appointment. Utilizing the RN care management process this position promotes medical home concepts and a patient-centered team approach to care.
This role functions in an embedded model with the RN Care Manager working mainly within MUSC Primary Care clinics in the Charleston area with an option to work remotely one day per week as determined by program and patient needs. The RN High Risk Care Manager serves as a clinical expert and resource related to outpatient care management.
Section 3: Job Responsibilities:
Completes a comprehensive care management assessment utilizing motivational interviewing techniques in conjunction with the patient/caregiver the primary care provider and the PCMH team. Develops implements and evaluates a patient-centered plan of care for each patient enrolled in the High-Risk Care Management program. Collaborates and communicates with providers team members and community agencies to ensure care is effective safe efficient equitable and timely.
Provides education tailored to the individual patients learning needs and preferences. Assists patients and caregivers with self-management strategies and provides encouragement support and resources as needed to facilitate progress towards health-related goals. Supports and helps resolve psycho-social needs reassesses the patients progress toward goals and revises the plan of care as needed. Coordinates care and maintains contact with the patients larger care team as appropriate. Supports data collection and outcomes reporting for the High-Risk Care Management program to ensure progress towards value-based program goals.
Education:
Bachelors degree in Nursing required.
Four (4) or more years of related work experience as a registered nurse required.
Case or Care Management experience and/or certification in Case or Care Management preferred.
Current South Carolina licensure or licensure in a compact state as a registered nurse required.
Current Basic Life Support (BLS) required either a certification from an American Heart Association (AHA) BLS for Healthcare Providers (or AHA recognized equivalent) or an American Red Cross CPR/AED for Professional Rescuer and Healthcare Provider.
Work Requirements:
- Requires excellent oral and written communication skills strong organizational and time management skills.
- Ability to establish cooperative relationships and must be sensitive to the needs concerns and safety of patients and visitors/families of diverse cultural orientation.
Physical Requirements:
- Ability to perform job functions while standing. (Frequent)
- Ability to perform job functions while sitting. (Frequent)
- Ability to perform job functions while walking. (Frequent)
- Ability to climb stairs. (Infrequent)
- Ability to work indoors. (Continuous)
- Ability to work in confined/cramped spaces. (Infrequent)
- Ability to perform job functions from kneeling positions. (Infrequent)
- Ability to bend at the waist. (Infrequent)
- Ability to squat and perform job functions. (Infrequent)
- Ability to perform pinching operations. (Infrequent)
- Ability to fully use both hands/arms. (Continuous)
- Ability to perform repetitive motions with hands/wrists/elbows and shoulders. (Continuous)
- Ability to reach in all directions. (Frequent)
- Possess good finger dexterity. (Continuous)
- Ability to lift and carry 15 lbs. unassisted. (Infrequent)
- Ability to lift/lower objects 15 lbs. from/to floor from/to 36 inches unassisted. (Infrequent)
- Ability to lift from 36 inches to overhead 15 lbs. (Infrequent)
- Ability to maintain 20/40 vision corrected in one eye or with both eyes. (Continuous)
- Ability to see and recognize objects close at hand. (Continuous)
- Ability to match or discriminate between colors. (Continuous)
- Ability to determine distance/relationship between objects; depth perception. (Continuous)
- Good peripheral vision capabilities. (Continuous)
- Ability to maintain hearing acuity with correction. (Continuous)
- Ability to perform gross motor functions with frequent fine motor movements. (Continuous)
- Ability to work in a latex safe environment. (Continuous)
- Ability to deal effectively with stressful situations. (Frequent)
Additional Job Description
Bachelor of Nursing degree preferred with minimum of one year of experience. RN staff hired on or after July 1 2013 with an Associate or Diploma degree in nursing are required to be enrolled in an accredited BSN program within two years and successfully obtain a BSN degree within four years of the RN hire or reclassification date. Refer to policy A141 for more details. Prior leadership experience preferred. One year of case management and/or utilization review work experience preferred. Case Management certification preferred. Licensure as a registered nurse by the state of South Carolina or compact state required. Certification in Case Management preferred. Current American Heart Association (AHA) Basic Life Support (BLS) certification or American Red Cross BLS for Healthcare Providers certification is requiredIf you like working with energetic enthusiastic individuals you will enjoy your career with us!
The Medical University of South Carolina is an Equal Opportunity Employer. MUSC does not discriminate on the basis of race color religion or belief age sex national origin gender identity sexual orientation disability protected veteran status family or parental status or any other status protected by state laws and/or federal regulations. All qualified applicants are encouraged to apply and will receive consideration for employment based upon applicable qualifications merit and business need.
Medical University of South Carolina participates in the federal E-Verify program to confirm the identity and employment authorization of all newly hired employees. For further information about the E-Verify program please click here: Experience:
Manager
Employment Type
Full-Time
Key Skills
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