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Registered Nurse - Care Management

2/18/2021

The Nurse Care Manager is an integral part of the patient-centered home health model.  The Nurse Care Manager works collaboratively with the patient, the patient’s family, providers, other health plan divisions, payers, and others to develop and implement a treatment plan that meets the patient’s needs.


Required Qualifications:
  • Graduate from registered nursing program.
  • Minimum 3 years diversified direct clinical experience in nursing or related field.
  • Interpersonal/human relations skills.
Preferred Qualifications:
  • BSN 
  • Experience with electronic medical records preferred.
Duties:
  • Participates in the initial treatment plan development for all primary care health home enrollees assigned to the caseload.  Assist in developing treatment plan health care goals for individuals with co-occurring chronic diseases.
  • Collects thorough and objective information about the physical, psychosocial, environmental, and financial needs and resources of individual patients. Develops specific and realistic objectives, goals, and action plans tailored to the individual needs of each patient. Implements specific interventions focused on the specific goals established for the individual.  Facilitates access to necessary resources to accomplish patient-centered goals.
  • Reports quantifiable care measures as defined for quality measurement of care management.  Track required assessments and screenings and identify treatment opportunities as well as document case management activities timely and according to Clinic policies and procedure and the Case Management Society of America Standards.
  • Analyzes sufficient information from all relevant resources to determine effectiveness of the case management plan. Modifies components or the entirety of the case management plan dependent upon its effectiveness in reaching desired outcomes.
  • Advocates for the individuals health care needs with emphasis on responsible health practices, self-care, and patient safety. Collaborates with patient, family, physicians, payer representatives and other members of the healthcare team.
  • Assist in implementing health technology programs and initiatives
  • Assist in contacting medical providers and hospitals for admissions/discharge information and then following up with the patients.
  • Demonstrates functional knowledge of the legal and ethical issues pertaining to confidentiality of patient information.  Demonstrates functional knowledge of legal and ethical issues related to case management and coordination of care.
  • Coordinates care provided throughout the full continuum of care, including but not limited to ambulatory care, acute inpatient care, skilled care, home health care, rehabilitative care, and community programs.
  • Develops and maintains rapport with a broad group of providers.
  • Identifies gaps and barriers in treatment options and seeks to correct with creative care planning.
  • Evaluates the quality of necessary medical services and evaluates the cost in relation to the benefits of care options.
  • Proactively arranges patient care utilizing controls, assessing the appropriateness of proposed services, individualizing treatment plans, and avoiding more costly interventions later.
  • Develop wellness and prevention initiatives, facilitate health education groups, and provide training on medical diseases, treatments, and medications
  • Demonstrates respect and regard for the dignity of all patients, families, visitors, and fellow employees to ensure a professional, responsible and courteous environment.
  • Promotes effective working relations and work effectively as part of a team to facilitate the Clinic’s ability to meet its goals and objectives. 
  • Maintains professional affiliations and enhances professional growth and development through seminars, conferences, and community involvement
  • Promotes effective working relations and work effectively as part of a team to facilitate the Clinic’s ability to meet  its goals and objectives.
  • Attains all agreed to goals and objectives within specified time frames, as part of the Clinic’s overall mission.
  • Responsibly follows the Clinic Exposure Control Plans/Bloodborne and Airborne Pathogens.
  • Demonstrates respect and regard for the dignity of all patients, families, visitors and fellow employees to ensure a professional, responsible and courteous environment.
  • All other duties as assigned.
 Apply online at www.jordanvalley.org/careers 

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Job Type : Full-Time
Education Level : Associate Degree
Experience Level : ""
Job Function : ""
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