Care Manager Registered Nurse

Advocate Health•Concord, NC

5d•$38 - $57

About The Position

The Care Manager Registered Nurse facilitates communication among patients and families, multidisciplinary teams, medical management teams, community resources, and other disciplines to identify and resolve barriers to timely care. The role interprets contracts and contractual obligations to support clinical and financial outcomes. It collaborates with patients, families, primary care and hospital teams, post-acute care managers, and other care partners to deliver quality, efficient, cost-effective healthcare. Work may be embedded in a provider office or conducted telephonically with a care team. The Care Manager uses evidence-based approaches to support patient and family engagement, helps develop SMART goals and patient self-management resources, identifies barriers to learning or care, reports abnormal findings, and collaborates on plans of care. The role independently manages a case-management caseload and completes related tasks and documentation in accordance with departmental, regulatory, and contractual requirements. It partners with at-risk patients across diagnosis, treatment, and follow-up; coordinates information, transitions, referrals, and community resources; and provides age-appropriate care based on each patient's needs. This is a full-time position, 40 hours per week, Monday through Friday from 8:00 a.m. to 4:30 p.m., with occasional weekends, on-call duties, and holidays. The stated pay range is $38.20–$57.30. Travel between clinic sites may be required.

Requirements

Registered Nurse license issued by the state in which the team member practices.
Bachelor's degree in Nursing or a related field.
Typically, 5 years of clinical nursing experience or 1–2 years of care-management experience.
Self-directed ability to work independently and as part of a team while meeting the needs of internal and external partners and customers.
Excellent oral, written, and interpersonal communication skills.
Critical-thinking, problem-solving, and organizational skills.
Ability to work effectively in a complex environment with changing priorities.
Ability to work positively and effectively with physicians and other healthcare professionals.
Proficient computer and Microsoft-suite skills, and previous Epic EMR experience.
Ability to handle multiple responsibilities.

Nice To Haves

Applicable certification is encouraged.

Responsibilities

Facilitate communication among patients and families, multidisciplinary teams, medical management teams, community resources, and other disciplines to identify and resolve barriers to timely care.
Interpret contracts and contractual obligations to support clinical and financial outcomes.
Collaborate with patients, families, inter-professional teams, and care partners to deliver quality, efficient, and cost-effective healthcare services.
Use evidence-based approaches to increase patient and family activation and engagement; help develop SMART goals and patient self-management educational resources.
Identify barriers to learning or optimal care, report abnormal findings to the responsible provider or care team, and collaborate on a plan.
Independently manage a case-management caseload and complete tasks and documentation according to departmental, regulatory, and contractual requirements.
Partner with at-risk patients throughout diagnosis, treatment, and follow-up; anticipate patient needs, respond to status changes, and prioritize care.
Coordinate patient information and communication to support smooth transitions among patients and families, facilities, physicians, community caregivers, and care-management colleagues.
Coordinate referrals to internal departments and external community resources as needed.
Provide care appropriate to patients' ages and developmental needs, consistent with departmental policies and procedures.