Care Manager Registered Nurse

Advocate Health and Hospitals Corporation•Concord, NC

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 anticipate and resolve barriers to timely care. The role collaborates with patients, families, primary care teams, hospital care teams, post-acute care managers, and other care partners to support quality, efficient, and cost-effective healthcare. The position may be embedded within a provider office or work telephonically with a care team. The Care Manager uses evidence-based approaches to increase patient and family engagement, helps develop SMART goals and patient self-management educational resources, identifies barriers to learning or care delivery, and reports abnormal findings to the responsible provider or care team. The position independently manages a care management caseload, completes required tasks and documentation, supports at-risk patients through diagnosis, treatment, and follow-up, and coordinates information, transitions of care, referrals, and community resources. The role also provides age-appropriate care based on knowledge of growth and development across the lifespan. This full-time position is based in the Atrium Health Cabarrus Case Management department. The schedule is Monday through Friday, 8:00 a.m. to 4:30 p.m., with occasional weekends, on-call coverage, and holidays. The position may require travel between clinic sites and exposure to normal office and road/weather conditions. The listed pay range is $38.20–$57.30 per hour.

Requirements

Registered Nurse license issued by the state in which the team member practices.
Bachelor's degree in Nursing or a related field.
Typically five years of clinical nursing experience or one to two years of care management experience.
Self-directed, with the 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 productively in a complex environment with multiple changing priorities.
Ability to work positively and effectively with physicians and other healthcare professionals.
Proficient computer and Microsoft suite skills.
Previous Epic EMR experience.
Ability to handle multiple responsibilities.
Knowledge and skills to provide age-appropriate care, including understanding lifespan growth and development and assessing and interpreting patient data in relation to age-specific needs.
Ability to travel between clinic sites if required.
Manual dexterity to operate a computer and calculator; visual acuity to review documents, computer screens, and medical records and record information accurately; and speech and hearing sufficient for telephone and other communication.

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 multiple contracts and contractual obligations to support clinical and financial outcomes for the care management team.
Collaborate with patients, families, and inter-professional care teams to support quality, efficient, and cost-effective healthcare services.
Use evidence-based approaches to increase patient and family activation and engagement in care.
Partner with patients and families to develop SMART goals as appropriate to the population.
Assist with developing, procuring, and adopting patient self-management educational resources.
Identify barriers to learning or optimal care delivery; report abnormal findings and collaborate on a plan with the responsible provider or care team.
Independently manage a care management caseload according to department expectations.
Complete tasks and documentation in a timely manner to meet MCO, regulatory, and contractual requirements.
Partner with at-risk patients throughout diagnosis, treatment, and follow-up to provide continuity of care.
Anticipate patient needs, recognize and respond to status changes, and prioritize care based on essential patient needs.
Coordinate patient information and communication among patients, families, facilities, physicians, community caregivers, and other ACM members to support smooth transitions of care.
Coordinate referrals to internal Advocate/Atrium Health departments and external community resources as needed.
Provide care appropriate to patient age and developmental needs in accordance with departmental policies and procedures.