Care Manager Registered Nurse

Advocate Health • Charlotte, NC

7d • $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 care partners to identify and resolve barriers to timely care. The role interprets contracts and contractual obligations to support clinical and financial outcomes, and collaborates with patients and inter-professional teams to deliver quality, efficient, and cost-effective healthcare. The position may be embedded in a provider office or work telephonically with a care team.

The nurse uses evidence-based approaches to support patient and family engagement, helps develop SMART goals and self-management education resources, identifies barriers to learning or care, reports abnormal findings, and collaborates on care plans. The role independently manages a care management caseload, completes required documentation, supports at-risk patients throughout diagnosis and follow-up, and coordinates transitions, referrals, and communication among patients, facilities, physicians, community caregivers, and internal departments.

The incumbent must provide age-appropriate care based on knowledge of growth and development across the lifespan and the ability to assess and interpret patient information. The position is full-time, 40 hours per week, with a Monday–Friday schedule from 8:00 a.m. to 5:00 p.m. There are no weekends or Advocate Health-approved holidays. 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.
• 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.
• Proficiency with computers and Microsoft Office suite, and previous Epic EMR experience.
• Ability to manage multiple responsibilities.
• Ability to demonstrate the knowledge and skills required to assess patients and provide care appropriate to age-specific needs.

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 help the care management team achieve clinical and financial outcomes.
• Collaborate 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.
• Use evidence-based approaches to increase patient and family activation and engagement in care.
• Partner with patients and families to develop SMART goals when appropriate and assist with developing, procuring, and adopting patient self-management educational resources.
• Identify potential barriers to learning or optimal care delivery, report abnormal findings to the responsible provider or care team, and collaborate on a plan.
• Independently manage a care management caseload and complete tasks and documentation in accordance with departmental, MCO, regulatory, and contractual requirements.
• Partner with at-risk patients throughout diagnosis, treatment, and follow-up to provide continuity of care; anticipate needs, respond to changes in status, and prioritize care.
• Coordinate patient information and communication among patients and families, facilities, physicians, community caregivers, and other ACM members to support smooth transitions of care.
• Coordinate referrals to internal Advocate Aurora Health departments and external community resources as needed.
• Provide care appropriate to patients' ages and developmental needs, consistent with departmental policies and procedures.

Benefits

• Paid time off programs.
• Medical, dental, vision, life, and short- and long-term disability benefits.
• Flexible Spending Accounts for eligible healthcare and dependent-care expenses.
• Adoption assistance and paid parental leave.
• Defined contribution retirement plans with employer match and other financial wellness programs.
• Educational Assistance Program.
• Competitive compensation, premium pay for eligible positions, incentive pay for select positions, and the opportunity for annual performance-based increases.
• Career development programs.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level