Care Manager Registered Nurse GCM Cleveland

Advocate Health and Hospitals Corporation•Cleveland, NC

1d•Hybrid

About The Position

The Care Manager Registered Nurse will facilitate communication among patients/families, multidisciplinary teams, and community resources to identify and resolve barriers to care. This role involves interpreting contracts to achieve optimal clinical and financial outcomes, and collaborating with various care teams to ensure quality, efficient, and cost-effective healthcare services. The position may involve embedded work within a provider office or telephonic communication. The Care Manager will utilize evidence-based approaches to enhance patient and family engagement, develop SMART goals with patients, and assist in the procurement of self-management educational resources. They will identify potential learning barriers, report abnormal findings to providers, and independently manage caseloads according to department expectations, ensuring timely completion of documentation related to MCO, regulatory, and contractual requirements. The role also involves partnering with at-risk patients throughout their care journey to ensure continuity, anticipating patient needs, responding to changes in status, and prioritizing care based on essential needs. Coordination of patient information and communication between various entities, including referring/accepting facilities, physicians, community caregivers, and internal departments, is crucial for smooth transitions of care. The position requires the ability to provide age-appropriate care, demonstrating knowledge of growth and development across the lifespan and assessing patient needs based on age-specific requirements.

Requirements

Registered Nurse license issued by the state in which the team member practices.
Bachelor's Degree in Nursing or related field.
Typically requires 5 years of experience in clinical nursing or 1-2 years of care management experience.
Must be self-directed with the ability to work well independently and within a team environment while recognizing and meeting the individual needs of external and internal partners/customers.
Ability to demonstrate excellent oral, written and interpersonal skills.
Ability to demonstrate critical thinking, problem solving and excellent organizational skills.
Ability to work productively and effectively in a complex environment that includes multiple changing priorities.
Demonstrated ability to work well with physicians and other healthcare professionals in a direct and positive manner.
Proficient computer/Microsoft-suite skills and previous Epic EMR experience.
Ability to handle multiple responsibilities.

Nice To Haves

Applicable certification is encouraged.

Responsibilities

Facilitates communications among patient/family, multidisciplinary team, medical management team, community resources and other disciplines to anticipate, identify, evaluate, and act to resolve any potential barriers and constraints to delivery of care in a timely manner.
Understands and interprets multiple contracts and contractual obligations in order to enable the care management team to achieve maximum clinical and financial outcomes.
Collaborates with the patient/family and inter-professional team including the primary care team, hospital care team, post acute care managers, and other care partners to provide a model of care that ensures the delivery of quality, efficient, and cost-effective healthcare services.
Uses evidenced-based approaches to increase patient and family activation and engagement in their own care.
As appropriate to the population, partners with patient and family to develop SMART (specific, measurable, attainable, relevant, time-bound) goals.
Assists in the development, procurement, and adoption of patient self-management educational resources.
Identifies potential barriers to learning and/or to the optimal delivery of care.
Reports abnormal findings to the responsible provider/care team, and collaborates to develop a plan.
Independently manages CM caseload according to department expectations.
Ensures timely completion of tasks and documentation related to MCO, regulatory and contractual requirements.
Partners with identified at-risk patients throughout the diagnosis, treatment and follow-up in order to deliver continuity of care.
Anticipates the needs of the patient, recognizes and responds to changes in a patient’s status and determines priorities of patient care based on essential patient needs.
Coordinates patient information and communication between and among the patient/family, the referring/accepting facilities and physicians, community caregivers (as applicable) and other members of ACM to ensure smooth transitions of care.
Coordinates referrals to other internal AAH departments and/or external community resources as necessary.
Must be able to demonstrate knowledge and skills necessary to provide care appropriate to the age of the patients served.
Must demonstrate knowledge of the principles of growth and development over the life span and possess the ability to assess data reflective of the patient's status and interpret the appropriate information needed to identify each patient's requirements relative to his/her age-specific needs, and to provide the care needed as described in the department's policies and procedures.

Benefits

Compensation Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training
Premium pay such as shift, on call, and more based on a teammate's job
Incentive pay for select positions
Opportunity for annual increases based on performance
Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
Flexible Spending Accounts for eligible health care and dependent care expenses
Family benefits such as adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs
Educational Assistance Program