Care Manager (RN) - Regional Hospital Float, System Staffing Office
About The Position
The Care Manager - Regional Float, System Staffing Office is responsible for managing and coordinating the interdisciplinary care of defined populations across the care continuum, from wellness through end of life. This role involves clinical, psychological, social, and environmental perspectives. The Care Manager identifies high-risk patients, performs comprehensive assessments, develops treatment plans, and implements care plans to provide ongoing support and coordination for patients with complex needs. This position also involves managing benefits, negotiating continuing care services, advocating for patient needs, negotiating complex systems to remove barriers to healthcare access, and monitoring patient transitions across various care settings. The Care Manager will also identify gaps in the care continuum, work with community and provider networks to expand access to services, participate in the development of clinical disease management strategies, and evaluate outcomes. Additionally, the role involves developing, maintaining, and coordinating interdisciplinary care delivery systems and collecting/evaluating clinical and financial data.
Requirements
- Graduate from an accredited Nursing Program required.
- Masters of Science Degree in Nursing (MSN) with 3 years of clinical experience required
- Licensed Registered Nurse with New Hampshire eligibility.
- Current BLS required
Nice To Haves
- NH nursing license
- Vermont nursing license (compact state)
Responsibilities
- Manages and coordinates interdisciplinary care of defined populations through the care continuum from wellness through end of life from a clinical, psychological, social and environmental perspective.
- Identifies high risk patients requiring on-going coordination of care; performs a comprehensive patient/family assessment, develops a comprehensive treatment plan to include clinical components that will span the continuum of psychosocial issues, implements a plan of care to provide continuing support and coordination for patient/family with multiple complex system needs, manages benefits and negotiates continuing care services for enrollees in various health insurance plans, etc.
- Utilizes innovative strategies to advocate for patient needs and negotiates complex systems to remove barriers and limitations in accessing health care in all areas including clinical.
- Monitors the patient’s transition across and within care settings (e.g., home, clinic, skilled nursing facility, rehabilitation, hospital, etc.).
- Shares assessment and clinical, psychological, social and environmental care plan data with patient/family consent as the patient moves through different care settings.
- Identifies gaps in the care continuum and work with the community and provider networks to expand access to needed clinical, psychological, social and environmental services.
- Participates in the development of clinical disease management strategies and identifies the appropriate measures for the evaluation of outcomes.
- Participates in the development, maintenance, and coordination of an interdisciplinary care delivery system specific to individual patient needs and promotes effective resource utilization.
- Collects and evaluates clinical and financial data/outcomes, including, but not limited to, patient satisfaction, health and functional status, and resource utilization.
- Performs other duties as required or assigned
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What This Job Offers
Job Type
Full-time
Career Level
Senior
