Care Manager RN

Frederick Health•Frederick, MD

11d•$70,034 - $103,542

About The Position

The Care Manager RN works collaboratively with medical providers and healthcare professionals within Frederick Health and across the healthcare continuum. The role uses clinical skills to assess patients’ health status, chronic conditions, complex medical issues, unmet social needs, and psychosocial needs; provide information and referrals to appropriate resources; offer emotional support; and establish plans to manage identified needs in acute and/or ambulatory settings. Assessment, planning, interventions, and reassessment are conducted within a collaborative, interdisciplinary team. The Care Manager RN helps patients and families navigate the healthcare continuum while improving quality outcomes and promoting appropriate resource utilization through effective care management. Assignments may be in hospital or ambulatory settings. Depending on the department, the role may involve care coordination in ambulatory practices and community practices participating in Frederick Integrated Healthcare Network (FIHN), employee and family health-plan care management and wellness coaching, or inpatient screening, assessment, and discharge and transition planning. The role may include telephonic, medical office, and home visits, and may involve interpreting population and risk data, supporting self-management, and helping close identified care gaps. The position reports to the Department Manager. Patient contact may include neonates, infants, children, adolescents, adults, and geriatric patients. The work is classified as light work, including infrequent lifting up to 20 pounds and walking or standing to a significant degree. Ergonomic risks include repetitive motion and awkward postures. The position may have exposure to blood or body fluids (Category B).

Requirements

Current license as a Registered Nurse in the state of Maryland.
Bachelor of Nursing degree from an accredited school of nursing.
Three to five years of care management and/or healthcare experience.
Current certification in Cardiopulmonary Resuscitation (CPR).
Effective interpersonal, communication, and customer service skills.
Strong organizational and time-management skills.
Critical-thinking skills and ability to work in a fast-paced team environment, multitask, adapt to change, take on new challenges or projects, and communicate and collaborate effectively with physicians and staff.
Ability to apply creative problem-solving skills to complex situations.
Knowledge of disease management and psychosocial aspects of patient care.
Knowledge of community resources.
Ability to work independently and interdependently.
Personal credibility and ability to serve as a patient advocate while remaining committed to health-system goals.
Skills in planning, organizing, and managing multiple functions and complex processes.
Knowledge of basic computer software programs.
Ability to maintain current knowledge and skills for providing appropriate care or contact to neonates, infants, children, adolescents, adults, and geriatric patients.

Nice To Haves

Care Management certification, including but not limited to Accredited Case Manager (ACM) certification.

Responsibilities

Deliver care coordination within Frederick Health, potentially in a hospital or ambulatory site assignment.
Perform individualized assessments and develop plans of care to address identified needs.
Identify barriers to care, including disease education needs, socioeconomic status, unmet social needs, impaired coping, and support network dysfunction.
Promote diversity and inclusive working relationships.
Communicate with interdisciplinary care teams, patients, and families.
Promote coordination among healthcare professionals.
Monitor and evaluate care management plans.
Educate patients about their conditions and symptom management.
Maintain working knowledge of regulatory requirements for the assigned healthcare setting.
Assess health status, chronic conditions, complex medical issues, unmet social needs, and psychosocial needs; provide information, referrals, and emotional support.
Help patients and families navigate the healthcare continuum and support quality outcomes and appropriate utilization of resources.
In ambulatory and integrated care management settings, interpret data and implement care management strategies and interventions for attributed beneficiaries and patient populations.
Promote patient wellness and self-management strategies; conduct telephonic, medical office, and home visits as applicable to the assignment.
For employee health-plan care management, coach employees or spouses with chronic conditions or wellness needs and provide information, education, resources, and support for positive health behavior changes.
Develop, promote, and lead hospital and community wellness initiatives as applicable to the assignment.
Conduct targeted outreach to FIHN opt-in members to help close identified care gaps, such as mammograms, colonoscopies, and well-care visits.
For inpatient care management, screen for and assess patient and family needs related to care coordination, discharge and transition planning, risk stratification, and psychosocial needs.
Plan proactively and individually for patient progress across the continuum to support quality of care, patient satisfaction, utilization, reimbursement, and organizational objectives.

Benefits

Health insurance, available on the first of the month after 30 days of employment for eligible employees.
Dental insurance, available on the first of the month after 30 days of employment for eligible employees.
Vision insurance, available on the first of the month after 30 days of employment for eligible employees.
Employer-paid life insurance for eligible employees.
Employer-paid short-term income replacement and long-term disability for eligible employees.
Paid Time Off program for eligible employees.
403B retirement plan with employer match for eligible employees.
Free financial planning sessions for all employees.
Educational assistance program.
Employer-paid Employee Assistance Program.