Care Manager - RN Required

INTERCARE COMMUNITY HEALTH NETWORK•Park Township, MI

2d•Onsite

About The Position

InterCare is a Federally Qualified Health Center which MAY qualify employees for National Student Loan Forgiveness program. Become part of a Migrant and Community Health Center, where you will: Have a passionate purpose. Do worthwhile work. Make a difference in people’s lives. InterCare is searching for a full-time Care Manager to join our team in Holland! At InterCare, you’ll find a rewarding and challenging work environment and a competitive compensation with pay starting at $70,000/year and benefits package which includes: vacation/personal paid time off, sick time, 10 paid holidays, tuition reimbursement program, medical, prescription, dental, vision, life insurance, and short term and long term disability insurance. At InterCare Community Health Network, we believe all people have the right to equal access to quality health care. InterCare NO LONGER requires employees to have the COVID vaccine, however, you may receive a vaccine at no cost at any of our clinic locations.

Requirements

Current Registered Nurse (RN) License in the State of Michigan
Minimum of two years of ambulatory and/or hospital nursing experience preferred, care management experience preferred
BLS Certification, to be completed within 90 days
Professional and Technical Knowledge
Displays compassionate, ethical and professional demeanor
Communicates effectively with patients and family members involved in their care
Able to use computers and Microsoft Office efficiently
Communication Skills
Possesses a communication style to convey complex concepts in a clear effective manner
Possesses excellent cross cultural communication skills and the ability to communicate to staff members at all levels

Nice To Haves

care management experience preferred

Responsibilities

Serves as a member of the care team providing high quality, holistic healthcare to patients with multiple chronic conditions [high risk patients] through a client-centered approach.
Responsible for providing care management to complex patients, population health management and for assisting the healthcare provider in an ambulatory care setting.
Provides ongoing Population Health Management
Monitors evidence-based clinical indicators to assess progress toward better health and shares these with the patient/families to initiate disease management protocols in collaboration with provider, develops/revises/evaluates process standards and clinical guidelines
Provides patient education and identifies patient teaching needs related to disease management including: diet, exercise, and medications
Utilizes patient registries and lists to identify at-risk patients who would benefit from care management, particularly patients with identified risk stratification level of 7 and 9
Performs or assures completion / documentation of a comprehensive patient assessment: medical, functional, cognitive, affective, psychosocial, nutritional and environmental
Monitors the patient, assessing progress on self-management goals, and if current goals met, guides the patient to set new goals.
Identifies barriers to care and works to help the patient problem-solve to overcome them
Provides medication management and adherence education within the scope of care management
Manages care of patients through collaboration with members of the health care team and other health professionals in order to make decisions about treatment and assist the patient in attaining health goals.