Case Manager, RN - WellMed at Irving
About The Position
The Healthcare Manager supports patients with high-risk health conditions as they navigate the healthcare system. The role helps patients and families build empowerment by serving as an educator, resource, and advocate, with the aim of supporting the best possible quality of life. The Healthcare Manager collaborates with multidisciplinary care teams and serves as a resource for clinic staff. The work is performed in a less structured, self-directed environment, and all nursing duties must remain within the scope of an RN license issued by the applicable state board of nursing. The role supports longitudinal care for patients with chronic conditions and transitions from inpatient to outpatient care. It also coordinates with providers on care plans, documents in the electronic medical record, participates in huddles and care coordination meetings, and maintains nursing competence and knowledge of current evidence-based practices. Other related duties may be assigned.
Requirements
- Bachelor’s degree in Nursing, or an Associate’s degree in Nursing with at least 4 years of experience as an RN.
- Active and unrestricted Registered Nurse license to practice in the state of employment.
- Current BLS certification.
- At least 2 years of experience in a physician’s office, clinical, or hospital setting.
- Knowledge of chronic diseases, especially COPD/asthma, diabetes, CHF, and IHD.
- Excellent verbal and written skills.
- Solid interpersonal skills.
- Ability to interact productively with individuals and multidisciplinary teams.
- Proficient computer skills for working efficiently with electronic medical records.
- Excellent organizational and prioritization skills.
Nice To Haves
- Experience related to patient education and/or motivational interviewing skills and self-management goal setting.
- Fluent written and verbal skills in English and Spanish.
Responsibilities
- Work with providers and clinic staff to identify high-risk patients.
- Support longitudinal care for patients with chronic conditions by assessing health conditions, reconciling medications, conducting motivational interviewing and self-management goal setting, providing patient education, and making referrals to appropriate agencies and resources.
- Support transitions from inpatient to outpatient care by assessing transitional needs, reconciling medications, establishing and reviewing contingency plans, providing patient education, and assisting with post-discharge needs such as prescriptions, transportation, durable medical equipment, and appointments.
- Coordinate with providers to establish or update plans of care.
- Complete accurate and timely documentation in the electronic medical record.
- Participate in daily huddles and Patient Care Coordination (PCC) meetings.
- Prepare accurate and timely reports for weekly meetings as required.
- Maintain competence in nursing practice and knowledge of current evidence-based practices.
- Perform clinical tasks within scope of practice as needed.
- Perform other related duties as assigned.
Benefits
- Comprehensive benefits package, subject to eligibility requirements.
- Incentive and recognition programs, subject to eligibility requirements.
- Equity stock purchase, subject to eligibility requirements.
- 401k contribution, subject to eligibility requirements.
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What This Job Offers
Job Type
Full-time
