Community Care Manager

Hartford Healthcare•Wethersfield, CT

About The Position

The ICP Community Care Manager is a healthcare professional position, working as a member of the ICP Community Care Management team. The ICP Community Care Manager facilitates transitions as patients move from one level of care to another, ensuring that uninterrupted quality care, as well as providing ongoing education and diseased management for ICP attributed patients with chronic conditions. They are responsible for providing support and performing duties in a manner that ensures effective and efficient customer service and patient care.

Requirements

Bachelor’s degree in Nursing OR Master’s degree in Social Work required
Minimum 2 years of experience working in a healthcare setting
Current Connecticut RN License or other healthcare license as deemed appropriate
A passion for helping vulnerable populations
Knowledge of medical terminology, as well as ACO and healthcare reform topics
Willingness to develop new skills and ability to receive feedback
Positive, customer-focused approach
Proven ability to work effectively independently as well as in a team environment
Must be comfortable and flexible with ambiguity and change processes

Responsibilities

Performs transition of care services for ICP attributed patients admitted to acute inpatient settings
Participates in care planning, family, and discharge planning meetings throughout patient’s inpatients stay, as appropriate
Partners with inpatient care coordination team to address barriers to discharge and provides timely communication back to the patient’s primary care provider
Collaborates other HHC system partners upon patient's discharge form acute inpatient setting to the community
Identifies resources within HHC system and larger community to address patient care needs
Provide education for patients, families, community, and other professionals regarding disease prevention, impact of illness and advocacy for benefits and health maintenance