Community Health Care Manager - Full Time - Evenings

Best Care • Council Bluffs, IA

23d

About The Position

The Community Health Care Manager bridges healthcare and community support to assist vulnerable populations in achieving stability and better health outcomes. This role combines clinical nursing expertise with knowledge of community resources to address both medical needs and social determinants of health. By coordinating care plans and fostering partnerships with healthcare providers and community organizations, the Care Manager ensures patients receive holistic, long-term support.

Requirements

• Education: Graduate of accredited Nursing Program required.
• Experience: Minim three years relevant clinical experience, ED experience preferred. Minimum two years in a community setting preferred.
• License/Certification: Current American Heart Association Basic Life Support (BLS) strongly preferred at time of hire, required within 3 months of hire. Current valid Registered Nurse (RN) license, valid compact multi-state license, or a temporary permit while awaiting licensure required.
• Skills/Knowledge and Abilities: Self-directed and able to multi-task and prioritize work assignments. Ability to deal with resistance and complex situations. Ability to communicate effectively, develop collaborative relationships with a variety of professionals, and use critical thinking skills to problem solve.

Nice To Haves

• Bachelor of Science in Nursing (BSN) preferred.
• Experience: Minim three years relevant clinical experience, ED experience preferred. Minimum two years in a community setting preferred.

Responsibilities

• Manages multiple aspects of patient care, identifying psychosocial needs and barriers, ensuring appropriate services are selected, and documenting discharge needs from the Emergency Department (ED).
• Conducts assessments of patients, their support systems, and environments, addressing social determinants of health and connecting them to community resources to support their independence and health outcomes.
• Assists with discharge planning, facilitating the transition to the appropriate level of care, collaborating with the interdisciplinary team to avoid unnecessary admissions and ensuring patients return to their previous habitation when possible.
• Serves as an advocate for patients, educating them and their families on discharge plans, care options, and available services, while ensuring ongoing case management for those in need.
• Develops, reviews, and revises individualized care plans to optimize patient outcomes, referring to community partners, participating in community meetings, and managing chronic pain care processes.
• Participates in data collection, utilizing internal and external databases, including Unite Us, to track community resource referrals and barriers for high-risk patients. Uses this data to identify practice improvements, ensuring case management promotes quality outcomes, patient satisfaction, and efficient resource use.
• Actively connects patients to community resources through Unite Us, ensuring their social and health needs are addressed.
• Participates in community meetings to foster collaboration with local organizations, identifying ways to improve care and support for patients throughout their healthcare journey, from pre-hospital to post-hospital care.
• Communicates barriers and solutions with community partners to ensure continuity of care and address patient needs effectively.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Number of Employees: 1,001-5,000 employees