Barstow ECM Care Manager, RN v3

SAC Health•Barstow, CA
•Onsite

About The Position

As a member of the Care Management Team, the ECM Care Manager, RN is responsible for the clinical coordination of high-risk patients, including people experiencing homelessness, patients with chronic medical, behavioral, or substance use health conditions, people facing social determinants of health issues, children and youth, and individuals with post-incarceration needs. The role engages patients with acute and chronic diseases to develop plans of care that address changing needs and conditions, identifying and evaluating needs across medical, behavioral, and social areas. The position applies specialized care management and utilization management methodologies in daily practice and serves as a role model to other Care Management Team members through mentorship and training opportunities. The position is based at the Barstow Clinic in Barstow, California. The schedule is five days per week, eight hours per day, Monday through Friday, from 7:30 a.m. to 4:00 p.m.

Requirements

  • Associate of Science Degree in Nursing.
  • Current, unrestricted California Registered Nurse license.
  • Current CPR/BLS certification from an American Heart Association- or Red Cross-accredited program.
  • Must obtain EPIC certification for the module hired into.
  • Valid California driver’s license and auto insurance.
  • At least 3 years of acute care, hospital-based experience.
  • Proficiency in Microsoft Office Suite, including Word, Excel, PowerPoint, and Outlook.
  • Ability to use widely supported internet browsers, electronic health records, and other databases.
  • Ability to communicate effectively in English in person, in writing, and by telephone.
  • Ability to communicate positively, effectively, and professionally; enforce policies consistently; remain calm and courteous under pressure; lead, supervise, teach, collaborate, and accept direction.
  • Ability to think critically, perform basic math, manage multiple assignments, compose written materials, organize and prioritize workload, problem solve, recall information accurately, attend to detail, and work independently with minimal supervision.
  • Must be legally authorized to work full-time in the United States and must not now or in the future require employment visa sponsorship.

Nice To Haves

  • Bachelor of Science in Nursing (BSN).
  • Bilingual in English and Spanish.

Responsibilities

  • Review patients’ electronic medical records and develop, implement, and evaluate individual plans of care with providers.
  • Communicate with case managers, program managers, health professionals, and coordinators about patients’ situations, and ensure recommendations are communicated across the healthcare team.
  • Collaborate with physicians, other healthcare professionals, clients, and families to develop comprehensive, coordinated care plans.
  • Support and encourage patients’ activation toward achieving health goals and provide evidence-based care.
  • Assist with developing clinic goals and objectives related to the continuum of patient care.
  • Assist with patient triage when necessary.
  • Monitor and promote effective utilization of healthcare resources through the EMR and clinical measures.
  • Track patients’ medical and behavioral health outcomes.
  • Manage acute and chronic diseases, reevaluate care plans, and ensure they remain appropriate as patients’ needs and conditions change.
  • Gather input from care management team members to prioritize patient cases across the population or caseload.
  • Oversee the Patient Navigator and Care Coordinators on the team and ensure the team works cohesively.
  • Maintain working knowledge of specialized case and utilization management methodologies and apply them in daily practice.
  • Serve on assigned committees and actively participate in meetings and outside activities as delegated.
  • Work with staff at all levels to ensure program measures are met.
  • Assist in developing and revising policies, procedures, clinical guidelines, and ancillary guidelines for patient care.
  • Ensure medical appropriateness criteria for level of care are met and documented for each encounter.
  • Mentor and train other Care Management Team members.

Benefits

  • Industry-leading PTO accrual, accrued per pay period.
  • Sick leave.
  • Paid holidays.
  • Paid jury duty.
  • Bereavement leave.
  • SAC Health covers approximately 85% of team member health premium costs; amount may vary by benefit plan selection.
  • Retirement plan with up to 8% employer contribution.
  • Continuing education and learning benefits.
  • Annual mission trip.
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