Indio ECM Care Manager, RN v3

SAC Health • Indio, CA

11d • $46 - $60 • Onsite

About The Position

As a member of the Care Management Team, the ECM Care Manager, RN coordinates clinical care for high-risk patients, including people experiencing homelessness, patients with chronic medical, behavioral health, or substance use conditions, people facing social determinants of health issues, children and youth, and individuals returning from incarceration. The role engages patients with acute and chronic diseases to develop plans of care that address changing needs and conditions, and evaluates 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.

The schedule is five days per week, eight hours per day, Monday through Friday, from 7:30 a.m. to 4:00 p.m. The position is based at the Indio Clinic in Indio, California.

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.
• Obtain EPIC certification for the module associated with the position.
• 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 positively, effectively, and professionally; enforce policies consistently; remain calm and courteous under pressure; lead, supervise, teach, collaborate, and accept direction.
• Effective English communication in person, in writing, and by telephone; critical thinking; basic math; management of multiple assignments; written composition; organization and prioritization; problem solving; accurate recall; attention to detail; and ability to 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 degree.
• Bilingual ability in English and Spanish.

Responsibilities

• Review patients’ electronic medical records and work with providers to develop, implement, and evaluate appropriate individual plans of care.
• Communicate patient circumstances and care recommendations with case managers, program managers, health professionals, and coordinators, including IEHP representatives.
• Collaborate with physicians, other healthcare professionals, clients, and families to develop comprehensive, coordinated care plans.
• Encourage and support patient activation toward health goals and provide evidence-based practice.
• Assist with developing clinic goals and objectives related to continuity of patient care, and assist with patient triage when needed.
• Monitor and promote effective use of healthcare resources through the electronic medical record and clinical measures; track 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 cases across the patient population and caseload.
• Oversee the Patient Navigator and Care Coordinators on the team and ensure cohesive teamwork.
• Maintain working knowledge of specialized case management and utilization management methodologies and apply them in daily practice.
• Serve on assigned committees and 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, including intensity of service and severity of illness, are met and documented for each encounter.
• Perform other duties outlined in the official job description.
• Mentor and train other Care Management Team members.

Benefits

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

What This Job Offers

• Job Type: Full-time
• Career Level: Senior
• Education Level: Associate degree