Indio ECM Care Manager, RN v3

SAC Health•Indio, CA
•Onsite

About The Position

As a member of the Care Management Team, the ECM Care Manager, RN is responsible for clinical coordination of 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 with post-incarceration needs. The role engages patients with acute and chronic diseases to develop plans of care that address changing needs and conditions, and identifies 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. This position is based at the Indio Clinic in Indio, 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. The role oversees the Patient Navigator and Care Coordinators on the team and helps ensure the team works cohesively.

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 material, organize and prioritize workload, problem-solve, recall information accurately, pay close attention 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 degree.
  • Bilingual in English and Spanish.

Responsibilities

  • Review patients' electronic medical records and develop, implement, and evaluate individual care plans in coordination with providers.
  • Communicate with case managers, program managers, health professionals, and coordinators about patient 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.
  • Communicate with, support, and encourage patients as they work toward health goals.
  • Provide evidence-based practice and assist with developing clinic goals and objectives related to the continuum of patient care.
  • Assist with patient triage when necessary.
  • Monitor and promote effective use of healthcare resources through electronic medical records and clinical measures.
  • Track patients' medical and behavioral health outcomes.
  • Manage acute and chronic diseases, reevaluate care plans, and ensure continued appropriateness as patient needs and conditions change.
  • Gather input from care management team members to prioritize cases for systematic population and caseload management.
  • Oversee the Patient Navigator and Care Coordinators and help 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 participate in meetings and outside activities as delegated.
  • Work with staff at all levels to ensure program measures are met.
  • Assist in developing and reviewing policies, procedures, clinical guidelines, and ancillary guidelines for patient care.
  • Ensure medical appropriateness criteria for intensity of service and severity of illness 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 members' health premium costs, which 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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