NURSE CARE MANAGER RN

SANTA ROSA COMMUNITY HEALTH•Santa Rosa, CA

2d•$51 - $64

About The Position

The Nurse Care Manager is responsible for direct and indirect patient care and education per their scope of practice. S/he participates in the case management of complex clinical patients. Evaluates and utilizes quality assurance functions for individual patients as well as through population health measures.

Requirements

Current California NP or RN license.
Current CPR certification.
Two years’ experience in nursing preferred
Good knowledge of the nursing process and critical thinking abilities.
Knowledge of electronic medical records and tracking systems.
Ability to communicate clearly and effectively through verbal, written, and electronic means.
Ability to work independently as well as a member of the medical team.
Must have current driver’s license and reliable transportation.

Nice To Haves

Bilingual in Spanish and English preferred.

Responsibilities

Assists with meeting the needs of complex medical patients, including assessment and treatment, education, referrals, and follow-up care. This may involve face-to-face, phone meetings, and review of electronic messaging and media.
Provides nursing care in compliance with, Santa Rosa Community Health’s policies, and State of California guidelines. This is inclusive of assigned functions within electronic health records.
Visits with patients in multiple setting: Home, Hospital, SNF, clinic and community.
Interprets information obtained from patient and others, including the health care team, and documents all clinical care in the patient’s electronic medical record.
Provides general care coordination including but not limited to: patient triage, phone call-backs, prescription refills, lab ordering and interpretation, medical case management and linkage to community partners and resources.
Performs education and counseling about disease management process.
Works closely with PCP to create and monitor a Comprehensive Care Plan.
Maintains tracking system. Documentation on care management activities.
After hours call participation for case load as program indicates.
Maintains skills proficiency.
Performs related duties as requested.