Nurse Case Manager

Charles Drew Health Centers • Omaha, NE

124d • $60,000 - $80,000

About The Position

The Nurse Case Manager (NCM) is responsible for managing patients with chronic diseases such as diabetes mellitus, hypertension, asthma, and obesity. The NCM will promote effective education, self-management support and timely healthcare delivery to achieve optimal quality and financial outcomes. Responsibilities include coordinating patient care to improve quality of care through the efficient use of resources and thereby enhancing quality, cost-effective outcomes. The NCM works in collaboration and continuous partnership with the patient and their family/caregiver(s), clinic providers and community resources in a team approach to minimize fragmentation of healthcare delivery systems, while increasing the patient’s ability for self-management and shared decision making. This position is committed to the constant pursuit of excellence in improving the health status of the community.

Requirements

• Completion of Nursing Program required.
• Bachelor’s Degree in Nursing strongly preferred.
• LPN or RN license required.
• 1+ years in ambulatory health care.
• Experience in disease management, population health efforts, case management or quality improvement preferred.
• Strong interpersonal and organizational skills.
• Proficient verbal, written and reporting skills.
• Experience with Microsoft applications (Excel required), internet, email.
• Good record keeping methods.
• Ability to achieve measurable outcomes.
• Ability to handle multiple tasks.
• Knowledge of medical terminology.
• English fluency.

Responsibilities

• Collaborate with Providers and practice staff in identifying appropriate patients for case management, utilizing established case management criteria.
• Oversee systems for identifying high risk patients through the EHR, referrals, and registries from health insurance payers.
• Identifies patients with chronic disease who are due for services and coordinates efforts to contact them to schedule needed services.
• Formulates and implements a case management plan that addresses the patient’s identified needs, issues, resources, and care goals.
• Establish a case management plan that is mutually agreed upon by the health care team and the patient/family.
• Promotes patient self-management and empowers patients/families to achieve maximum levels of wellness and independence.
• Performs follow-up calls for patients recently discharged from acute hospitalizations and are considered high risk for readmission.
• Maintains EHR databases on case managed population.
• Provide direct nursing care as indicated and/or provide nursing back-up in the event of staff shortage.
• Follow-up with patients within 24 hours on inpatient discharge and within 48 hours of ED visit notification.
• Develop care plans to prevent disease exacerbation.
• Provide patient/family education regarding chronic disease, medications, self-management goals, etc.
• Proactively support Primary Care Medical Home initiatives related to care coordination.
• Participate in Quality Improvement Committee activities and trainings.
• Participate in care team huddles.
• Participates in community preventative health activities.
• Works collaboratively with leadership team to improve and enhance care delivery through the evaluation, development and enhancement of policy and procedures.
• Develops data-informed interventions to improve organizational performance in quality of care and cost of care metrics related to chronic disease.
• Develops and conducts staff training as appropriate and necessary.
• Oversee educational literature for patients and for staff.
• Performs other duties as assigned.

Benefits

• Salary Range: $60000.00 - $80000.00 Salary/year
• 40 hrs/wk work hours
• Minimal travel

What This Job Offers

• Job Type: Full-time
• Education Level: Bachelor's degree