Registered Nurse

FAMILY HEALTH CARE CENTER OF KALAMAZOO•Kalamazoo, MI

13d

About The Position

The RN Care Manager serves in an expanded healthcare role to collaborate with specialists, members of the healthcare team and patients/families to ensure the delivery of quality, efficient and cost effective healthcare services. Develops and assesses plan of care with patient/family, implements, monitors, and evaluates all options with the goal of optimizing patient’s health status. Utilizes evidence based clinical guidelines, preventive guidelines and protocols to develop patient centered care plans.

Requirements

Basic Life Support/CPR training
Demonstrates customer focused interpersonal skills to interact in an effective manner with practitioners, interdisciplinary health care team, community agencies, patients/families with diverse opinions, values as well as religious and cultural beliefs.
Demonstrates excellent written, verbal/listening skills.
Demonstrates positive relationship building skills and critical analysis skills.
Demonstrates ability to work autonomously and be accountable for practice.
Demonstrates ability to influence to influence and negotiate individual and group decision.
Demonstrates ability to function in a fluid, dynamic changing environment.
Must be licensed as an RN in the state of Michigan.
Must have experience with children & families in individual and group sessions.
Minimum of three years’ experience with adult medicine in primary care/ambulatory care, home health agency, skilled nursing facility or hospital medical-surgical setting within the past five years or an equivalent combination of education, and experience to perform the duties and responsibilities of the job.

Nice To Haves

Ability to speak Spanish is preferred.
Appropriate certification in Case Management preferred.

Responsibilities

Consults and communicates care objectives with primary care providers, specialists and community resources to aid patient in achieving healthcare goals.
Identifies the targeted population by referral from primary care provider, patient registries.
Assesses the healthcare, education and psychosocial needs of the patient/family.
Identifies and maintains relationships with referral and community resources.
Collaborates with primary care provider, patient, the healthcare team as well as community resources.
Develops an individualized plan of care with targeted interventions, monitors patient and family’s response to plan of care and adjusts plan of care as needed.
Provides patient with self-management tools/support to build ability for self-care.
Maintains required documentation for all case management activities.
Reviews current literature regarding engagement strategies, communication strategies and incorporates best practices into clinical setting.
Maintain records and enter information into database as required.
Other duties as assigned.