RN Care Manager, Ambulatory

Sanford Health•Bemidji, MN

4d•$34 - $48•Onsite

About The Position

Sanford Health’s Ambulatory Clinic Care Manager supports patients in achieving health outcomes through care coordination, chronic disease management, and patient advocacy. The role works with patients and an interdisciplinary care team in a clinic-based setting and follows a weekday schedule. The position uses the nursing process to provide individualized care and collects and relays assessment, screening, diagnostic testing, and risk-stratification information to providers for enrolled hospital and clinic patients. The Care Manager provides patient education and individualized care plans, coordinates care across the continuum with interprofessional teams and community partners, and applies population-health management strategies to patient panels. The role also supports health and wellness, evidence-based practice, and designated program goals, while practicing within applicable nursing standards, regulations, and scope of practice.

Requirements

Graduate from an accredited nursing program, including a program accredited by CCNE, ACEN, or NLN CNEA.
Hold an unencumbered RN license with the State Board of Nursing where practice occurs, or possess multistate licensure if practicing in an NLC state.
Obtain and maintain required department-specific competencies and certifications.
Obtain Basic Life Support (BLS) certification within six months of employment.
Possess a valid driver’s license.
Bachelor’s degree in Nursing is required in Fargo and Sioux Falls (Sanford USD Medical Center and Clinics), and in Bismarck, or enrollment in and start of a bachelor’s program within one year of hire with completion within three years of hire. In specified Fargo and Sioux Falls network circumstances, leadership may consider an approved educational plan with continuous progress toward a Nursing bachelor’s degree within five years of hire; a Nursing Executive’s approval is required to waive the bachelor’s requirement at hire.
In Bemidji and Rapid City, a Bachelor’s degree in Nursing is strongly preferred.

Nice To Haves

At least two years of clinical experience is preferred.
A Bachelor’s degree in Nursing is strongly preferred in Bemidji and Rapid City.

Responsibilities

Use the nursing process to assess, plan, implement, and evaluate individualized nursing care.
Collect and relay assessment, screening, diagnostic testing, and risk-stratification information to providers for patients enrolled in approved programs.
Develop and provide individualized patient education based on assessed needs.
Develop and implement individualized care plans.
Coordinate patient care across the continuum in collaboration with the interprofessional team and community partners.
Work with the clinical team and potentially manage disease registries, identifying and following up with patients who are not meeting clinical and evidence-based goals or Sanford-approved clinical guidelines.
Provide services focused on health and wellness.
Provide healthcare leadership, coordinate services, and implement evidence-based practice in support of the goals of the assigned setting or program.
Apply population-health care-management strategies to patient panels.
Practice within the scope and standards of nursing practice and use age- and population-specific standards appropriate to the assigned clinical setting.