RN Care Manager, Ambulatory

Sanford Health•Fargo, ND

About The Position

The RN Care Manager, Ambulatory, uses the nursing process to provide individualized nursing care and shares assessment, screening, diagnostic testing, and risk-stratification information with providers for hospital and clinic patients enrolled in approved programs. The role develops patient education and individualized care plans, coordinates care across the continuum with interprofessional teams and community partners, and supports health and wellness through population health care-management strategies. The position works with clinical teams and may manage disease registries, identifying and following up with patients who are not meeting clinical and evidence-based goals or Sanford-approved guidelines. It provides healthcare leadership, coordinates services, and implements evidence-based practice in support of the goals of the assigned setting or program. The RN practices within the applicable nursing scope, standards, and ethics, using age- and population-specific standards for the assigned clinical setting.

Requirements

Graduate from an accredited nursing program.
Bachelor's degree in Nursing is required in specified markets and preferred in Bemidji and Rapid City; location-specific exceptions and educational-plan provisions apply as described in the posting.
Hold an unencumbered RN license in the state where nursing is practiced, or multistate licensure if practicing in a Nurse Licensure Compact state.
Obtain and maintain required department-specific competencies and certifications.
Obtain Basic Life Support (BLS) within six months of employment.
Possess a valid driver's license.

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 provide individualized nursing care.
Collect and relay assessment, screening, diagnostic testing, and risk-stratification information to providers for enrolled hospital and clinic patients.
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 interprofessional teams and community partners.
Work with the clinical team and, when applicable, manage disease registries by identifying and following up with patients who are not meeting clinical and evidence-based goals or Sanford-approved guidelines.
Provide services focused on health and wellness.
Provide healthcare leadership, coordinate services, and implement evidence-based practice to support the goals of the assigned setting or program.
Apply population health care-management strategies to patient panels.
Maintain practice within the scope and standards of nursing practice and applicable state requirements.