RN Care Manager

NeighborHealth•Charleston, WV

66d•$44 - $64•Onsite

About The Position

The SCO nurse case manager acts as a liaison between the patient, their family and healthcare personnel to ensure efficient, prompt health care services and to minimize fragmentation and duplication of services. Care plans for SCO patients both the medical necessitates as well as psychosocial needs of each patient and are developed in collaboration with other SCO team Members to ensure the most cost effective plan is implemented. Nurses work closely with patient and in their families in creating a care plan in order to adjudicate the patient’s wishes for health care with the goal of maintaining independence and safety in the community. Nurse case managers are expected to control the health center resources and home services through periodic reviews of the care plan, maintain continuity of care between home, health center and hospital, provide nursing centered office visits and home visits. In addition, excellence in this position includes global skills and capabilities beyond baseline competence. These include demonstrating and comprehensive understanding of the department’s immediate needs and long term growth goal.

Requirements

Graduation from an accredited nursing program
RN licensure in Massachusetts
BLS certification
At least one year of relevant nursing experience in a community health and/or ambulatory care setting preferred
Demonstrated ability to communicate effectively verbally and in writing
Familiarity with Windows operating system preferred

Nice To Haves

Bilingual skills preferred

Responsibilities

Acts as a liaison between the patient, their family and healthcare personnel to ensure efficient, prompt health care services and to minimize fragmentation and duplication of services.
Develops care plans for SCO patients, addressing both medical necessities and psychosocial needs, in collaboration with other SCO team members to ensure the most cost-effective plan is implemented.
Works closely with patients and their families in creating a care plan to adjudicate the patient’s wishes for health care with the goal of maintaining independence and safety in the community.
Controls health center resources and home services through periodic reviews of the care plan.
Maintains continuity of care between home, health center and hospital.
Provides nursing-centered office visits and home visits.
Demonstrates a comprehensive understanding of the department’s immediate needs and long-term growth goals.