RN Care Manager- (Northwest, AR)

University of Arkansas•Fayetteville, AR

About The Position

We are seeking a dedicated and skilled RN Care Manager to join our Clinical Team at our Family Medical Center in Fayetteville, AR area. In this role, you’ll be pivotal to delivering exceptional, patient-centered care management to individuals with chronic conditions and complex health needs. This dynamic position combines clinical expertise with a passion for promoting wellness and improving patient outcomes. The RN Care Manager works closely with patients, families, providers, and interdisciplinary care teams to design and implement tailored care plans that empower patients to achieve optimal health and self-management. Through a combination of in-person and telephonic care, the RN Care Manager ensures seamless coordination of services, reducing inefficiencies and enhancing care quality. Key responsibilities include conducting transitional care outreach within 48 hours of hospital discharge, facilitating patient education, and supporting self-care initiatives. This role also focuses on achieving targeted outcomes aligned with organizational strategic goals and value-based care measures, contributing to the success of the patient-centered medical home model. If you are a compassionate, results-driven RN with a commitment to improving patient care and outcomes, we invite you to join our team and make a meaningful difference in the lives of our patients!

Requirements

Baccalaureate Degree, ADN, or Diploma.
RN Degree Major: Registered Nurse.
Valid Arkansas Registered Nursing License
Minimum of three (3) years RN experience in a clinical environment with current BLS certification.
Strong clinical knowledge and experience in managing chronic conditions.
Excellent communication and interpersonal skills to engage patients and interdisciplinary teams.
Proficiency in care coordination and transitional care management.
Ability to develop and implement patient-centered care plans.
Knowledge of value-based care principles and program measures.
Organizational and problem-solving skills to improve care efficiency.
Commitment to promoting patient wellness and self-management.

Nice To Haves

BSN
Care management experience in an Ambulatory setting.
Experience as a participant in continuous quality improvement.
Knowledge or experience in PCMH is desired.
Certification in Case Management (e.g. CCM, ANCC) or obtain within one (1) year of hire date.

Responsibilities

Nursing Process: Triage, assess, plan, implement, and evaluate nursing care and patient education via phone or in-clinic using the care management model.
Develop and manage care plans, assess progress, address barriers, and coordinate care for patients across inpatient and outpatient settings.
Deliver nursing care aligned with UAMS, ANA, AR State Board of Nursing, and specialty organization standards.
Evaluate patient progress toward desired outcomes and ensure care meets regulatory and clinical standards.
Coordinate patient education in collaboration with physician staff.
Education/Evidence-Based Practice (EBP)/Research/Quality Improvement (QI): Initiate performance improvement and evidence-based practice/research processes.
Evaluate the quality and effectiveness of nursing practices.
Integrate current evidence into nursing practices and promote a positive educational environment for students and staff.
Provide effective patient and family education.
Communication/Collaboration: Implement interdisciplinary, patient- and family-centered care plans.
Collaborate effectively with nursing staff, interdisciplinary teams, leaders, and stakeholders.
Document care accurately and report care variances through appropriate channels.
Professional Practice: Engage in unit/department activities and committees, such as the Professional Nursing Organization (PNO).
Commit to personal and professional growth as a nurse.
Evaluate performance against professional practice standards and use feedback to improve.
Maintain clinical competencies specific to the area of practice.