TCHP Care Manager-RN - Ft Wright Care Management - Full Time - Days

The Christ Hospital Health Network • Fort Mitchell, KY

6d • Onsite

About The Position

The Ambulatory Care Manager (RN) provides comprehensive clinical care management services to identified eligible patients across the healthcare continuum. This role focuses on coordinating care to improve health outcomes, enhance patient self-management, reduce unnecessary utilization, and ensure cost-effective, high-quality care. The Care Manager performs standardized comprehensive assessments, identifies and addresses barriers to care, and collaborates with patients, providers, and the interdisciplinary care team to develop and implement individualized care plans. The role primarily supports high-risk patients with multiple comorbidities or increased risk for hospital admission or readmission and facilitates seamless care transitions following inpatient or emergency department encounters. The role’s high-level goal is to reduce readmissions by facilitating smooth transitions and identifying and mitigating risks.

Requirements

• Registered Nurse (RN) license
• Experience in clinical care management
• Ability to perform comprehensive assessments
• Skill in identifying and addressing barriers to care
• Collaboration skills with patients, providers, and interdisciplinary teams
• Experience in developing and implementing individualized care plans
• Experience supporting high-risk patients with multiple comorbidities
• Experience facilitating care transitions

Responsibilities

• Provides comprehensive clinical care management services to identified eligible patients across the healthcare continuum.
• Coordinates care to improve health outcomes, enhance patient self-management, reduce unnecessary utilization, and ensure cost-effective, high-quality care.
• Performs standardized comprehensive assessments.
• Identifies and addresses barriers to care.
• Collaborates with patients, providers, and the interdisciplinary care team to develop and implement individualized care plans.
• Primarily supports high-risk patients with multiple comorbidities or increased risk for hospital admission or readmission.
• Facilitates seamless care transitions following inpatient or emergency department encounters.
• Reduces readmissions by facilitating smooth transitions and identifying and mitigating risks.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level