RN Care Manager
Company: Intermountain Health
Location: Longmont
Posted on: January 31, 2025
Job Description:
Job Description:Responsible for assessment, care coordination,
discharge planning, and post-acute referrals for patients with
complex medical and/or social determinants of health needs in the
acute hospital setting. As an RN Care Manager, you need to know how
to:
- Perform comprehensive assessment of patients health needs,
including health status and behaviors, level of function,
psychosocial situation, and available support systems and
determines potential needs.
- Establish care plans in collaboration with the primary care
physician and the patient care team.
- Provide health education.
- Identify patients at risk for proactive intervention.
- Pull and manipulate data to identify risk patients and present
information to the care team.
- Refer patients to a variety of resources including, but not
limited to: nutrition, social work, rehabilitation, behavioral
specialist, diabetes education, Healthy Living Workshop, etc.
- Contact patients who utilize ED or have been hospitalized after
discharge to determine the reason for the ED visit or
hospitalization and work with patient to develop a plan to avoid
those facilities.
- Coordinate care for complex cases or those patients seeing
multiple specialists.
- Maintain up-to-date and accurate documentation of patient
assessment and plan provided to the patient to ensure the effective
integration of information for use by the health care team to
ensure on-going and continued quality of care, in accordance with
evidence-based practice. Analyze patient care trends and actively
seek out and collaborate with the care team to improve overall
quality and efficiency of care.
- Use registry data to identify problems or gaps in services and
initiate intervention.
- Demonstrate critical thinking for problem solving and
prioritization.
- Participate and lead patient care conferences.
- Manage patient panel with physician office staff to identify
appropriate patients and measure outcomes.
- Collaborate with physicians and office staff.
- Pro-actively advocate for patient care issues to ensure that
overall quality and type of care is sensitive to each specific
patient/family's needs.
- Collaborate with payers and outside agencies to promote a
patient centered delivery concept.
- Participate in committees and activities related to the
development of Medical Home, Accountable Care Organization (ACO),
and other insurance carriers. Minimum Qualifications
- Bachelors Degree (BS/BA/BSN)
- Current RN license in state of practice
- Minimum of two (2) years of clinical experience in an
outpatient setting
- or a minimum of two (2) years of experience coaching
individuals with complex and/or chronic conditions Preferred
- Prior experience in care coordination in a community setting or
primary care practice
- Program development, operations management, and/or supervisory
experience Physical Requirements:Location:Platte Valley
HospitalWork City:BrightonWork State:ColoradoScheduled Weekly
Hours:40The hourly range for this position is listed below. Actual
hourly rate dependent upon experience. $39.99 - $59.18 We care
about your well-being - mind, body, and spirit - which is why we
provide our caregivers a generous benefits package that covers a
wide range of programs to foster a sustainable culture of wellness
that encompasses living healthy, happy, secure, connected, and
engaged. Learn more about our comprehensive benefits packages for
our Idaho, Nevada, and Utah based caregivers , and for our
Colorado, Montana, and Kansas based caregivers . Intermountain
Health is an equal opportunity employer. Qualified applicants will
receive consideration for employment without regard to race, color,
religion, age, sex, sexual orientation, gender identity, national
origin, disability or protected veteran status. All positions
subject to close without notice.
Keywords: Intermountain Health, Longmont , RN Care Manager, Executive , Longmont, Colorado
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