Care Manager RN

Responsibilities

• Develops personalized treatment plans using provider care plans and member preferences using a coach approach and the pillars of Lifestyle Medicine
• Supports a proactive, multidisciplinary team approach directed toward prevention, education and health promotion
• Establishes supportive relationship with members
• Affirms member’s educational/clinical/social needs, prioritizing care based on elicited information from the member, Epic, and data analysis
• Acts as resource for members
• Documents touchpoints and progress into the electronic medical record
• Collaborates with the full scope of clinical team members to arrange for further medical treatment when needed
• Provides support and tools needed to help members take control of their health
• Delivers exceptional member experiences and engages members in their healthcare journeys
• Improves health outcomes and better manages any chronic condition
• Lowers healthcare costs while improving outcomes
• Consults with other members of the healthcare team to solve problems and seek advice
• Works closely with client’s vendors as appropriate to support member’s needs where appropriate
• Identifies emergency situations and provides care within legal scope of practice
• Maintains member privacy and confidential member information
• Participates in outreach/follow-up phone calls and follow-up member visits
• Provides condition specific self-care education to client employee enrolled in the various condition management programs
• Serves as member advocate
• Acts as facilitator of Care Team meetings.
• Coaches effectively virtually using video and phone
• Collaborates with health center staff to coordinate and promote health and wellness programs

Qualifications

• Currently licensed Registered Nurse in state of practice
• Current certification AHA or ARC Basic Life Support for health care providers
• Bachelor's degree (BSN) from four-year college or university (preferred)
• At least three years’ experience as a Registered Nurse caring for members with any of the following conditions: Type 2 diabetes, asthma, heart disease, heart failure or hypertension.
• Experience in Condition Management, Certificate in Case Management, Care Coordination, Certified Diabetes Educator (CDE) Certified Diabetes Care and Education Specialist (CDCES) a plus