RN Care Manager

About the role

Indian River Hospital is seeking an RN Care Manager to join its compassionate nursing team. The position involves coordinating care and disease management for high-risk patients with chronic conditions or surgical episodes.

Responsibilities

• Identify patients with ongoing care coordination needs for their specialty condition.
• Outline the nature and duration of involvement needed by the specialty care team and specialty care coordinator, and identify the primary care team involved.
• Utilize assessment skills and risk assessment tools to identify patients with actual or potential care needs that would require care coordination.
• Conduct targeted outreach to a defined panel of high-risk patients to ensure timely and efficient care delivery across the continuum of care.
• Utilize technological tools to manage populations and conduct comprehensive clinical assessments that include disease-specific, age-specific, medical, behavioral, pharmacy, social, and end-of-life needs of each patient.
• Inform patients, families, and healthcare teams regarding coordination of their care, develop goals and plan interventions to maximize patient outcomes, monitor patient compliance with plan of care, perform reassessments regarding patient progress toward goals, and update plan of care as appropriate.
• Ensure care gaps are closed around specialty disease/chronic disease/surgical episodes, serve as the primary patient contact for the team related to condition/surgical episode, and facilitate access to services.
• Cook up and coordinate members of the patient care team, serve as the liaison between patients, families, physicians, and clinical staff by advocating for patients and families, respond to and facilitate resolution of patient and family questions and concerns, assist in managing transitions of care across care settings, identify barriers to receiving care and facilitate solutions, define and ensure compliance with disease-specific care paths for specialty care or chronic disease, work with the patient and family to assess current knowledge, health literacy, and readiness to change, coach and educate patients and families on self-management support and managing a specialty or surgical condition.

Requirements

• Graduate from an accredited school of professional Nursing (Diploma, ADN or BSN program)
• Current state licensure as a Registered Nurse (RN)
• Basic Cardiac Life Support (BLS)
• Three to five years of nursing experience

Preferred qualifications

• Bachelor’s of Science in Nursing (BSN)
• Specialty certification

Physical Requirements

Requires full range of motion, manual and finger dexterity and eye-hand coordination. Requires corrected hearing and vision to normal range. May require some exposure to communicable diseases or bodily fluids. Light Work - Exerting up to 20 pounds of force occasionally, and/or up to 10 pounds of force frequently, and/or a negligible amount of force constantly (Constantly: activity or condition exists 2/3 or more of the time) to move objects. Even though the weight lifted may be only a negligible amount, a job should be rated Light Work: (1) when it requires walking or standing to a significant degree; or (2) when it requires sitting most of the time but entails pushing and/or pulling of arm or leg controls; and/or (3) when the job requires working at a production rate pace entailing the constant pushing and/or pulling of materials even though the weight of those materials is negligible.

Personal Protective Equipment

Follows Standard Precautions using personal protective equipment as required for procedures.

Pay

Salaries [which may be] shown on independent job search websites reflect various market averages and do not represent information obtained directly from The Cleveland Clinic. Because we value each individual candidate, we invite and encourage each candidate to discuss salary/hourly specifics during the application and hiring process.