RN Care Manager

About the role

Responsible for coordinating medical treatment, including administering assessments, developing care plans, and monitoring medication compliance. Develops relationships with patients to facilitate ongoing care management compliance. Connects patients with social and community support systems for continuation of care. Responsible for analytical and QM/RM support for initiatives and projects including but not limited to data facilitation/problem solving and coordinating the implementation of processes to ensure regulatory compliance.

Responsibilities

• Aids departments and senior management in a professional and timely fashion.
• Aids the clinic in improving care management processes by providing consultative services that assure a proactive versus reactive approach.
• Provides oversight of the care management model.
• Analyzes social determinants of health for populations served.
• Makes improvements to connect patient resources with patient needs.
• Builds health equity for populations served.
• Collaborates with external referral sources.
• Ensures appropriate utilization of healthcare resources to maintain PCMH certification.
• Assists with conducting and monitoring annual wellness visits (AWV).
• Creates a pathway for capturing relevant patient conditions to obtain accurate risk scores for individual care planning.
• Develops, identifies, and analyzes data and information for organizational-wide CM initiatives.
• Identifies EHR efficiencies to improve documentation of chronic care management and promote interoperability.
• Collaborates with the chronic care management program to improve preventive screening rates.
• Aids providers in meeting quality and efficiency outcomes through coordination of care.
• Utilizes data to improve efficiency.
• Coordinates with medical providers and Doctor's Alliance to monitor home health certifications and recertifications for compliance.
• Supports the activities of teams including but not limited to Quality, Infection Control, Pharmacy, Environment of Care, Emergency Preparedness and Specialty ADHOC Committees.
• Provides and coordinates care management related education for clinic and medical staff.

Requirements

• Licensure/Certification/Registration: Current licensure as a Registered Nurse in the State of Oklahoma.
• Education: BSN or higher preferred. Nursing Case Management Certification (CMGT BC) OR related field with a minimum of 5 years of related experience required.
• Experience: Minimum of three (3) years of bedside nursing experience. Experience in care management or population health management preferred.
• Proven record of achievements and leadership, problem solving, and effective communication skills required.

Qualifications

• Proven record of achievements and leadership, problem solving, and effective communication skills required.

Skills

• Excellent interpersonal and communication skills.
• Strong analytical and problem-solving abilities.
• Ability to manage multiple priorities and meet deadlines.
• Proficiency in Microsoft Office Suite.

Benefits

• Professional development opportunities.
• Flexible work schedule.
• Health insurance coverage.
• Retirement plan options.

Pay

Salary is commensurate with experience.

Schedule

Full-time position.