RN Care Manager - Phoenix Market

Duties/Responsibilities

• Establish a trusting relationship with patients, their families, and/or caregivers.
• Collaborate with clinical staff and other care team members to achieve patient goals.
• Reduce network costs by driving referrals to preferred groups and identifying excessive referral requests.
• Identify high-risk/complex patients.
• Assess physical, functional, social, psychosocial, environmental, learning, and financial needs and develop a comprehensive, individualized care plan based upon identified needs.
• Perform case management following the nursing process and standards of practice established by the Case Management Society of America (CMSA).
• Provide patient education, care coordination, and other interventions needed to help patients achieve their health goals.
• Utilize Motivational Interviewing to build patient engagement.
• Evaluate progress toward patient’s goal achievement.
• Communicate telephonically with hospital case managers, physical therapists (PT), social workers, patients, and families/caregivers to facilitate a safe discharge plan.
• Manage and plan for transitions of care.
• Conduct transitions of care assessment/screening, medication reconciliation, and care coordination following discharge to home.

Required Skills/Abilities

• Ability to plan, implement and evaluate patient specific care plans.
• Experience with monitoring, assessing, recording, and adjusting plan accordingly.
• Working knowledge of patient medical records.
• Working knowledge of community-based organizations and social services support agencies/network.
• Strong interpersonal communication skills with exceptional active listening abilities.
• Highly empathetic, non-judgmental, and open-minded.
• Experience in a collaborative team environment.
• Self-starter, critical thinker, and owner.
• Demonstrated ability to work independently in a remote setting.

Education and Experience

• Associate degree in Nursing required.
• Bachelor’s Degree in Nursing (BSN) or RN with bachelor’s degree in a related clinical field preferred.
• A valid, active, unrestricted Registered Nurse (RN) license in State of employment required.
• Willingness to obtain an RN license in other states with an ArchWell Health center (compact and non-compact locations).
• A minimum of 2 years’ clinical work experience required.
• A minimum of 1 year of utilization review, home health, discharge planning experience highly desired.
• A minimum of 1 year of case management experience in acute case management or ambulatory case management experience highly desired.
• Certified Case Manager certification is preferred. Certification through the Commission for Case Manager Certification (CCMC) or the American Association of Managed Care Nurses (CMCN) or willingness to obtain certification within a specified time.
• IDC-10, CPT codes, HCPCS knowledge preferred.
• Managed care experience including knowledge of HEDIS and CMS guidelines preferred.

Company Information

ArchWell Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to their race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other protected classification.