Registered Nurse (RN) Care Manager - Hybrid Hartford

Department :

10170 Population Health - WI Health Coaches

Status : Full time

Full time

Benefits Eligible : Hou rs Per Week :

Hou rs Per Week :

Schedule Details / Additional Information :

Full Time. Hybrid role

Hours typically M-F 8-5

with some late nights and weekends if patient schedules require.

Looking for candidates with flexibility to work 8 hour shifts between 8am -830pm

WI licensure is needed

Major Responsibilities :

Facilitates communications among patient / family, multidisciplinary team, medical management team, community resources and other disciplines to anticipate, identify, evaluate, and act to resolve any potential barriers and constraints to delivery of care in a timely manner.

Understands and interprets multiple contracts and contractual obligations in order to enable the care management team to achieve maximum clinical and financial outcomes.

Collaborates with the patient / family and inter-professional team including the primary care team, hospital care team, post acute care managers, and other care partners to provide a model of care that ensures the delivery of quality, efficient, and cost-effective healthcare services.

May work embedded within a provider office or telephonically working with a care team.

Uses evidenced-based approaches to increase patient and family activation and engagement in their own care. As appropriate to the population, partners with patient and family to develop SMART (specific, measurable, attainable, relevant, time-bound) goals.

Assists in the development, procurement, and adoption of patient self-management educational resources.

• Identifies potential barriers to learning and / or to the optimal delivery of care. Reports abnormal findings to the responsible provider / care team, and collaborates to develop a plan.
• Independently manages CM caseload according to department expectations. Ensures timely completion of tasks and documentation related to MCO, regulatory and contractual requirements.
• Partners with identified at-risk patients throughout the diagnosis, treatment and follow-up in order to deliver continuity of care.

Anticipates the needs of the patient, recognizes and responds to changes in a patient’s status and determines priorities of patient care based on essential patient needs.

• Coordinates patient information and communication between and among the patient / family, the referring / accepting facilities and physicians, community caregivers (as applicable) and other members of ACM to ensure smooth transitions of care.
• Coordinates referrals to other internal AAH departments and / or external community resources as necessary.
• Must be able to demonstrate knowledge and skills necessary to provide care appropriate to the age of the patients served.

Must demonstrate knowledge of the principles of growth and development over the life span and possess the ability to assess data reflective of the patient's status and interpret the appropriate information needed to identify each patient's requirements relative to his / her age-specific needs, and to provide the care needed as described in the department's policies and procedures.

Age-specific information is developed further in the departmental job standards.

Licensure, Registration, and / or Certification Required :

Registered Nurse WISCONSIN license issued by the state in which the team member practices.

Education Required :

Bachelor's Degree in Nursing or enrolled in BSN program

Experience Required :

Requires 5 years of experience in clinical nursing or strong preference for 1-2 years of care management experience.

Knowledge, Skills & Abilities Required :

• Applicable certification is encouraged.
• Must be self-directed with the ability to work well independently and within a team environment while recognizing and meeting the individual needs of external and internal partners / customers.
• Ability to demonstrate excellent oral, written and interpersonal skills.
• Ability to demonstrate critical thinking, problem solving and excellent organizational skills.
• Ability to work productively and effectively in a complex environment that includes multiple changing priorities.
• Demonstrated ability to work well with physicians and other healthcare professionals in a direct and positive manner.
• Proficient computer / Microsoft-suite skills and previous Epic EMR experience.
• Ability to handle multiple responsibilities.

Physical Requirements and Working Conditions :

• Position may require travel between clinic sites so there may be exposure to road and weather conditions.
• Manual dexterity required for operation computer and calculator.
• Visual acuity required to facilitate review of written documents / computer screens, medical records, and to record information accurately.
• Clear oral communications and hearing acuity required for receiving instructions and converse on standard telephone.
• Functional speech and hearing to allow for effective communication of instructions and conversation over the telephone.
• Exposed to normal office environment; including usual hazards related to operating electrical equipment.
• Operates all equipment necessary to perform the job.

About Advocate Health

is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health.

Providing care under the names in Illinois; in the Carolinas, Georgia and Alabama; and in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care.

Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with serving as the academic core of the enterprise.

It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs.

Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation’s largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs.

Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.