Registered Nurse / Care Manager (RN) - Outpatient Care (Hybrid, Poughkeepsie, NY)

Job Description

Sun River Health provides the highest quality of comprehensive primary, preventative and behavioral health services to all who seek it, regardless of insurance status and ability to pay, especially for the underserved and vulnerable. Sun River Health is a Federally Qualified, Non-Profit Health Center serving communities in Suffolk, Rockland, Orange, Dutchess, Ulster, Sullivan, Columbia and Westchester County. Sun River Health is currently looking for a full-time RN Care Manager to join our team, available for both onsite and hybrid work at our Poughkeepsie site.

Position Summary

The RN Care Manager is responsible for coordinating screenings, assessments, care planning, and providing care management services to patients identified as having complex chronic care needs. Acts as a connector between patient needs and the resources provided by the care management program. The RN care manager will promote self-care management and assist with access to care. The RN care manager works with patients through direct face to face patient contact or telephonically. Provides guidance and leadership in the care management program to those in the healthcare organization as well as ensuring the patients receive the best possible care.

Essential Duties and Job Responsibilities :

• Interview patients to gather their health history, including details about current complaints and past and present medication use, ensuring proper patient identification; document the information in patient charts (must be time-stamped and / or initialed).
• Maintain patient medical records and document the following : nursing observations, vital signs, reactions to tests (e.g., PPD results, in-house testing), and other relevant information.
• Prepare equipment and assist physicians during patient treatments and examinations.
• Initiate follow-up as necessary and instruct patients on healthcare issues as indicated by the physician, diagnosis, or patient inquiries.
• Assess and triage patients as they present, either by telephone or in person.
• Demonstrate knowledge of growth and development principles across the lifespan and provide appropriate care.
• Attend mandated training sessions and stay updated on all nursing procedures, including relevant protocols.
• Provide organizationally approved patient education materials, including information on health promotion and disease management.
• Assist in maintaining patients' health and wellness, preventing secondary disease complications by offering education, counseling, and support.
• Handle protected health information in accordance with the Health Insurance Portability and Accountability Act (HIPAA).
• Collaborate with interdisciplinary teams to assess patient needs and deliver care for identified populations upon discharge from various clinical settings. Support care transitions by coordinating activities to prevent or reduce the use of emergency services or hospitalizations.
• Ensure ongoing and timely reassessment and follow-up of all care plans on a scheduled basis, with timely updates and documentation of patient progress toward established goals.
• Promote the coordination of relevant health and social care services to eliminate barriers related to social determinants of health.
• Identify, track, and manage care for designated risk-stratified patients.

Essential Job Qualifications

Registered Nurse - NYS

Essential Skills & Knowledge

Job Type : Full-time

Pay Range : $45.00 - $53.00 per hour

About Sun River Health

Sun River Health has a rich history of providing quality, affordable health care to communities in need. Founded in the early 1970s by four African American women in Peekskill, New York, the organization was established to address the lack of accessible health services in their community. With the help of a small federal grant, the first Sun River Health site opened its doors in 1975. Over the years, Sun River Health has grown into a comprehensive Federally Qualified Health Center (FQHC) system with over 45 locations, serving more than 250,000 patients across the Hudson Valley, New York City and Long Island. Our exceptional primary care practitioners, specialists and support staff are dedicated to delivering high-quality care to all individuals, regardless of their ability to pay. In December 2018, Sun River Health expanded its reach by merging with Brightpoint Health, an FQHC network offering integrated medical, behavioral and social support services in New York City. This merger allowed us to enhance our services and continue our mission under the unified name of Sun River Health.

Our Culture

At Sun River Health, we believe in fostering a culture of wellness, inclusivity and recognition. Our Workforce Wellness Program promotes staff wellness through ongoing challenges and activities, encouraging participation and rewarding engagement. We celebrate our staff's dedication and person-centered spirit through the Planetree Recognition Awards, which honor innovation, leadership and community spirit. We are committed to creating a supportive and collaborative work environment where all team members can thrive. Our values of respect, integrity and excellence guide our interactions with patients and colleagues alike, ensuring that everyone receives the care and support they deserve.

Benefits

At Sun River Health, we are committed to building a personal relationship with our team and supporting you in every way we can. We offer competitive compensation and a comprehensive benefits package for you and your family, including :

Why Join Sun River Health?

Join us at Sun River Health and be part of an award-winning network of care that has been serving our communities since 1975. We are always looking for skilled and dedicated professionals to join our team and help us continue our mission of providing quality health care to all.

Responsibilities

Relation to Mission

The mission of Sun River Health is to increase access to comprehensive primary and preventive health care and to improve the health status of our community, especially for the underserved and vulnerable.

Equal Employment Opportunity

Sun River Health provides equal employment opportunities to all qualified individuals without regard to race, creed, color, religion, national origin, age, sex, marital status, sexual preference, or non-disqualifying physical or mental handicap or disability in each aspect of the human resources function.

Americans with Disabilities Act

Applicants as well as employees who are or become disabled must be able to perform the essential job functions either unaided or with reasonable accommodation. The organization shall determine reasonable accommodation on a case-by-case basis in accordance with applicable law.

Job Responsibilities

The following statements reflect the general duties, responsibilities and competencies considered necessary to perform the essential functions of the job and should not be considered as a detailed description of all the work requirements of the position. Sun River Health may change the specific job duties with or without prior notice based on the needs of the organization.