Registered Nurse, Care Manager - Enhanced Care Management

Job Description

Job Description

ABOUT US :

Community health is about more than just vaccines and checkups. It’s about giving people the resources they need to live their best lives. At Neighborhood, this is our vision. A community where everyone is healthy and happy. We’re with you every step of the way, with the care you need for each of life’s chapters. At Neighborhood, we are Better Together.

As a private, non-profit 501(C) (3) community health organization, we serve over 500,000 medical, dental, and behavioral health visits from more than 100,000 people annually. We do this in pursuit of our mission to improve the health and happiness of the communities we serve by providing quality care to all, regardless of situation or circumstance.

We have been doing this since 1969 and it is our employees that make this mission a reality. Regardless of the role, our team focuses on being compassionate, having integrity, being professional, always collaborating, and consistently going above and beyond. If that sounds like an organization you want to be a part of, we would love to have you.

ROLE OVERVIEW and PURPOSE :

The RN Care Manager supports Enhanced Care Management (ECM) patients with complex medical conditions and completes medication reconciliation with pharmacies for all ECM-enrolled patients. This role will provide care coordination and connection to services and social support for ECM patients, including appointment scheduling and referral management. In addition, this role will require travel to Neighborhood Healthcare sites for designated meetings and trainings. This is a hybrid position, however, on-site expectations are dependent on performance.

RESPONSIBILITIES :

• Manages a caseload of patients with complex medical needs
• Engages, supports, and encourages patient activation towards achieving health goals
• Tracks medical and behavioral health outcomes in the web-based care management platform and patient electronic health information platform
• Improves health literacy by providing chronic medical and behavioral health education to patients and families
• Prioritizes patient cases for systematic population and caseload review by gathering input from ECM team members
• Facilitates communication between patients and providers by identifying health and wellness goals to incorporates into health action and shared care plans
• Coordinates physical care management and care coordination relationships with external healthcare providers
• Receives, identifies, and follows-up with treatment and medication alerts
• Consults with the ECM team members about clinical concerns and questions
• Ensures smooth transitions of care by coordinating patient admission and discharges with hospitals
• Conducts medication reconciliations with input from the providers
• Tracks and assures required assessments and screenings are performed, including comprehensive health assessments and shared care plans
• Reviews adult comprehensive health assessments upon completion by other care team members

Quality Management & Record Keeping

EDUCATION / EXPERIENCE :

ADDITIONAL QUALIFICATIONS (Knowledge, Skills and Abilities) :

Physical Requirements

Pay Range : $45.91 - $67.93 per hour, depending on experience. This role is eligible for a $2,500 signing bonus.

Compensation Disclosure : The posted salary range reflects the designated pay grade for this position. While this range represents the broader classification of the role, actual compensation will be based on several factors, including but not limited to : the candidate’s overall knowledge, skills, and experience, market data and industry benchmarks, internal equity within the organization, Budgetary considerations and organizational needs. As a result, placement within the range is not guaranteed, and the full pay grade range may not be utilized.