Pediatric Care Manager, Registered Nurse
Advocate Aurora Health
full-time
Posted on:
Location Type: Office
Location: Charlotte • North Carolina • 🇺🇸 United States
Visit company websiteSalary
💰 $38 - $56 per hour
Job Level
Mid-LevelSenior
About the role
- 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 to enable the care management team to achieve maximum clinical and financial outcomes.
- Collaborates with the patient/family and inter-professional team 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.
- Partners with patient and family to develop SMART (specific, measurable, attainable, relevant, time-bound) goals as appropriate to the population.
- 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 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 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.
Requirements
- Registered Nurse license issued by the state in which the team member practices
- Bachelor's Degree in Nursing or related field
- Typically requires 5 years of experience in clinical nursing or 1-2 years of care management experience
- 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
Benefits
- Paid Time Off programs
- Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
- Flexible Spending Accounts for eligible health care and dependent care expenses
- Family benefits such as adoption assistance and paid parental leave
- Defined contribution retirement plans with employer match and other financial wellness programs
- Educational Assistance Program
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
clinical nursingcare managementpatient assessmentevidence-based approachesSMART goals developmentdocumentationpatient self-management educationproblem solvingcritical thinkingorganizational skills
Soft skills
communicationinterpersonal skillsself-directedteamworkadaptabilitypatient advocacycollaborationprioritizationindependencecustomer service
Certifications
Registered Nurse licenseapplicable certification