Care Manager, RN
Advocate Aurora Health
full-time
Posted on:
Location Type: Remote
Location: United States
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Salary
💰 $38 - $56 per hour
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 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
Requirements
- Bachelor’s Degree in Nursing or related field
- Registered Nurse license issued by the state in which the team member practices
- Typically requires 5 years of experience in clinical nursing or 1-2 years of care management experience
- Applicable certification is encouraged
- Proficient computer/Microsoft-suite skills and previous Epic EMR experience
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 & Tools
clinical nursingcare managementevidence-based approachespatient self-managementSMART goals developmentdocumentationpatient assessmentcase management
Soft Skills
communicationcollaborationproblem-solvingpatient advocacyorganizational skillstime managementinterpersonal skills
Certifications
Registered Nurse licenseapplicable certification