Registered Nurse, Ambulatory Care Manager – Population Health

Bon Secours Mercy Health

Registered Nurse Ambulatory Care Manager coordinating chronic-care and population-health services for Mercy Health patients in Toledo. Developing care plans, managing referrals, and improving outcomes remotely with local onsite rounding.

Posted 8/4/2026full-timeToledo • Ohio • 🇺🇸 United StatesJuniorMid-Level💰 $39 - $62 per hourWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in clinical care management, including care coordination, patient assessment, and chronic disease management. Proficient in utilizing Motivational Interviewing techniques to enhance patient self-management and improve health outcomes.

Highest-signal resume keywords

Registered Nurse LicenseCase Management CertificationChronic Disease ManagementMotivational InterviewingPatient Outreach

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Clinical Care ManagementComprehensive Needs AssessmentMedication ReviewData ManagementCare Plan Development

Soft Skills

Interpersonal CommunicationNegotiation SkillsAnalytical Skills

Tools & Technologies

Electronic Medical Record

Certifications & Qualifications

Registered Nurse LicenseCase Management Certification

Industry Keywords

Transitions of CareComplex Case ManagementChronic Disease ManagementPatient ExperienceAdvanced Directives

About the role

Key responsibilities & impact

Provide clinical care management services to identified eligible patients
Coordinate care to obtain desired health outcomes, improve self-care abilities, and decrease unnecessary cost of care
Perform standardized comprehensive needs assessments, identify barriers to care, and align patients with benefits and resources
Collaborate with patients, providers, and care teams to develop and implement medically appropriate, cost-effective care plans
Use Motivational Interviewing to activate patients in self-management of chronic conditions
Maintain a caseload according to department policies
Identify, enroll, and manage patients in Transitions of Care, Complex Case Management, and Chronic Disease Management programs
Review and update care plans according to department protocols
Perform medication reviews and teach-back
Collaborate with PCPs, Specialists, and Hospitalists
Conduct patient outreach and document in the electronic medical record
Identify, execute, and track referrals to care and community resources
Provide resource management to improve care, patient experience, and utilization
Assist patients with advanced care planning and Advanced Directives
Document communications with patients and care teams in the electronic medical record

Requirements

What you’ll need

Associate’s Degree in Nursing required
Bachelor’s Degree in Nursing (BSN) preferred
Active Registered Nurse license in the state of patient care required
Case Management certification preferred
2–3 years of acute care, home health, or case management experience
Excellent interpersonal communication and negotiation skills
Strong analytical, data management, and computer skills
Demonstrated success improving the health of a distinct ambulatory or community patient population preferred
Knowledge and skills to provide age-appropriate care to assigned patients
Knowledge of life-span growth and development principles
Ability to assess patient-status data and interpret information to identify patient requirements

Benefits

Comp & perks

Competitive pay
Incentives
Referral bonuses
403(b) with employer contributions (when eligible)
Medical, dental, vision, and prescription coverage
HSA/FSA options
Life insurance
Mental health resources and discounts
Paid time off
Parental and FMLA leave
Short- and long-term disability
Backup care for children and elders
Tuition assistance
Professional development
Continuing education support