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RN Ambulatory Care Manager
IMHRN ambulatory care manager coordinating chronic disease care for Intermountain Health patients. Developing patient-centered care plans and supporting transitions across clinics, communities, and post-acute settings.
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in delivering patient-centered care management, including conducting assessments, developing care plans, and coordinating services. Proficient in chronic disease management and effective communication with healthcare teams and patients.
Highest-signal resume keywords
Registered Nurse (RN) LicenseBachelor of Science in Nursing (BSN)Chronic Disease ManagementCare Management CertificationCase Management Experience
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Patient-Centered Care PlansCare Management ScreeningsMotivational InterviewingRoot Cause AnalysisUtilization ReviewDischarge PlanningBasic Computer SkillsMicrosoft Office Proficiency
Soft Skills
CollaborationCommunicationPatient EducationBehavior Change Support
Certifications & Qualifications
Basic Life Support (BLS) Certification
Industry Keywords
Chronic Disease TerminologySocial Determinants of HealthTransitions of CareMultidisciplinary Team-Based Care
About the role
Key responsibilities & impact- Deliver comprehensive ambulatory care management services to identified patients
- Conduct care management screenings, assessments, and evaluations
- Develop, implement, maintain, and monitor individualized, patient-centered care plans
- Identify patients for proactive interventions using screening criteria, medical record review, payor models, risk scores, or referrals
- Connect patients with community resources and coordinate internal and external services for social determinants of health needs
- Support patient self-management and behavior change through motivational interviewing and coaching
- Educate patients and healthcare team members about conditions, self-management, case management processes, and referrals
- Collaborate with physicians, healthcare teams, payers, families, community providers, and other care managers
- Participate in rounds or case conferences and facilitate multidisciplinary, team-based care
- Build partnerships supporting seamless transitions and continuity of care
- Participate in initiatives to improve transitions of care and avoid duplicative services
- Facilitate advance care planning and patient/family care conferences
- Conduct root cause analyses and track metrics related to extended stays, utilization, readmissions, and other trends
- Promote Intermountain Health’s mission, vision, values, and service behavior standards
Requirements
What you’ll need- Current Registered Nurse (RN) license in state of practice
- Bachelor of Science in Nursing (BSN) from an accredited institution; degree verification required
- RNs hired or promoted into this role must obtain a BSN within four years of hire or promotion
- MVR verification
- Demonstrated clinical nursing experience in chronic disease management
- Familiarity with chronic disease terminology and processes
- Understanding of disease management, including treatment, length of stay, barriers to care delivery, and variations
- Proficiency in basic computer skills and Microsoft Office software
- For home or community visits: current BLS certification, current driver’s license, current auto insurance, acceptable driving record, and reliable transportation
- Care management certification preferred
- Experience in case management, utilization review, or discharge planning preferred
- Ability to perform the stated physical requirements, including patient transfers, lifting, ambulation assistance, equipment handling, computer use, and prolonged standing or driving as applicable
Benefits
Comp & perks- Benefits eligible
- Comprehensive benefits package covering programs for wellness, health, security, connection, and engagement
- PEAK program with up-front tuition coverage paid directly to the academic institution
- 100+ learning options, including undergraduate studies, high school diplomas, and professional skills and certificates
- PEAK eligibility beginning on day 1 of employment