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About the role
Key responsibilities & impact- Advocates for the individuals health care needs with emphasis on responsible health practices, self-care management, and patient safety
- Identifies real and perceived barriers to establishing or maintaining the patients plan of care and develops plans with specific goals and interventions to address these barriers
- Provides care management for patients with complex medical conditions, demonstrating exceptional assessment and planning skills
- Deploys supportive resources using appropriate intervention levels to meet the patients needs, without fragmenting or duplicating the care
- Facilitates timely, safe, and appropriate transition of patients from one care level to the next, such as transition from/to home, emergency department, inpatient, or other post-acute care settings
- Ability to work in home or field-based settings, as well as effectively utilize telephonic, virtual visits, or other technology in management of the individual
- Works closely with the inpatient care management teams for effective patient handoffs
- Capable of engaging the patient and family to assist in identification of their values and goals as they relate to their medical condition, functional status, and end-of-life decisions
- Assures care and treatment are oriented toward achieving and maintaining each patients functional independence and providing compensatory support where necessary
- Addresses individual gaps in care with patients and/or caregivers as indicated
- Demonstrates knowledge of community resources and when/how to access the resources
- Demonstrates knowledge of the legal and ethical issues related to confidentiality when working in case management, and with various health plans
- Works independently, within the scope of their license with minimal direction and in collaboration with the care team to develop and implement provider-directed plan of care
- Documents case management activities timely and according to departmental policies and other nationally established standards
- Performs duties and responsibilities in a manner consistent with our mission, values, and Mercy Service Standards
Requirements
What you’ll need- Graduation from registered nursing program
- Bachelors (or more advanced) Degree in Nursing
- Current and unrestricted license as a Registered Professional Nurse in the State(s) of which the nurse will practice
- CCM or RN-BC professional case management certification preferred or attained within 36 months of hire
- Excellent interpersonal skills
- Above average human verbal and written skills
- Ability to communicate effectively at many different levels including patients, providers, health system leaders, families, other health professionals
- Knowledge and basic proficiency at keyboarding, Microsoft Word, Microsoft Outlook, Microsoft Excel, Microsoft PowerPoint
- Understanding of managed care, utilization, quality improvement concepts and principles
- Ability to work in a stressful environment, prioritizing and managing multiple tasks, and function within an ever-changing environment
- Capable of completing a head-to-toe assessment, use of critical thinking skills and problem-solving
- Experience with pathophysiology and heart/lung assessment of patients with cardiovascular and respiratory conditions
Benefits
Comp & perks- medical, dental, and vision coverage
- paid time off
- tuition support
- matched retirement plans for team members working 32+ hours per pay period
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
Patient Care ManagementHead-to-Toe AssessmentCritical ThinkingProblem-SolvingCare Plan DevelopmentDocumentation SkillsKnowledge of PathophysiologyHeart/Lung Assessment
Soft Skills
Excellent Interpersonal SkillsEffective CommunicationAbility to Work Under StressPrioritization and Time Management
Certifications
Registered Nurse LicenseCCM or RN-BC Certification
