RN Care Manager
Ohio's Hospice
full-time
Posted on:
Location Type: Hybrid
Location: Newark • Ohio • 🇺🇸 United States
Visit company websiteJob Level
Mid-LevelSenior
About the role
- The Pure Healthcare Care Manager will develop comprehensive, person-centered care plans for every member, with a focus on ensuring timely and appropriate access to care and the skillful coordination of a broad array of medical and social services.
- This position affords the opportunity to work with individuals, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care from acute care across the continuum.
- The Care Manager is the key to ensuring a collaborative and proactive approach to support the individual and caregiver in the management chronic medical conditions.
- Assists individuals and their families with personal or environmental needs through care coordination, navigating care systems, planning for care transitions, or discharge to next level of care.
- Ensures and facilitates access to community resources, such as transportation, insurance/supplemental income sources, care giving, food, etc.
- Facilitates individual and family meetings for the purposes of goal setting, advance care planning, coordination of community supports, and plan of care development, based on the individual's needs, values and preferences.
- Collaborates with other PHC and Ohio’s Hospice divisions as appropriate to improve communication of needs; if to outpatient support center, coordinates plan of care for follow up and instructions on AVS; if hospice care is desired, initiates referral process.
- Coordinates plan of care between settings (home, hospital/inpatient, outpatient services, etc) to ensure continuity of care and ability to obtain necessary medical treatment, equipment, and physical/emotional needs.
- Documents assessment, plan and interactions with individual, family, community resources, hospital or facility staff, and physicians and establishes/builds account in electronic medical record.
- Participates in the development of processes to improve the clinical experience for referral sources, individuals/families, care management teams, etc. across the continuum of care.
- Regularly attends IDT meetings or other multidisciplinary team meetings based on Individual/family needs or organizational needs.
- Fosters collaborative working relationships within division, organization, hospitals, and community facilities and/or with groups with whom we are engaged.
- Attendance at division meetings 80%; accountability for 100% of information provided via minutes.
- Annual education completed by deadline to ensure staff has the information and tools to complete their job satisfactorily and meet regulatory compliance.
- Adheres to all applicable federal and state regulations, including HIPAA, compliance, and employment regulations.
- Maintains strong knowledge of and adherence to NCQA standards for Complex Care Management.
Requirements
- Active Registered Nurse license in the State of Ohio without any board actions.
- Three to Five years clinical experience in Case Management, Care Coordination, Discharge Planning, Medicaid and/or Medicare managed care, LTC experience and/or community health.
- Mental Health Experience is a plus.
- CM certification preferred.
- Notary designation or intention to complete within six months of hire.
- CPR Certified preferred, required in orientation at hire.
- Computer skills sufficient to properly document services and care.
- Ability to drive during daytime, nighttime , or inclement weather.
- This position requires travel to different work locations and within the counties we serve.
- Valid Driver's License with Safe Driving Record with successful clearance of a driving record check.
- Successful clearance of a criminal background check.
- State minimum automobile insurance coverage.
Benefits
- Competitive Pay
- Competitive Health, Dental, and Vision Insurance
- Short- & Long-Term Disability
- Life Insurance
- Paid Time Off
- 401k with 5% employer match
- Tuition Reimbursement
- Preparation for certification and pay incentive on Hospice certification achievement
- Scrubs provided at initial onboarding
- Mileage reimbursement
- Organizational preceptor to assist with orientation and ongoing education
- Educational programs geared toward career advancement
- Career growth
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
care coordinationdischarge planningcase managementclinical experiencedocumentationgoal settingadvance care planningcommunity resource facilitationchronic condition managementNCQA standards
Soft skills
collaborationcommunicationproactive approachrelationship buildingorganizational skillsproblem-solvingteamworkaccountabilityadaptabilityinterpersonal skills
Certifications
Registered Nurse licenseCM certificationCPR certificationNotary designationstate minimum automobile insurance