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Care Manager, RN
The Christ Hospital Health NetworkCare Manager (RN) providing comprehensive clinical care management services to improve health outcomes. Focusing on coordinating care, enhancing patient self-management, and reducing hospital readmissions.
About the role
Key responsibilities & impact- Serve as a clinical care management resource for providers and clinical teams
- Maintain an assigned caseload in accordance with departmental policies
- Identify, enroll, and manage patients in Transitions of Care and Chronic Disease Management programs
- Utilize Motivational Interviewing techniques to engage and activate patients in self-management of chronic conditions
- Conduct comprehensive assessments to identify clinical, psychosocial, and social determinants of health
- Develop, implement, and review individualized care plans in collaboration with the care team
- Perform medication reconciliation and teach-back to ensure patient understanding and adherence
- Coordinate care transitions following inpatient or emergency department encounters to promote continuity of care
- Collaborate with PCPs, specialists, hospitalists, and other providers to implement patient-centered care plans
- Conduct patient outreach per established protocols and document appropriately in the electronic medical record
- Identify, initiate, and track referrals to internal services and community resources
- Educate patients on self-management strategies to improve health outcomes
- Assist patients with advance care planning, including completion of advance directives
- Document all patient and care team interactions in the electronic medical record
- Partner with providers and clinical staff to ensure clinical quality remains a priority throughout the care continuum
- Participate in clinical quality initiatives and support implementation of evidence-based best practices
- Collaborate with professional colleagues and community agencies to promote best practices in care management
- Coordinate with physician leadership to develop strategies for managing high-risk patient populations
- Monitor utilization of healthcare resources and promote appropriate, efficient use
- Contribute to the development of office workflows and care standards for preventive services and chronic disease management
- Lead through influence and role modeling effective nursing practice, customer service, and innovation
- Ensure safe practices and report quality or safety concerns promptly
- Deliver the highest level of customer service with a focus on putting patients first
- Promote excellence in healthcare delivery for patients and families
- Engage patients and coworkers in a respectful, positive, and professional manner
- Demonstrate respect and sensitivity to cultural and individual differences
- Facilitate a seamless patient experience through effective coordination with patients, families, and the care team
- Ensure complete, accurate, and timely documentation in the electronic medical record
- Effectively utilize electronic tools and population health platforms to deliver evidence-based care
- Design and support workflows using the electronic medical record, registries, and population management software
- Collect, monitor, and analyze data related to patient outcomes
- Participate in performance improvement initiatives leveraging electronic health record data
- Perform other duties as assigned
Requirements
What you’ll need- BSN preferred
- Current Registered Nurse (RN) license in the State of Ohio, with multi state licensure required
- Certified Case Manager (CCM), Accredited Case Manager (ACM) or other certifications related to case management/care management
- Minimum of 5 years of nursing experience (care management or ambulatory experience preferred)
- Ability to work autonomously and exercise sound clinical judgment
- Strong problem-solving and critical-thinking skills
- Ability to prioritize workload and manage multiple demands
- Proficient in basic computer functions and electronic medical records
- Excellent written and verbal communication skills
- Ability to collaborate effectively within an interdisciplinary team
- Demonstrated respect and sensitivity to cultural differences among patients and staff
- Knowledge of and alignment with the network’s mission, goals, and values
Benefits
Comp & perks- Must be current Registered Nurse Licensed in state of Ohio
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
Comprehensive Patient AssessmentMedication ReconciliationCare Plan DevelopmentData Analysis for Patient OutcomesElectronic Medical Record Documentation
Soft Skills
Strong Problem-Solving SkillsExcellent Communication SkillsCollaboration within Interdisciplinary TeamsCultural SensitivityCustomer Service Orientation
Certifications
Certified Case Manager (CCM)Accredited Case Manager (ACM)