Care Manager - Primary Care - Requisition #339007

Infor; Michigan; On-site; USD 65,000 - 85,000; Full time

Job summary

A healthcare provider in Michigan is seeking a qualified individual to coordinate team-based care and provide effective patient health services. The role requires a valid Registered Nurse license or a Master's in Social Work, focusing on collaboration with patients and community resources. Responsibilities include facilitating access to providers and advocating for patients. Candidates should have experience in healthcare settings and be adept at communication and technology usage. This position operates in dynamic and sometimes stressful conditions.

Qualifications

• Experience in a physician health care office or similar setting preferred.
• Ability to write clearly and use technology effectively.
• Ability to work with diverse patient and staff populations with sensitivity.

Responsibilities

• Coordinate team-based care for effective patient services.
• Facilitate patient access to appropriate medical providers.
• Act as a contact and advocate for patients and families.

Skills

Clear oral expression

Deductive reasoning

Inductive reasoning

Time management

Cultural sensitivity

Education

Current licensure in Michigan as a Registered Nurse

Masters in Social Work

Tools

EMR

Athena

Job description

All CDC recommended vaccines are required vaccinations at Oaklawn. Seasonally, and upon determination of Senior leadership, the Influenza Vaccine may be mandatory; in those years, compliance is required. For all vaccines, Religious Exemptions and Medical Contraindications are available.

Job Summary

Coordinates team-based care to provide health services to individuals through effective partnerships with patients, caregivers/families, community resources, and physicians. Facilitates a “shared goal model” within and across settings to achieve coordinated high-quality patient and family centered care. Provides professional nursing care for the comfort and well-being of patients under the direction and supervision of a licensed physician, physician assistant or nurse practitioner. Collaborates with own team and other disciplines in the provision of care. Completes documentation of patient care, patient condition, reactions, and response to treatment in a timely manner and tracks patient progress. Maintains focus on patient centered care and customer service.

Essential Functions

• Consistently uses an outward mindset and puts forth exemplary effort in accomplishing his/her goals and objectives in a manner that helps others to achieve their goals and objectives.
• Assists with the development and support of the ACO program - Utilizes tools and documents that support a guided care process, collaborate with patients/family toward an effective plan of care including but not limited to assess patient and family’s unmet health and social needs, provide effective communication to improve health literacy, develop a care plan based on mutual goals with patient, family, and provider’s emergency plan, medical summary, and ongoing action plan, as appropriate. Monitor patient’s adherence to plan of care and progress towards goals in a timely fashion, facilitate changes, as needed, and create ongoing processes for patients/families to determine and request the level of care coordination support they desire over time.
• Facilitates patient access to appropriate medical and specialty providers as well as other care coordination team support specialists (e.g., Diabetes, Educator, Dietician)
• Cultivates and supports primary care and subspecialty co-management with timely communication, inquiry, follow up, and integration of information into the care plan regarding transitions-in-care and referrals.
• Serves as a point of contact, advocate, and informational resource for patient, family, care team, payers, and community resources.
• Facilitates/attends meetings as needed between patients, families, care team and community resources.
• Attends and actively participates in Care Coordinator related training and meeting activities.
• Performs regular visits to provider, patient and family support and education.
• Collects data and writes brief reports to meet evaluation needs of the program.

Minimum Qualifications

Current licensure in the State of Michigan as a Registered Nurse or Masters in Social Work.

Knowledge, Skills & Abilities

Experience in a physician health care office or similar setting preferred. Clear oral expression: oral comprehension includes listening to and understanding others; clearly speaking such that others understand; deductive and inductive reasoning skills; ability to write clearly; use of technology such as EMR, Athena preferred. Ability to work with diverse patient and staff populations with sensitivity to cultural and spiritual influences impacting patient care. Efficiently manage time with minimal supervision.

Working Conditions

Work in an unpredictable environment encountering stressful situations and exposure to body fluids and infectious diseases.

Physical Requirements

Constantly see/visual acuity, handle/grasp/feel, talk/hear, taste/smell. Frequently sit. Occasionally lift/carry 1 to 25 lbs.

Marshall, 200 N. Madison, Marshall, MI 49068