Care Manager Registered Nurse GCM Cleveland

Atrium Health; Kings Mountain (NC); On-site; USD 53,000 - 79,000; Part time

Job summary

Atrium Health Cleveland is seeking a part-time Case Manager in our case management department. On-site coverage is required at Atrium Health Cleveland with weekday hours and additional weekend coverage as scheduled.

The role involves coordinating care across the care team, managing the caseload, and leveraging resources to resolve barriers to care while maintaining regulatory compliance. RN licensure and a nursing degree are required.

Qualifications

• Registered Nurse license in the state where you practice.
• Bachelor's Degree in Nursing or related field.
• Typically requires 5 years of experience in clinical nursing or 1-2 years of care management experience.

Responsibilities

• Facilitates communications among patient/family, multidisciplinary team, medical management team, community resources and other disciplines to anticipate, identify, evaluate, and act to resolve barriers to timely care delivery.
• Collaborates with patient/family and inter-professional teams to provide a model of care that ensures quality, efficient, and cost-effective services.
• Uses evidence-based approaches to increase patient and family activation and engagement in their own care and develops SMART goals.
• Identifies barriers to learning or optimal care delivery and reports findings to the care team with a plan.
• Independently manages CM caseload according to department expectations and ensures timely documentation for regulatory requirements.
• Partners with at-risk patients through diagnosis, treatment and follow-up to deliver continuity of care.
• Coordinates patient information between patient/family, facilities, physicians, and community caregivers to ensure smooth transitions of care.
• Coordinates referrals to internal departments and external community resources as needed.
• Demonstrates knowledge to provide age-appropriate care across the life span.

Skills

Communication skills

Self-directed

Critical thinking

Microsoft Office

Epic EMR

Team collaboration

Education

Bachelor's Degree in Nursing

Tools

Epic EMR

Microsoft Office

Job description

Department

11200 Atrium Health Cleveland - Case Management

Status

Part time

Benefits Eligible

No

Hours Per Week

0

Schedule Details/Additional Information

Monday - Friday 8:00 AM - 4:30 PM; Weekdays will require on site coverage at Atrium Health Cleveland. Weekends 7a-7p

Pay Range

$38.20 - $57.30

Major Responsibilities

• Facilitates communications among patient/family, multidisciplinary team, medical management team, community resources and other disciplines to anticipate, identify, evaluate, and act to resolve any potential barriers and constraints to delivery of care in a timely manner. Understands and interprets multiple contracts and contractual obligations in order to enable the care management team to achieve maximum clinical and financial outcomes.
• Collaborates with the patient/family and inter-professional team including the primary care team, hospital care team, post acute care managers, and other care partners to provide a model of care that ensures the delivery of quality, efficient, and cost-effective healthcare services. May work embedded within a provider office or telephonically working with a care team.
• Uses evidenced-based approaches to increase patient and family activation and engagement in their own care. As appropriate to the population, partners with patient and family to develop SMART (specific, measurable, attainable, relevant, time-bound) goals. Assists in the development, procurement, and adoption of patient self-management educational resources.
• Identifies potential barriers to learning and/or to the optimal delivery of care. Reports abnormal findings to the responsible provider/care team, and collaborates to develop a plan.
• Independently manages CM caseload according to department expectations. Ensures timely completion of tasks and documentation related to MCO, regulatory and contractual requirements.
• Partners with identified at-risk patients throughout the diagnosis, treatment and follow-up in order to deliver continuity of care. Anticipates the needs of the patient, recognizes and responds to changes in a patient’s status and determines priorities of patient care based on essential patient needs.
• Coordinates patient information and communication between and among the patient/family, the referring/accepting facilities and physicians, community caregivers (as applicable) and other members of ACM to ensure smooth transitions of care.
• Coordinates referrals to other internal AAH departments and/or external community resources as necessary.
• Must be able to demonstrate knowledge and skills necessary to provide care appropriate to the age of the patients served. Must demonstrate knowledge of the principles of growth and development over the life span and possess the ability to assess data reflective of the patient's status and interpret the appropriate information needed to identify each patient's requirements relative to his/her age-specific needs, and to provide the care needed as described in the department's policies and procedures. Age-specific information is developed further in the departmental job standards.

Licensure, Registration, And/or Certification Required

• Registered Nurse license issued by the state in which the team member practices.

Education Required

• Bachelor's Degree in Nursing or related field.

Experience Required

• Typically requires 5 years of experience in clinical nursing or 1-2 years of care management experience.

Knowledge, Skills & Abilities Required

• Applicable certification is encouraged.
• Must be self-directed with the ability to work well independently and within a team environment while recognizing and meeting the individual needs of external and internal partners/customers.
• Ability to demonstrate excellent oral, written and interpersonal skills.
• Ability to demonstrate critical thinking, problem solving and excellent organizational skills.
• Ability to work productively and effectively in a complex environment that includes multiple changing priorities.
• Demonstrated ability to work well with physicians and other healthcare professionals in a direct and positive manner.
• Proficient computer/Microsoft-suite skills and previous Epic EMR experience.
• Ability to handle multiple responsibilities.

Physical Requirements And Working Conditions

• Position may require travel between clinic sites so there may be exposure to road and weather conditions.
• Manual dexterity required for operation computer and calculator.
• Visual acuity required to facilitate review of written documents/computer screens, medical records, and to record information accurately.
• Clear oral communications and hearing acuity required for receiving instructions and converse on standard telephone.
• Functional speech and hearing to allow for effective communication of instructions and conversation over the telephone.
• Exposed to normal office environment; including usual hazards related to operating electrical equipment.
• Operates all equipment necessary to perform the job.

Our CommitmenttoYou

Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more - so you can live fully at and away from work, including:

Compensation

• Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training
• Premium pay such as shift, on call, and more based on a teammate's job
• Incentive pay for select positions
• Opportunity for annual increases based on performance

Benefits And More

• Paid Time Off programs
• Health and welfare benefits such as medical, dental, vision, life, andShort- and Long-Term Disability
• Flexible Spending Accounts for eligible health care and dependent care expenses
• Family benefits such as adoption assistance and paid parental leave
• Defined contribution retirement plans with employer match and other financial wellness programs
• Educational Assistance Program

Note: Eligibility for programs listed above may depend on your FTE or status (e.g., full-time, part-time, per diem, temporary, etc.); please ask a Recruiter for more information during an interview.

About Advocate Health

Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation’s largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.

Uses the nursing process with at-risk patients to assess, plan, implement and evaluate clinical strategies leading to quality results, optimal cost/utilization and patient experience. Works across the care continuum to support patients in addressing the following dimensions of care: clinical management, education/knowledge, psychosocial needs, self-management, advocacy, and continuity of care. Establishes an ongoing, therapeutic relationship with the patient/family to improve access, reduce burden of disease, manage care transitions and increase use of appropriate access points of care.