Care Manager - Rutland - RN - Will Consider LPN

Community Health Centers of the Rutland Region; Rutland (VT); Hybrid; USD 37,000 - 73,000; Full time

Benefits offered by this job

Work Life Balance

Generous Time Off

Medical, dental, and vision insurance

Health savings account option

Robust 403(b) retirement savings plan,

Comprehensive Wellness Program

Job summary

Community Health Centers of the Rutland Region in Rutland, VT seeks a Care Manager – RN or will consider LPN – to coordinate follow-up care for at-risk patients transitioning across care settings.

You will work with care teams to address social determinants of health, arrange post-discharge followups, and ensure patients understand medications.

The position offers a meaningful role in improving local community health with competitive pay and benefits.

Qualifications

• Current Vermont RN or LPN license.
• CPR certification required.
• Experience in nursing; prior case management in outpatient setting preferred.
• Experience with electronic medical records and basic keyboarding / email communication.

Responsibilities

• Provide follow-up care to identified patients based on complexity and social determinants of health.
• Coordinate care with post-discharge concerns or barriers identified.
• Provide transitional care to risk-stratified patients post-discharge.
• Ensure discharged patients understand their medication lists.
• Determine frequency of telephone encounters based on patient need.
• Identify barriers to care and reach out to appropriate resources.
• May determine that a patient requires a face-to-face visit.

Skills

CPR Certification

Nursing experience

EMR systems proficiency

Keyboarding & email skills

Education

Vermont RN or LPN license

Tools

EMR systems

Job description

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process.

Care Manager - Rutland - RN - Will Consider LPN

RUTLAND, VT, US

23 days ago Requisition ID: 2023

Salary Range: $33.05 To $53.17 Hourly

COMMUNITY HEALTH:

Community Health is a primary care network that provides nationally-recognized programs, a focus on wellness, dental, behavioral health and pediatric specialties, walk-in Express Care, a culture of community and quality health care that almost everyone, insured or uninsured, has come to depend on. As an equal opportunity employer, we offer a team-oriented, collaborative work environment for close to 400 employees at eight different locations in Rutland and southern Addison counties.

ABOUT THE ROLE:

The Care Manager will collaborate with patients that have been identified through risk stratification. The care manager then supports the patient, their families and care team members to help a patient manage their medical conditions and co-occurring behavioral health, psychological and social determinants of health through the healthcare system. The Care Manager supports patients who are moving between health care practitioners, inpatient, and outpatient venues (including visiting nurses) and home settings as their condition and care needs change. It includes community resources and services that support a patient through one level of care to another.

FUNCTIONS OF THE POSITION:

• Provide follow-up care to all identified patients based on level of complexity, social determinants of health and the identified stratification tool.
• Collaborate and coordinate care with any potential post discharge concern or barrier that has been identified.
• Provide transitional care to risk stratified patients post discharge from either outpatient or inpatient venues.
• Assure that hospital discharged patients have adequate education and knowledge of their medication list.
• Determine frequency of telephone encounters based on specific patient need.
• Identify barriers to care (includes social determinants of health) for care managed patients and will reach out to appropriate recourses based on patient needs.
• May determine at any time that a patient requires a face-to-face visit.

SKILLS REQUIRED FOR SUCCESS:

• CPR Certification.
• Prior experience working in a nursing position required; prior case management experience in a similar outpatient setting preferred.
• Experience in using a variety of electronic medical record and ability to learn other systems, basic keyboarding skills and email communication.

LPN PAY SCALE

COMMUNITY HEALTH:

Community Health is a primary care network that provides nationally-recognized programs, a focus on wellness, dental, behavioral health and pediatric specialties, walk-in Express Care, a culture of community and quality health care that almost everyone, insured or uninsured, has come to depend on. As an equal opportunity employer, we offer a team-oriented, collaborative work environment for close to 400 employees at eight different locations in Rutland and southern Addison counties.

ABOUT THE ROLE:

The Care Manager will collaborate with patients that have been identified through risk stratification. The care manager then supports the patient, their families and care team members to help a patient manage their medical conditions and co-occurring behavioral health, psychological and social determinants of health through the healthcare system. The Care Manager supports patients who are moving between health care practitioners, inpatient, and outpatient venues (including visiting nurses) and home settings as their condition and care needs change. It includes community resources and services that support a patient through one level of care to another.

FUNCTIONS OF THE POSITION:

• Provide follow-up care to all identified patients based on level of complexity, social determinants of health and the identified stratification tool.
• Collaborate and coordinate care with any potential post discharge concern or barrier that has been identified.
• Provide transitional care to risk stratified patients post discharge from either outpatient or inpatient venues.
• Assure that hospital discharged patients have adequate education and knowledge of their medication list.
• Determine frequency of telephone encounters based on specific patient need.
• Identify barriers to care (includes social determinants of health) for care managed patients and will reach out to appropriate recourses based on patient needs.
• May determine at any time that a patient requires a face-to-face visit.

SKILLS REQUIRED FOR SUCCESS:

• Current Vermont RN/LPN license.
• CPR Certification.
• Prior experience working in a nursing position required; prior case management experience in a similar outpatient setting preferred.
• Experience in using a variety of electronic medical record and ability to learn other systems, basic keyboarding skills and email communication.

LPN PAY SCALE

$26.91-$42.53

HOW WE SUPPORT YOU:

• Work Life Balance
• Generous Time Off
• Medical, dental, and vision insurance.
• Health savings account option.
• Robust 403 (b) retirement savings plan, with employer match and 100% vesting schedule.
• Comprehensive Wellness Program.