Registered Nurse Ambulatory Care Manager (RN) - Population Health

Bon Secours Health System; City of Schenectady (NY); Remote; USD 60,000 - 80,000; Full time

Job summary

A healthcare provider in Schenectady is seeking a Registered Nurse (RN) to deliver clinical care management services remotely. The role involves coordinating patient care, developing plans to improve health outcomes, and collaborating with healthcare teams. Candidates should have a nursing degree and at least 2-3 years of relevant experience. Competitive pay and benefits are offered.

Benefits

Competitive pay

Medical, dental, vision coverage

Paid time off

Tuition assistance

Qualifications

• 2-3 years of acute care or case management experience required.
• RN compact license or Multi-State License required.
• Case Management certification preferred.

Responsibilities

• Provide clinical care management services.
• Collaborate with providers to develop patient care plans.
• Perform patient outreach and document in medical records.

Skills

Excellent interpersonal communication

Negotiation skills

Analytical skills

Data management skills

Strong computer skills

Education

Associate’s Degree in Nursing

Bachelor’s Degree in Nursing (BSN)

Job description

Thank you for considering a career at Bon Secours Mercy Health!

Scheduled Weekly Hours: 40

Work Shift: Days (United States of America)

Summary of Primary Function

In the capacity of a Registered Nurse (RN), the Ambulatory Care Manager will provide clinical care management services to identified eligible patients; coordinating care to obtain desired health outcomes, improve self-care abilities, and decrease unnecessary cost of care. Perform standardized comprehensive needs assessment, identifying and addressing barriers to care and aligning patients with available benefits and resources. Collaborate with patient, provider and care team to develop and implement a plan of care to ensure medically appropriate cost-effective care.

This is a remote/work at home position. Hire must be open to working eastern time zone hours.

Essential Job Functions

• Utilize Motivational Interviewing techniques as a patient-centered approach to activate patients in self-management of their chronic conditions with the goal of improved symptom management and interruption of a negative disease trajectory
• Maintain a caseload of patients according to department policies.
• Identify, enroll and manage patients in program for Transitions of Care/Complex Case Management/Chronic Disease Management.
• Develop and implement care plans to maximize healthcare outcomes and facilitate wellness with periodic review and update according to department protocols.
• Perform medication review and teach-back to ensure patient understanding and ability to adhere to medical regimen.
• Collaborate with PCPs, Specialists, and Hospitalists to effectively implement a patient-centered care plan.
• Perform patient outreach according to established protocols and document in electronic medical record.
• Identify, execute, and track needed referrals to care and community resources.
• Provide resource management to improve care, patient experience and reduce unnecessary cost and utilization: right care, right place, right time.
• Assist patient in advanced care planning to complete Advanced Directives.
• Document all communications with patient and/or care team in electronic medical record.

Employment Qualifications

Associate’s Degree (required) in Nursing

Bachelor’s Degree (preferred) in Nursing (BSN)

Licensing/ Certification

RN compact license, or Multi-State License (required)

Case Management certification (preferred)

Minimum Qualifications

2-3 years acute care, home health or case management experience

Other Knowledge, Skills and Abilities Required

Excellent interpersonal communication and negotiation skills. Strong analytical, data management and computer skills.

Other Knowledge, Skills and Abilities Preferred

Demonstrated success in improving the health of a distinct population of patients in the ambulatory or community setting

Patient Population

Demonstrates the knowledge and skills necessary to provide care appropriate to the age of the patients served on his or her assigned unit.

Demonstrates knowledge of the principles of growth and development of the life span and possesses the ability to assess data reflective of the patient's status and interprets the appropriate information needed to identify each patient's requirements relative to his or her age, specific needs and to provide the care needed as described in departmental policies and procedures.

Patient population served includes Neonates (0-4 weeks), Adolescents (13-17 years), Infant (1-12 months), Adults (18-64 years), Pediatrics (1-12 years), and Geriatrics (65 years and older)

What we offer

• Competitive pay, incentives, referral bonuses and 403(b) with employer contributions (when eligible)
• Medical, dental, vision, prescription coverage, HSA/FSA options, life insurances, mental health resources and discounts
• Paid time off, parental and FMLA leave, shot- and long-term disability, backup care for children and elders
• Tuition assistance, professional development and continuing education support

Bon Secours Mercy Health is an equal opportunity employer.

We abide by all Federal and State laws, as well as, the requirements of 41 CFR 60-1.4(a), 60-300.5(a) and 60-741.5(a). Accordingly, all applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, sexual orientation, gender identity, age, genetic information, or protected veteran status, and will not be discriminated against on the basis of disability.