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A leading healthcare provider in the United States seeks an Ambulatory Care Manager (RN) to support patient care in a primarily remote capacity. The role involves managing chronic conditions, developing care plans, and collaborating with healthcare professionals to enhance patient outcomes. Candidates should hold an RN license and possess at least 2-3 years of relevant experience. Competitive benefits and a commitment to employee wellness are part of the offering.
Bon Secours Mercy Health – Ambulatory Care Manager (RN)
Scheduled Weekly Hours: 40
Work Shift: Days (United States of America)
This is primarily a remote/work-at-home position, but the hire should live within driving distance of Columbus, OH for occasional onsite requirements.
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 programs for Transitions of Care, Complex Case Management, and Chronic Disease Management.
Develop and implement care plans to maximize healthcare outcomes and facilitate wellness with periodic review and updates according to department protocols.
Perform medication review and teach-back to ensure patient understanding and ability to adhere to the 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 the 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 the electronic medical record.
This document is not an exhaustive list of all responsibilities, skills, duties, requirements, or working conditions associated with the job. Employees may be required to perform other job-related duties as required by their supervisor, subject to reasonable accommodation.
Associate’s Degree (required) – Specialty/Major: Nursing
Bachelor’s Degree (preferred) – Specialty/Major: 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.
The following must be included in all position descriptions that involve direct or indirect patient care. This is a JCAHO requirement. Also select the age of the patient population served:
Demonstrates the knowledge and skills necessary to provide care appropriate to the age of the patients served on the 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 to identify each patient\'s requirements relative to age and department policies.
Neonates (0-4 weeks)
Infants (1-12 months)
Adolescents (13-17 years)
Adults (18-64 years)
Pediatrics (1-12 years)
Geriatrics (65 years and older)
Bon Secours Mercy Health is an equal opportunity employer. As a Bon Secours Mercy Health associate, you’re part of a Mission that matters. We support your well-being – personally and professionally. Our benefits are built to grow with you and meet your unique needs, every step of the way.
Benefits may vary based on the market and employment status.
Care Coordination - Population Health Service Organization
It is our policy to 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. If you’d like to view a copy of the affirmative action plan or policy statement for Mercy Health – Youngstown, Ohio or Bon Secours – Franklin, Virginia; Petersburg, Virginia; and Emporia, Virginia, which are Affirmative Action and Equal Opportunity Employers, please email recruitment@mercy.com. If you are an individual with a disability and would like to request a reasonable accommodation as part of the employment selection process, please contact The Talent Acquisition Team at recruitment@mercy.com.