Registered Nurse - Nurse Care Manager - Ames

Primary Health Care, Inc.; Ames (IA); On-site; USD 52,000 - 77,000; Full time

Benefits offered by this job

PTO accrual

License/certification fee reimbursem.?

CE reimbursement

401k with company match

Medical insurance

Vision insurance

Life & disability insurance

FSAs/HSAs

Supplemental accident & criticalIll.

Job summary

Primary-Health-Care,-Inc. in Ames, IA is seeking a Nurse Care Manager to implement risk stratification and coordinate care for patients with complex needs. You will join an interdisciplinary team and support care management in a Monday–Friday schedule with some travel.

The role emphasizes nursing assessments, care planning, and population health initiatives, with mileage or travel incentives and a comprehensive benefits package.

Qualifications

• Completion of an accredited nursing program accepted by the Iowa Board of Nursing for licensure.
• Verbal and written communication skills to educate others.
• Interpersonal and relationship-building skills with diverse people.
• Ability to work collaboratively and autonomously.
• Commitment to service excellence.
• Self-motivation and initiative.
• Active listening and willingness to take direction.
• Critical thinking within a nursing framework.
• Time management to handle multiple tasks efficiently.
• Adherence to patient confidentiality and standards.

Responsibilities

• Utilize population health interventions to maximize health and recall opportunities for care-managed patients.
• Provide RN-led care planning, assessment, implementation, and evaluation of nursing care plans.
• Support pre- and post-visit planning, care coordination, and planned visit strategy.
• Participate in Accountable Care Organization activities and wellness initiatives.
• Document patient care accurately in the electronic health record.
• Assist with panel assignments and balancing workload across care teams.
• Triage acute medical issues and refer or monitor appropriately.
• Monitor population health outcomes and identify care gaps using data systems.
• Participate in grant-related clinical initiatives.

Skills

Communication skills

Interpersonal skills

Collaboration

Initiative

Active listening

Critical thinking

Time management

Attention to detail

EHR proficiency

MS Office

Internet usage

Education

RN licensure

BLS certification

Mandatory Reporter Training

Bachelor of Science in Nursing (preferred)

Tools

EHR systems

Microsoft Office

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.

Registered Nurse - Nurse Care Manager - Ames

Primary Care Full Time AMES-Story County Clinics, Ames, IA, US

Salary Range: $51,600.00 To $77,400.00 Annually

As a Nurse Care Manager at PHC, you will implement risk stratification strategies to identify patient populations requiring higher-level care management, disease/chronic condition management, and psychosocial support, and you will provide holistic care management and coordination for those patients with complex needs. You will work as part of our interdisciplinary care team to meet the changing needs of our patients. All team members must demonstrate PHC iCare values in daily work.

This position typically works at PHC Story County Clinic in Ames and is scheduled Monday - Friday 8 AM - 5 PM. This position occassionaly travels to other sites for meetings.

Our team members are occasionally needed to cover other shifts or to work at other PHC clinics in Ames, Des Moines, and Marshalltown. Mileage reimbursement and/or an out of town travel bonus may apply.

What You Will Do

Utilizes Interventions for Population Health Management to maximize the health and recall opportunities for patients who are care-managed, part of the Accountable Care Organization contracts, or warm hand-offs from PHC providers with complex needs. Addresses the medical, psychosocial, health risk, prevention, wellness, and education needs of the patient and/or family.

Utilizes the RN-led Visit Model, including nursing assessment, diagnosis, planning, implementing, and evaluation of nursing care plans. Provides care management, care coordination, chronic disease and preventive screening and education for patients and/or families.

Supports PHC Way initiatives and actively assists in pre-visit planning, post-visit follow-up, and care coordination. Executes the strategy for planned visits, including appropriate health prevention and screening activities.

Participates in Accountable Care Organization activities such as value-based care and shared savings initiatives, completes Medicare Annual Wellness Visits and Medicaid recall care coordination, and provides chronic care, disease management, and complex care management.

Documents patient care accurately and timely in the electronic health record.

Assists with panel assignments and workload, support teams to balance the complexity and continuity of care needs of patients and the care teams.

Performs nursing triage of acute medical issues for clinic patients as needed, refers or monitors appropriately.

Utilizes data systems and reporting to monitor population health management patient outcomes and identify gaps in care.

Participates in grant-related clinical initiatives.

Qualifications You Need

Required

Completion of an accredited nursing program accepted by the Iowa Board of Nursing for licensure.

Verbal and written communication skills, including the ability to provide effective education to others.

Interpersonal skills and the ability to maintain professional relationships with a wide variety of people.

Ability to work collaboratively and autonomously.

Commitment to service excellence.

Self-motivated and takes initiative.

Active listening skills and a willingness to take direction.

Problem-solving skills with the ability to apply critical thinking and assessment within a nursing framework.

Time management skills with the ability to efficiently move between tasks.

Consistently meets the department work schedule as assigned.

Detail oriented.

Proficiency using electronic health records, Microsoft Office applications and internet-based applications.

Adheres to patient confidentiality standards.

Ability to consistently meet care manager measures and acceptable performance standards.

Licenses & Certifications: Current RN license recognized by the State of Iowa; *Current Basic Life Support (BLS) for Healthcare Providers; *Current Mandatory Reporter Training: Child Abuse and Dependent Adult Abuse recognized by the State of Iowa

* Must be obtained within the Introductory Period if not current.

Preferred

Bachelor of Science in Nursing.

Experience in a community health center or public health organization.

Experience with population health, care management/coordination, the Chronic Care Model, health registry systems, or community resources.

Spanish language skills, written and verbal.

We Take Care of Our People

In addition to base pay, PHC offers a comprehensive benefits package, including:

• Generous PTO accrual
• License/certification fee reimbursement*
• Paid time off for continuing education & continuing education reimbursement*
• 401k with company match
• Medical insurance
• Vision insurance
• Life & disability insurance
• Flexible spending & health savings accounts
• Supplemental accident & critical illness insurance

*Applies to positions requiring clinical licensure or certification.

Grow Your Career with PHC

We take pride in offering development and growth opportunities to our team. Some of our training opportunities include Emerging Leaders, Dental Assitant Trainee Program, & Medical Assistant Trainee Program. In the last year, over 30% of our open positions were filled through promotions or transfers.