Registered Nurse - Nurse Care Manager - Ames

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

Benefits offered by this job

Generous PTO accrual

License/certification fee reimburse.

401k with company match

Medical insurance

Vision insurance

Life & disability insurance

Flexible spending & health savings

Job summary

Primary Health Care Inc. in Ames seeks a Registered Nurse Care Manager to coordinate care for patients with complex needs. The role performs risk stratification, disease management, and psychosocial support as part of an interdisciplinary team.

This full-time position is based at the Marshalltown Clinic with occasional travel to other PHC sites in Ames, Des Moines, and Marshalltown; hours are 8 AM–5 PM, Monday through Friday, with mileage reimbursement available.

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 skills to maintain professional relationships.
• Ability to work collaboratively and autonomously.
• Commitment to service excellence and initiative.
• Proficiency with electronic health records and Microsoft Office.

Responsibilities

• Implement risk stratification and care management for patients with complex needs.
• Provide disease management, psychosocial support, and care coordination.
• Participate in pre-visit planning and post-visit follow-up activities.
• Support participation in Accountable Care Organization initiatives and annual wellness visits.
• Document care clearly in the electronic health record and monitor outcomes.
• Balance panel assignments and support care teams to manage workload.

Skills

Communication skills

Interpersonal skills

Autonomy & collaboration

Time management

Electronic health records

Education

Bachelor of Science in Nursing

Job description

Registered Nurse - Nurse Care Manager - Ames

Full Time MT - Marshalltown Clinic, Marshalltown, IA, US

3 days ago Requisition ID: 2264

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.