RN Care Manager

The Clinic @ Central Oklahoma Family Medical Center; Ada (OK); On-site; USD 60,000 - 80,000; Full time

Job summary

The Clinic @ Central Oklahoma Family Medical Center is seeking an RN Care Manager to coordinate medical treatment, assess and develop care plans, and monitor medication compliance for assigned patients. You will connect patients with social supports and support regulatory compliance and PCMH standards.

Responsibilities include analyzing social determinants of health, leading improvement activities, coordinating with external referrals, and supporting quality outcomes through care management.

Qualifications

• Current licensure as a Registered Nurse in Oklahoma.
• BSN or higher preferred; CMGT BC or related field with 5+ years of experience.
• Minimum of 3 years bedside nursing experience; care management/population health experience preferred; proven leadership and communication skills.

Responsibilities

• Aids departments and senior management in a professional and timely fashion.
• Improves care management processes with consultative services that assure proactive approach.
• Oversees the care management model.
• Analyzes social determinants of health for populations served.
• Monitors and leads improvement activities to connect resources with patient needs.
• Leads initiatives to build health equity for populations served.
• Coordinates external referral sources.
• Ensures appropriate utilization of healthcare resources to maintain PCMH certification.
• Assists with annual wellness visits (AWV).
• Develops data for CM initiatives; identifies EHR efficiencies.
• Collaborates to improve preventive screening rates.
• Supports quality and efficiency outcomes through care coordination.

Skills

Leadership

Problem solving

Effective communication

Education

BSN or higher preferred

Nursing Case Management Certification (CMGT BC) or related field

Job description

RN Care Manager

Responsible for coordinating medical treatment, including administering assessments, developing care plans, and monitoring medication compliance. Develops relationships with patients to facilitate ongoing care management compliance. Connects patients with social and community support systems for continuation of care. Responsible for analytical and QM/RM support for initiatives and projects including but not limited to data facilitation/problem solving and coordinating the implementation of processes to ensure regulatory compliance.

Responsibilities

• Aids departments and senior management in a professional and timely fashion.
• Assists the clinic in improving care management processes by providing consultative services that assure a proactive versus reactive approach.
• Provides oversight of the care management model.
• Analyzes social determinants of health for populations served.
• Monitors and leads improvement activities to connect patient resources with patient needs.
• Leads initiatives to build health equity for populations served.
• Coordinates external referral sources.
• Ensures appropriate utilization of healthcare resources to maintain PCMH certification.
• Assists with conducting and monitoring annual wellness visits (AWV).
• Creates a pathway for capturing relevant patient conditions to obtain accurate risk scores for individual care planning.
• Develops, identifies, and analyzes data and information for organizational-wide CM initiatives.
• Identifies EHR efficiencies to improve documentation of chronic care management and promote interoperability.
• Collaborates with the chronic care management program to improve preventive screening rates.
• Assists providers in meeting quality and efficiency outcomes through coordination of care.
• Utilizes data to improve efficiency.
• Coordinates with medical providers and Doctor's Alliance to monitor home health certifications and recertifications for compliance.
• Supports the activities of teams including but not limited to Quality, Infection Control, Pharmacy, Environment of Care, Emergency Preparedness and Specialty ADHOC Committees.
• Provides and coordinates care management related education for clinic and medical staff.
• Other duties as assigned.

Minimum Qualifications

• Licensure/Certification/Registration: Current licensure as a Registered Nurse in the State of Oklahoma.
• Education: BSN or higher preferred. Nursing Case Management Certification (CMGT BC) or related field with a minimum of 5 years of related experience required.
• Experience: Minimum of three (3) years of bedside nursing experience. Experience in care management or population health management preferred. Proven record of achievements and leadership, problem solving, and effective communication skills required.

Organization Expectations

• Exhibits enthusiasm, a positive altitude, and professionalism in the workplace
• Handles personal conflict and works through it at the lowest possible level (first with party/parties involved, then if necessary, with 3rd party mediation)
• Is friendly and easy to approach
• Is neat, clean, well-groomed, and dresses in accordance to the dress code policy
• Leaves personal problems out of the workplace
• Treats all coworkers with dignity and respect
• Abstains from gossip in the workplace
• Arrives on time and works through designated hours
• Completes tasks effectively, accurately and on time
• Demonstrates little or no absenteeism/follows leave guidelines
• Follows designated line of support
• Is flexible, able and willing to respond to unusual job related demands
• Manages time well
• Recognizes and assists others in the work of the department, even though the work may be outside of regular duties
• Shares equally in the workload of the department
• Works cooperatively with all team members and departments
• Works independently requesting assistance from supervisor only as needed
• Abstains from criticizing COFMC, colleagues and supervisors
• Demonstrates loyalty to COFMC, colleagues and supervisors
• Demonstrates support of the mission and vision of COFMC
• Accepts and participates in cross training
• Takes initiative to identify skill development needs