RN - Care Manager

Community Clinic; Siloam Springs (AR); On-site; USD 65,000 - 90,000; Full time

Benefits offered by this job

Health Insurance

Vision Insurance

Dental Insurance

Life Insurance

403(b) Retirement plan

Job summary

Community Clinic is seeking an RN with Care Management experience to join our Primary & Specialty Care Clinic on Holly St in Siloam Springs, AR. The RN Care Manager will engage with high-risk patients, guiding those with chronic conditions in self-management and care planning, and managing cases during high-risk transition times.

The schedule is in-person, Monday–Friday, 8:00 AM–5:00 PM. The role emphasizes collaboration with clinical staff, adherence to care plans, and effective utilization of

Qualifications

• High school diploma or equivalent required.
• 2+ years of Case/Care Management experience preferred.
• 2+ years of utilization review/case management experience preferred.
• 1 year of discharge planning/hospital experience preferred.
• 1 year of experience in primary care preferred.
• Knowledge of clinical practices in an ambulatory care, family practice setting.

Responsibilities

• Provides case management/utilization review and planning to assure that the patient progresses through the continuum of care.
• Coordinates the integration of social service function into patient care.
• Follows Population Health Management model and chronic disease management protocols focusing on patient activation and care coordination.
• Ensures compliance with quality patient care and regulatory requirements.
• Collaborates with clinical staff in developing and executing the care plan and achieving goals.
• Enhances collaboration to maximise patient and family informed decisions.
• Ensures tests and labs are appropriate and completed within timeframe with results available to providers.
• Promotes efficient utilization of clinical resources.

Skills

Ambulatory care

Risk management

HIPAA compliance

Independent work

Interpersonal skills

MS Office

EMR systems

CEUs

Education

High school diploma

Job description

Community Clinic is a trusted regional healthcare system dedicated to delivering exceptional, whole-person care in a compassionate, professional, and welcoming environment. As we continue to grow across the region, we remain grounded in one belief: people matter. That includes our patients—and our team. Every employee plays a vital role in living out our promise: We care. You belong

Job Summary

Community Clinic is seeking an RN with Care Management experience to work as a Care Manager at our Primary & Specialty Care Clinic on Holly St in Siloam Springs, AR. The RN Care Care Manager will be engaging with our patients in high risk categories. This role will guide patients with chronic conditions in self-management/care planning and will manage cases during high risk transition times. The schedule for this position is in-person, Monday - Friday 8:00 AM - 5:00 PM.

Key Responsibilities

• Provides case management/utilization review and planning to assure that the patient progresses through the continuum of care.
• Coordinates the integration of social service function into patient care.
• Follows the Population Health Management model/chronic disease management protocols which focus on the critical importance of patient activation, involvement and personal responsibility; and the patient focused expansion of care coordination provided through wellness and disease management.
• Ensures compliance with quality patient care and regulatory compliance.
• Collaborates with clinical staff in the development and execution of the plan of care and achievements of goals.
• Enhances a collaborative relationship to maximize the patient’s and family’s ability to make informed decisions.
• Ensures that patient tests and labs are appropriate and necessary and are carried out within the established timeframe and that results are promptly available to providers.
• Promotes effective and efficient utilization of clinical resources.

Skills

• Knowledge of clinical practices in an ambulatory care, family practice setting.
• Knowledge of risk management and QI/QU principles, practices and management.
• Knowledge of HIPAA/HITECH compliance.
• Ability to work and function independently and within a team.
• Strong interpersonal skills and the ability to work effectively with people of all backgrounds.
• Knowledge of computer software such as Microsoft Office Software.
• Able to perform proficiently on current practice management system and/or electronic medical records.
• Engages in professional development activities, such as trainings and CEUs.

Required Qualifications

• High school diploma or equivalent required.

Preferred Qualifications

• 2+ years of Case/Care Management experience preferred.
• 2+ years of utilization review/case management experience preferred.
• 1 year of experience in discharge planning/hospital preferred.
• 1 year of experience in primary care preferred.
• Knowledge of clinical practices in an ambulatory care, family practice setting.

Why Work at Community Clinic?

• Be a part of a mission-driven organization committed to providing access to health-care to everyone in your community!
• Health, Vision, Dental, and Life Insurance
• 403(b) Retirement plan (automatic employer contribution of 5% per paycheck!)