RN, Care Manager (70573)

VARIETY CARE INC; Reno, Oklahoma City (NV, OK); On-site; USD 70,000 - 95,000; Full time

Job summary

Variety Care Inc. is seeking an RN Care Manager to support high-risk patient populations and coordinate comprehensive care within the practice. The RN will assess physical, mental, and psychosocial needs, develop plans to prevent deterioration, and ensure effective care across the care team.

The role emphasizes behavioral strategies, patient engagement, and collaboration with providers to improve outcomes and reduce unnecessary ER usage. Strong communication and leadership are essential.

Qualifications

• Active RN license in good standing in Oklahoma.
• Excellent oral and written communication skills.
• Two years of experience in care management in a community-based setting.
• Bachelor of Science Degree in Nursing is preferred.

Responsibilities

• Manage Variety Care’s high-risk patient population.
• Conduct comprehensive assessment of patients’ physical, mental, and psychosocial needs.
• Develop care plans to prevent disease progression, improve outcomes, increase engagement, and reduce hospital/ER utilization.
• Reconcile patient medications and coordinate with the care team.
• Communicate with providers and optimize information flows among the office-based care team.
• Utilize behavioral strategies to promote self-management and healthy behaviors.
• Coordinate services across Behavioral Health, Social Services, Enrollment, Nutrition, Pharmacy, Optical and Dental.
• Lead a subset of the care management team and assist in prioritizing interventions.

Skills

Alertness

Dependability

Flexibility

Sensitivity

Education

Bachelor of Science Degree in Nursing

Job description

Job Details: Job Location: Reno (VC) - Oklahoma City, OK, Salary Range: Undisclosed, Job Shift: Day, Department: Population Health

Position: RN Care Manager

Employee Category: Non-Exempt

Reporting Relationship: Population Health Manager

Character Qualities:

• Alertness— Being aware of what is taking place around me so I can have the right responses.
• Dependability— Fulfilling what I consented to do, even if it means unexpected sacrifice.
• Flexibility—Willingness to change plans or ideas without getting upset.
• Sensitivity—Using my senses to perceive the true attitudes and emotions of others.

Summary of Duties and Responsibilities:

The RN Care Manager - Registered Nurse who directly supports Variety Care’s highest risk patients, with primary focus on at risk populations. In collaboration with other members of the healthcare team, the RN Care Manager is responsible for organizing, coordinating, and providing care management services, within the practice, who are at risk for health deterioration, poor health outcomes, and/or avoidable utilization of emergency care services.

Primary Duties and Responsibilities:

• Manage Variety Care’s high-risk patient population.
• Conduct comprehensive assessment of patients’ physical, mental, and psychosocial needs.
• Develop care plans to prevent disease exacerbation, improve outcomes, increase patient engagement in self-care, decrease risk status, and minimize hospital and ER utilization.
• Reconcile patient’s medication list accurately and routinely.
• Communicate with providers (e.g.; specialists, respiratory therapist, nutritionist, physical therapist, home health providers, care managers, and social workers) by optimizing the office-based care team to send, receive, and triage information flows among providers.
• Utilize behavioral strategies including, but not limited to, Bridges out of Poverty, Crucial Conversations and Teach-Back techniques. Promote self-management goals that help patients adopt healthy behaviors and improves self-care.
• Optimize the utilization of services available at Variety Care, including Behavioral Health, Social Services, Community Health Worker, Enrollment Services, Nutrition, Pharmacy, Optical and Dental.
• Acts as a lead, for the care management team, of a subset of patients designated by the Population Health Manager, in coordination with the Director of Clinical Services. Assist the team (consisting of Social Services staff and Community Health Worker(s)) to prioritize and intervene effectively to keep patients medically stable and improve their quality of life as well as health outcomes.
• Coordinates/verifies that services, equipment and necessary supplies are in place.
• Participates in regular case staffing meetings and reviews.
• Follow-up with patients within 24 hours of inpatient discharge and within 48 hours of emergency department visit notification.
• Partner with external case management programs to coordinate care.
• Provide on-going evaluation and documentation of patient progress and risk status.
• Communicate and collaborate with internal care teams.
• Accurately documents and monitor care coordination activities in the electronic health record.
• Proactively support Variety Care’s initiatives related to care coordination
• Serve as a proactive member of care teams and team-based care initiatives.
• Partner with Variety Care staff to develop integrated care management programs.
• Serve as a professional role model for all staff.
• Adheres to all Variety Care policies and procedures.
• Supports Variety Care’s accreditation as a Patient Centered Medical Home and our commitment to provide care to all patients that is Safe, Effective, Patient Centered, Timely, Efficient, and Equitable. Provides leadership and works with staff to achieve the goals of the “Triple Aim” of healthcare reform – to improve the experience of care, improve health outcomes, and decrease healthcare costs.
• Serves as a Variety Care representative on community boards and task forces.
• Embodies the strength of personal character. Places value on being an open and honest communicator who displays high moral and ethical conduct, integrity, adaptability, and sound judgment. Must be a leader in the department and community. Result-oriented problem solver who is responsible and accountable.
• Performs other duties as assigned.

Requirements, Special Skills or Knowledge:

• Active RN License in good standing in the state of Oklahoma.
• Excellent oral and written communication skills.

Preferred requirements, Special Skills or Knowledge:

• Two years of experience in care management in a community-based setting.
• Bachelor of Science Degree in Nursing is preferred.
• Bilingual (English/Spanish).

Essential Functions:

• Must be able to lift 25 pounds.