RN Care Navigator – Patient-Centered Health Home

Nevada Health Centers; Wells (NV); On-site; USD 65,000 - 90,000; Full time

Job summary

Nevada Health Centers in Elko, NV is looking for a dedicated RN Case Manager to coordinate patient-centered care within a Patient Centered Health Home model. You will lead population management, wellness promotion, and chronic disease care for a defined patient panel.

The role emphasizes assessment, planning, implementation and evaluation to improve care continuity and cost effectiveness, guided by Nevada rules and EHR use.

Qualifications

• Graduate of an accredited nursing school required. Bachelor’s degree in nursing preferred.
• Licensure as a registered nurse in the state of Nevada required.
• Current CPR or BLS certification required.
• Minimum three years of experience in a clinical practice, ER, ICU with good clinical skills.
• Familiarity with Electronic Health Record systems required.

Responsibilities

• Provides health education and coaches patients in a service area on treatment alternatives to assist them in best decision-making.
• Supports patients in selection of best physician and facility to maximize access, quality, and to manage health care costs. Coordinates services and referrals to health programs. Takes in-bound calls and places out-bound calls as dictated by patient and business needs.
• Track and support patients when they obtain services outside the practice. Identify potentially unnecessary services and care delivery settings and recommend alternatives if appropriate by analyzing clinical protocols. Case managers will use data reports and medicals records to identify patients who are “disconnect” in the system and proactively connect them to the right healthcare options.
• Follow-up with patients in a service area within a few days of an emergency room visit or hospital discharge. Provide care management services for high-risk patients. Examine clinical programs information to identify members for specific case management and/or disease management activities or interventions by utilizing established screening criteria.
• Identify clients at the highest risk who offer the greatest potential for improvements in health outcomes.
• Manage network participation, care with specialty networks, care with DME providers and transfers to alternative levels of care using knowledge of benefit plan design.
• Special projects, initiative, and other job duties as assigned.
• Patient encounters as needed.
• Other duties and special projects as assigned

Skills

Ambulatory care

Case management

Patient coaching

Communication

Data reporting

Education

RN licensure in NV

Bachelors in Nursing

Tools

Electronic Health Records

Job description

Nevada Health Centers in Elko, NV is looking for a dedicated RN Case Manager to coordinate patient-centered care within a Patient Centered Health Home model. You will lead population management, wellness promotion, and chronic disease care for a defined patient panel.

The role emphasizes assessment, planning, implementation and evaluation to improve care continuity and cost effectiveness, guided by Nevada rules and EHR use.