RN - Outpatient Care Management

Carle Health; Peoria (IL); Hybrid; USD 45,000 - 73,000; Full time

Job summary

Carle Health is seeking an OP Care Management RN to provide care management and population health services to patients, focusing on stratified risk patients and transitions of care. The role centers on coordinating chronic disease care, medication management, and care transitions.

You will create a longitudinal, personalized care plan and collaborate with patients, families, and all care team members to improve outcomes and access to care.

Qualifications

• Licensed Registered Nurse (RN) in Illinois.
• Certified Case Manager within 2 years (CCMC).
• Nursing degree required.

Responsibilities

• Coordinate care across the healthcare continuum and settings.
• Identify providers and services; communicate with interdisciplinary team.
• Educate on medication adherence and follow-up to reduce readmissions.
• Empower patients and families to utilize resources appropriately.
• Perform holistic health assessments and document in EMR.
• Use data or dashboards to support high reliability and outcomes.

Skills

Care coordination

Interdisciplinary collaboration

Patient education

Data-driven population health

Education

RN licensed in IL

Certified Case Manager (CCM)

Nursing degree

Tools

EMR (Electronic Medical Records)

Job description

Overview

The OP Care Management RN provides care management and population health services to patients. The primary target population served is the stratified risk patient or patients with high vulnerability at times of transition between care settings. OP Care Management RN will coordinate care around patient's chronic diseases, coordinate and facilitate medication management, and effectively manage care transitions across the continuum.OP Care Management RN will create a longitudinal, personalized care plan for each unique patient. Promoting effective partnerships between patients, families, nurses, physicians, and all other health care disciplines across the continuum. OP Care Management RN will use a data driven approach to manage patient populations to improve access to care and achieve optimal clinical outcomes.

Qualifications

Certifications: Licensed Registered Professional Nurse (RN) - Illinois Department of Financial and Professional Regulation (IDFPR); Certified Case Manager within 2 years - Commission for Case Manager Certification (CCMC), Education: College Diploma: Nursing (Required), Work Experience: Nursing

Responsibilities

• Communication and coordination between care settings across the healthcare continuum.
• Identifies appropriate providers, healthcare organizations, and community services throughout the continuum of care and communicates with an interdisciplinary team to develop and maintain positive working relationships with patients, families and all other members of the care team.
• Provide education on medication adherence, follow up appointments, and other activities to maximize patient knowledge of self-care and reduce avoidable readmissions.
• Empowers patients and families through education and a trusting relationship to utilize healthcare resources appropriately minimizing unnecessary healthcare utilization.
• Conduct holistic health care assessment including health risk assessment, patient preference and goals, health literacy, patient engagement level, patient confidence level to perform self-management, impact of chronic health conditions and comorbidity and social determinants of health.
• Ensure accurate documentation of clinical, financial, and other information using appropriate systems.
• Utilize data, dashboard, or other reporting mechanisms to support high reliability performance and outcome evaluation.
• Outpatient Care Management RN functions as an arm of the primary care provider to support any and all care coordination, chronic disease education for patients in collaboration with all cross-continuum care team members and support services.
• Documents within patient Electronic Medical Record (EMR) to support departmental specific workflows to ensure accuracy in care planning efforts.
• Effectively communicate with patients and all cross-continuum care team members in efforts to achieve optimal patient outcomes.

About Us

Discover the job, the career, the purpose you were meant for. At Carle Health, we're committed to fostering a workplace where every team member feels valued, respected and empowered, where passion and purpose come together to positively impact the lives of our patients and our communities. Find it all at Carle Health.

Our nearly 17,000 team members and providers work together to support patient care across central and southeastern Illinois. We’ve grown to include eight, award-winning hospitals and a multispecialty provider group with more than 1,500 doctors and advanced practice providers. We’re developing the next generation of providers and healthcare professionals through Carle Illinois College of Medicine, the world’s first engineering-based medical school, and Methodist College. Carle BroMenn Medical Center, Carle Foundation Hospital, Carle Health Methodist Hospital, Carle Health Proctor Hospital, Carle Health Pekin Hospital, and Carle Hoopeston Regional Health Center hold Magnet® designations, the nation’s highest honor for nursing care. We offer opportunities in several communities throughout central Illinois with potential for growth and life-long careers at Carle Health.

We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class. Carle Health participates in E-Verify and may provide the Social Security Administration and, if necessary, the Department of Homeland Security with information from each new employee's Form I-9 to confirm work authorization. | For more information: [e-mail].

Compensation and Benefits

The compensation range for this position is $33.11per hour - $53.88per hour. This represents a good faith minimum and maximum range for the role at the time of posting by Carle Health. The actual compensation offered a candidate will be dependent on a variety of factors including, but not limited to, the candidate’s experience, qualifications, location, training, licenses, shifts worked and compensation model.Carle Health offers a comprehensive benefits package for team members and providers. To learn more visit careers.carlehealth.org/benefits.