Senior Heart Failure Care Manager

271 Atrium Health Specialty Network, Inc; South Carolina; On-site; USD 47,000 - 79,000; Full time

Benefits offered by this job

Health and welfare benefits

Paid Time Off

Educational Assistance Program

Retirement plans with employer match

Job summary

Advocate Health seeks an experienced Registered Nurse to join its care management team in a pivotal role coordinating patient care across the continuum. You will collaborate with physicians, care managers, and community partners to ensure timely, effective, and patient-centered services.

You will leverage clinical expertise, documentation accuracy, and Epic EMR skills to navigate complex care plans, support transitions, and drive outcomes for diverse patient populations.

Qualifications

• Bachelor's Degree in Nursing or related field is required.
• Registered Nurse license issued by the state where the team member practices is required.
• Typically requires 5 years of experience in clinical nursing or 1–2 years care management experience.
• Applicable certification is encouraged.
• Proficient in computer/Microsoft Suite and Epic EMR.

Responsibilities

• Facilitates communications among patient/family, multidisciplinary team, medical management team, community resources and other disciplines to anticipate, identify, evaluate, and act to resolve any potential barriers to delivery of care in a timely manner.
• Understands and interprets contracts and contractual obligations to enable the care management team to achieve maximum clinical and financial outcomes.
• Collaborates with the patient/family and inter-professional team to provide a model of care that ensures delivery of quality, efficient, and cost-effective healthcare services.
• May work embedded within a provider office or telephonically working with a care team.
• Uses evidenced-based approaches to increase patient and family activation and engagement in their own care.
• Assists in developing SMART goals with patients and families.
• Assists in the development, procurement, and adoption of patient self-management educational resources.
• Identifies potential barriers to learning and/or to the optimal delivery of care.
• Reports abnormal findings to the responsible provider/care team and collaborates to develop a plan.
• Independently manages CM caseload according to department expectations.
• Ensures timely completion of tasks and documentation related to MCO, regulatory and contractual requirements.
• Coordinates referrals to other departments and/or external resources as necessary.
• Must demonstrate knowledge to provide care appropriate to the age of the patients served.

Job description

Advocate Health seeks an experienced Registered Nurse to join its care management team in a pivotal role coordinating patient care across the continuum. You will collaborate with physicians, care managers, and community partners to ensure timely, effective, and patient-centered services.

You will leverage clinical expertise, documentation accuracy, and Epic EMR skills to navigate complex care plans, support transitions, and drive outcomes for diverse patient populations.