CMRN-Ambulatory Nurse Case Manager
2 months ago
Atrius Health, an innovative healthcare leader, delivers an effective system of connected care for more than 690,000 adult and pediatric patients at 30 medical practice locations in eastern Massachusetts. Atrius Health's 645 physicians and primary care providers, along with 420 additional clinicians, work in close collaboration with hospital partners, community specialists and skilled nursing facilities. Our vision is to transform care to improve lives. Atrius Health provides high-quality, patient-centered, coordinated, cost effective care to every patient we serve. By establishing a solid foundation of shared decision making, understanding and trust with each of its patients, Atrius Health enhances their health and enriches their lives. Atrius Health is part of Optum, a health services company focused on building the leading value-based care system in the country.
SUMMARY
Under general supervision, this Nurse Complex Case Manager coordinates and manages all aspects of patient care through multiple care delivery systems, acting as the central point of contact for patients, coaching their condition self-management, and supporting their adherence to their care plan. Receives case management reports and primary care physician (PCP) referrals in order to identify and engage very high and high-risk patients with whom to work, to support their optimal health outcomes, high quality care and patient safety, and reduce dependence on facility-based care. Through initial contact and assessment, establishes active partnerships with patients and clinical partnerships with PCPs, specialists, internal medicine (IM) leadership and staff, and internal and external resources. Reports to the Manager of Case Management, with a functional reporting relationship to the site IM Nurse Leader.
EDUCATION/LICENSES/CERTIFICATIONS
Graduate of a state-approved school of nursing, Baccalaureate degree preferred (or equivalent education, training or experience). Certified Case Management (CCM) or CCM eligible strongly preferred. Must possess a current unrestricted RN licensure in the Commonwealth of Massachusetts. American Heart Association Basic Life Support (BLS) required. Advanced Cardiac Life Support (ACLS) may be required based on specialty.
EXPERIENCE
Minimum of 3 to 5 years nursing experience in case management/continuing care in an inpatient or community setting strongly preferred; exceptions in consultation with Chief Nursing Officer. Experience with an electronic medical records system, EPIC experienced preferred.
SKILLS
Must exhibit strong critical thinking, problem solving, interpersonal, and clinical assessment skills. Highly motivated and self-directed. Ability to interpret clinical information, assess the implication of treatment and develop and implement a plan of care. Ability to engage patients in adhering to a plan of care, and changing behaviors that impact their health. Ability to impact patient health behaviors and treatment adherence from multiple media - in person, via video, by telephone, thru messages. Demonstrated ability to prioritize, multitask, and work in a rapidly changing environment with multiple demands. Ability to work effectively in a team. Strong Computer Skill,
Atrius Health is committed to a policy of non-discrimination and equal employment opportunity. All patients, employees, applicants, and other constituents of Atrius Health will be treated with respect and dignity regardless of race, national origin, gender, age, religion, disability, veteran status, marital/domestic partner status, parental status, sexual orientation and gender identity and/or expression, or other dimensions of diversity.
Excellent benefits Include:
• Up to 8% company retirement contribution,
• Generous Paid Time Off
• 10 paid holidays,
• Paid professional development,
• Competitive health and welfare benefit package.
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