Care Management Nurse

1 month ago


Hagerstown, Maryland, United States Concerted Care Group Full time
Care Management Nurse Job Description

Kolmac Integrated Behavioral Health and Concerted Care Group (CCG) is a leading outpatient treatment provider in the Mid-Atlantic region. We are committed to treating individuals whose lives have been impacted by substance use and mental health disorders.

We provide compassionate and evidence-based treatment, aimed at improving the quality of life for those we serve. Our client-centered mission achieves measurable outcomes through a culture of diversity and inclusion.

As a Care Management Nurse, you will be part of our innovative integrated behavioral model, empowering our team to make a meaningful impact every day. We stand behind our commitment to diversity, equity, and inclusion, which are the core of our company with our patients and employees.

Our leadership team invests in enhancing the programs we offer patients to expand access to care and offer flexibility. Patient care is at the heart of everything we do.

Responsibilities:
  • Oversee and work at two primary locations: Cumberland, Maryland, and Hagerstown, MD CCG locations
  • Act as a comprehensive care coordinator for participants assigned to care, assessing their needs accordingly and facilitating communication amongst other clinicians providing care
  • Lead practice transformation based on Population Health principles and state/accrediting body requirements
  • Develop and maintain working relationships with primary and specialty care providers, including inpatient facilities and emergency departments
  • Monitor Population Health performance at the population and participant level and implement improvement efforts via statistical data gathering
  • Design and develop prevention and wellness initiatives
  • Establish the effective use of patient registries (CRISP and eMedicaid) as applicable to manage specific patient populations and to improve disease and population health outcome measures
  • Collaborate/consult with specialty practices to identify data needs related to care coordination
  • Monitor participants' monthly visits to assure the appropriate population home are delivered
  • Oversee the entering of all required data
  • Perform comprehensive assessments of physical, emotional, psychosocial, and environmental needs of participants and develop care plans for all assigned Population Health enrollees around physical health or social goals
  • Facilitate health education groups
  • Assess, coordinate, and implement service planning needs of assigned persons
  • Evaluate/assist in evaluation of appropriateness of plan of care and revises on an ongoing basis with communication to all other disciplines
  • Reviews results of laboratory tests and other diagnostic procedures and reports to the nurse practitioner or psychiatrist
  • Identifies significant clinical findings, makes conclusions, and intervenes appropriately under the direction of the nurse practitioner consultant
  • Compares ongoing outcome data to baseline data to monitor clients
  • Initiates client education based on identified learning needs of the client and/or those providing care and documents appropriately
  • Supports and monitors compliance of the individual, including checking of prescription labels and storage
  • Consults with behavioral health staff about participants' identified health conditions
  • Attends treatment team meetings with behavioral health staff to plan and coordinate care
  • Assists in contacting medical providers & hospitals for coordination of care efforts
  • Provides training on medical diseases, treatments, & medications to health home participants
  • Assists in the training and education of OTP staff regarding population health services
  • Provides training on medical diseases, treatments, & medications to behavioral health staff, as indicated
  • Takes action to correct observed risks to patient safety
  • Reports adverse events and near misses to supervisor
  • Implements policies, procedure, and standards consistently in the performance of assigned duties
  • Develops effective working relationships and maintains good communication with other team members
Qualifications:
  • Must have a valid driver's license with no more than 3 points
  • Three plus years' experience in a medical office setting, hospital, or similar patient customer service environment. Five plus years, preferred
  • Licensure as a Registered Nurse in the state of Maryland, or eligible to practice due to Compact state agreements outlined through the MD Board of Nursing, is required
  • Demonstrated success in exhibiting teaching, coaching, and development skills
  • Demonstrated effectiveness in a consultative role, and experience leading complex change
  • Ability to create a motivating environment for clinical and professional personnel
  • Highly effective interpersonal, verbal, and written communication and presentation skills
  • Demonstrate effectiveness in education others on a broad spectrum of health issues
  • Demonstrate ability to collaborate with a multidisciplinary treatment team
  • Strong sense of teamwork and collaboration, as caseload coverage is shared amongst the entire Population Health Nurse Care team and all aspects of services are further coordinated with several multi-disciplinary teams
  • Knowledge of the Maryland healthcare industry and policy preferred
  • Ability to conduct online research to source information and resources for clients preferred
  • Knowledge of area resources and case management preferred
  • Ability to analyze and conceptualize data to ensure achievement of desired outcomes
  • Technically proficient in Microsoft Office programs and database use. Ability to learn and use an electronic medical record and health information exchange to enter clinical information and run reports

We offer competitive compensation, full benefits, life insurance, 401K, tuition reimbursement, paid professional development time, student loan repayment program, paid vacation time, and more.

The base pay for this position generally ranges between $35 a hour to $38 a hour. Factors, such as but not limited to, geographical location, relevant experience, licensure, education, and skill level may impact the pay for this position.

Kolmac Integrated Behavioral Health has been a leader in Outpatient Treatment since 1973. Patient care is at the heart of what we do.

Kolmac Outpatient Recovery and Concerted Care Group (CCG) have merged to provide addiction treatment and behavioral health treatment services for individuals, families, couples, and groups.

We serve communities across Maryland, DC, Virginia, Delaware, and Pennsylvania. We are still growing.


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