Nurse Care Manager
3 weeks ago
About the Role
">As a Nurse Care Manager in our Ambulatory Internal Medicine Practice, you will play a vital role in ensuring the overall clinical success of the team. Your primary responsibility will be to support and participate in the Patient-centered Medical Home (PCMH) concepts of team-based care.
Key Responsibilities:
- Support the implementation of PCMH guidelines and ensure compliance across the team.
- Assess, plan, implement, coordinate, monitor, and evaluate healthcare options and services to improve patient outcomes.
- Provide outreach for hospital discharge follow-up, care planning, and coordination of services.
- Educate Medical Assistants on PCMH requirements and best practices.
- Collect data on quality metrics and track progress for improvement efforts.
- Collaborate with patients' medical/health providers to establish mutual goal setting, involving self-management tools.
- Conduct blood pressure checks for uncontrolled hypertensive patients.
- Offer education on managing diabetes and achieving good glycemic control.
- Monitor INRs and promptly inform PCPs when out of range.
- Facilitate access to medical supplies, including glucometers and nebulizers.
- Coordinate referrals to homecare services.
- Assist with unstable patients awaiting 911 arrival.
- Develop clinical procedures to ensure patient safety, comfort, and quality care.
- Evaluate ongoing patient care through incident reports and take necessary actions.
- Serve as a resource and role model for staff.
- Recommend and implement new initiatives as appropriate.
- Review insurance registries to address missing gaps.
- Maintain professional licensure and stay up-to-date on DOH, Medicare, AAAHC, and other regulatory requirements.
- Establish and maintain effective working relationships with employees, managers, and physicians.
- Develop patient education materials.
- Promote a positive image of the practice when interacting with patients and others.
- Perform other duties as assigned.
Requirements
- Bachelor's degree in Nursing or equivalent.
- Minimum 3 years of experience.
Preferred Qualifications
- Excellent organizational and interpersonal communication skills.
- Demonstrated ability to manage multiple priorities.
- Ability to write reports, business correspondence, and letters to patients.
- Effective communication with groups of patients and physicians.
Location
Center City Philadelphia, PA
Estimated Salary Range: $54,630 - $81,940 per year
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