RN Case Manager

2 days ago

South Bend, Indiana, United States Mosaik Medical Full time
Job Summary

Mosaic Community Health is seeking a skilled RN Case Manager to join our team. As a RN Case Manager, you will be responsible for managing a defined panel of high-risk patients, collaborating with quality improvement staff, and implementing evidence-based interventions to optimize patient health status.

Key Responsibilities
  • Manage a defined panel of high-risk patients to optimize their health status and minimize inpatient hospital and emergency department utilization
  • Collaborate with quality improvement staff to identify high-risk patients and develop strategies to improve patient outcomes
  • Implement evidence-based interventions and approved protocols for chronic conditions
  • Integrate evidence-based clinical guidelines, preventive guidelines, and approved protocols in the development of individualized, patient-centered care plans
  • Provide follow-up with patients/families regarding transitions of care, including medication reconciliation, timely follow-up appointments, patient education, and coordination of care
  • Assess health, educational, and psychosocial needs of the patient/family and develop, implement, and evaluate care plans
Requirements
  • Superior nursing process skills and critical thinking and problem-solving skills
  • Excellent written, verbal, telephone, and interpersonal communication skills
  • Understanding of patient and family-centered care concepts and strong organizational skills
  • Familiarity/experience with patient interaction on the telephone and basic typing and computer skills
  • Comfort with Microsoft Windows operating system
Preferred Qualifications
  • EHR experience, particularly with EPIC
  • Fluency in Spanish
  • Involvement with quality improvement processes and clinical system design and development
  • Motivational Interviewing experience
About Mosaic Community Health

Mosaic Community Health is a innovative health system that pioneers unique and creative ways to provide and improve patient access to healthcare. We pride ourselves on being a holistic approach to patient care, incorporating behavioral health, pharmacy, and nutrition support to serve patients in the most meaningful way.

We offer a dynamic team-based environment and a lifestyle that offers work-life balance, including a great benefit package and the opportunity to enjoy the outdoors in Central Oregon, with over 300 days of sunshine per year.

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