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Care Manager RN

2 months ago


Fort Wayne, Indiana, United States Premise Health Systems Full time
About the Role

Premise Health Systems is seeking a highly skilled Care Manager RN to join our team. As a Care Manager RN, you will play a critical role in delivering high-quality care to our members.

Key Responsibilities
  • Develop personalized treatment plans using provider care plans and member preferences, utilizing a coach approach and the pillars of Lifestyle Medicine.
  • Support a proactive, multidisciplinary team approach directed toward prevention, education, and health promotion.
  • Establish supportive relationships with members.
  • Assess members' educational, clinical, and social needs, prioritizing care based on elicited information from the member, Epic, and data analysis.
  • Act as a resource for members.
  • Document touchpoints and progress into the electronic medical record.
  • Collaborate with the full scope of clinical team members to arrange for further medical treatment when needed.
  • Provide support and tools needed to help members take control of their health.
  • Deliver exceptional member experiences and engage members in their healthcare journeys.
  • Improve health outcomes and better management of any chronic condition.
  • Lowers healthcare costs while improving outcomes.
  • Consult with other members of the healthcare team to solve problems and seek advice.
  • Work closely with client's vendors as appropriate to support member's needs.
  • Identify emergency situations and provide care within legal scope of practice.
  • Maintain member privacy and confidential member information.
  • Participate in outreach/follow-up phone calls and follow-up member visits.
  • Provide condition-specific self-care education to client employees enrolled in the various condition management programs.
  • Serve as a member advocate.
  • Act as a facilitator of Care Team meetings.
  • Coach effectively virtually using video and phone.
  • Collaborate with health center staff to coordinate and promote health and wellness programs.
Requirements
  • Currently licensed Registered Nurse in the state of practice.
  • Current certification AHA or ARC Basic Life Support for healthcare providers.
  • Current Wellness Coach Certification from Wellcoaches or equivalent International Coach Federation-accredited program certification (must be obtained within 24 months of hire).
  • Bachelor's degree (BSN) from a four-year college or university (preferred).
  • At least three years' experience as a Registered Nurse caring for members with any of the following conditions: Type 2 diabetes, asthma, heart disease, heart failure, or hypertension.
  • Experience in Condition Management, Certificate in Case Management, Care Coordination, Certified Diabetes Educator (CDE) Certified Diabetes Care and Education Specialist (CDCES) a plus.
  • Knowledge of internet software, spreadsheet software, and Word Processing software.
  • Knowledge and experience with Electronic Medical Records (preferred).