RN Case Manager
6 days ago
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 providing comprehensive case management services to high-risk patients in our Mosaic Community Health Home.
Key Responsibilities
- Manage a defined panel of high-risk patients with the goal of optimizing their health status and minimizing inpatient hospital and emergency department utilization.
- Collaborate with Quality, Value Improvement, and Population Health staff to identify high-risk patients.
- 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.
- Critical thinking and problem-solving skills.
- Excellent written, verbal, telephone, and interpersonal communication skills.
- Understanding of patient and family-centered care concepts.
- Strong organizational skills.
- Familiarity/experience with patient interaction on the telephone.
- Basic typing and computer skills and comfort with Microsoft Windows operating system.
Preferred Qualifications
- EHR experience - EPIC experience a plus.
- Fluency in Spanish preferred.
- Involvement with quality improvement processes.
- Clinical system design and development.
- Motivational Interviewing experience.
About Mosaic Community Health
Mosaic Community Health prides itself on being an innovative health system that pioneers unique and creative ways to provide and improve patient access to health care. We focus on a holistic approach to patient care by incorporating behavioral health, pharmacy, and nutrition support to serve patients in the most meaningful way.
At Mosaic Community Health, you will work with incredibly dedicated and mission-centered peers and be part of a dynamic team-based environment. We offer a great benefit package and a lifestyle that improves lives, including yours.
Qualifications
- Education: Preferred Bachelors or better in Nursing.
- Licenses & Certifications: Required CPR, Driver's License, Registered Nurse.
- Experience: Required Minimum two years of nursing clinical experience in acute or ambulatory care. Experience in nursing care of medically complex patients and/or case management in an ambulatory care setting preferred.
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