Nurse Case Manager

4 weeks ago


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

The RN Case Manager will be responsible for providing comprehensive case management services to high-risk patients in the Mosaic Community Health Home. This role requires a strong nursing background and excellent communication skills to assess, plan, implement, and evaluate care plans for patients with complex medical conditions and socioeconomic and mental health co-morbidities.

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, Value Improvement, and Population Health staff to identify high-risk patients and implement evidence-based interventions and approved protocols for chronic conditions
  • Develop and implement individualized, patient-centered care plans that integrate evidence-based clinical guidelines, preventive guidelines, and approved protocols
  • Provide follow-up with patients/families regarding transitions of care, including medication reconciliation, timely follow-up appointments, patient education, and coordination of care

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

About Mosaic Community Health
Mosaic Community Health is 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.
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