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Ambulatory Care Manager
2 months ago
Bon Secours Mercy Health is seeking a skilled Ambulatory Care Manager to join our team. As a Registered Nurse, you will play a vital role in providing clinical care management services to eligible patients, coordinating care to achieve desired health outcomes, and improving self-care abilities while reducing unnecessary costs.
Key Responsibilities:- Perform comprehensive needs assessments to identify and address barriers to care, aligning patients with available benefits and resources.
- Collaborate with patients, providers, and care teams to develop and implement care plans that ensure medically appropriate and cost-effective care.
- Utilize Motivational Interviewing techniques to activate patients in self-management of chronic conditions, promoting improved symptom management and disease trajectory interruption.
- Maintain a caseload of patients according to department policies and identify, enroll, and manage patients in programs for Transitions of Care, Complex Case Management, and Chronic Disease Management.
- Develop and implement care plans to maximize healthcare outcomes and facilitate wellness, with periodic review and update according to department protocols.
- Perform medication review and teach-back to ensure patient understanding and adherence to medical regimens.
- Collaborate with PCPs, Specialists, and Hospitalists to effectively implement patient-centered care plans.
- Perform patient outreach according to established protocols and document in electronic medical records.
- Identify, execute, and track needed referrals to care and community resources.
- Provide resource management to improve care, patient experience, and reduce unnecessary costs and utilization.
- Assist patients in advanced care planning to complete Advanced Directives.
- Document all communications with patients and/or care teams in electronic medical records.
- Registered Nurse with active license in the state of patient care.
- 2-3 years of acute care, home health, or case management experience.
- Excellent interpersonal communication and negotiation skills.
- Strong analytical, data management, and computer skills.
- Case Management certification preferred.
Bon Secours Mercy Health offers a comprehensive benefits package, including medical, dental, and vision plans, prescription drug coverage, flexible spending accounts, life insurance, and employer contributions to retirement savings plans. We also offer paid time off, educational assistance, and a range of other benefits to support your well-being and career growth.
We are an equal opportunity employer and welcome applications from diverse candidates. If you are an individual with a disability and require a reasonable accommodation during the employment selection process, please contact The Talent Acquisition Team.
