RN Care Manager

2 weeks ago


Bridgeport, Connecticut, United States Great Lakes Bay Full time
Job Summary

The RN Care Manager will work collaboratively with the care team to provide high-quality, patient-centered care to patients and their families. The primary focus will be on the ongoing management of high-risk patients, identified through a comprehensive risk stratification process or provider referral.

Key Responsibilities
  • Develop and implement individualized care plans to improve functional health status and decrease disease burden.
  • Engage patients in the care management program, focusing on improving access, clinical outcomes, and cost of care.
  • Collaborate with care teams, including Community Health Workers, Integrated Behavioral Health, and others, to ensure safe and effective transitions of care.
  • Monitor and manage provider desktops per the Desktop Management Protocol.
  • Provide professional telephone consultation, education, and triage services to patients and providers.
Requirements
  • Graduate of an accredited professional nursing program; BSN strongly preferred.
  • Registered Nurse with current licensure to practice in the State of Michigan.
  • Basic Life Support certification.
  • Proficiency in Motivational Interviewing techniques and Population Health Management software systems.
Work Environment

Full-time, flexible schedule with some evening or weekend hours required. Travel between sites and for meetings and conferences as needed.

Great Lakes Bay Health Centers is an equal opportunity employer and prohibits discrimination and harassment based on race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, and local laws.


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