Ambulatory Care Manager

2 weeks ago


Richmond, Virginia, United States Bon Secours Mercy Health Full time
Ambulatory Care Manager Job Description

Bon Secours Mercy Health is seeking a skilled Ambulatory Care Manager to join our team. As a Registered Nurse, you will provide clinical care management services to identified eligible patients, coordinating care to obtain desired health outcomes, improve self-care abilities, and decrease unnecessary cost of care.

Key Responsibilities:
  • Utilize Motivational Interviewing techniques to activate patients in self-management of their chronic conditions.
  • Maintain a caseload of patients according to department policies.
  • 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.
  • Perform medication review and teach-back to ensure patient understanding and ability to adhere to medical regimen.
  • Collaborate with PCPs, Specialists, and Hospitalists to effectively implement a patient-centered care plan.
  • Perform patient outreach according to established protocols and document in electronic medical record.
  • Identify, execute, and track needed referrals to care and community resources.
  • Provide resource management to improve care, patient experience, and reduce unnecessary cost and utilization.
  • Assist patients in advanced care planning to complete Advanced Directives.
  • Document all communications with patients and/or care team in electronic medical record.
Requirements:
  • Registered Nurse with active License in State of Patient Care.
  • 2-3 years acute care, home health, or case management experience.
  • Excellent interpersonal communication and negotiation skills.
  • Strong analytical, data management, and computer skills.
What We Offer:
  • Comprehensive, affordable medical, dental, and vision plans.
  • Prescription drug coverage.
  • Flexible spending accounts.
  • Life insurance with AD&D.
  • Employer contributions to retirement savings plan when eligible.
  • Paid time off.
  • Educational Assistance.

Bon Secours Mercy Health is an equal opportunity employer and welcomes applications from diverse candidates. If you are an individual with a disability and would like to request a reasonable accommodation as part of the employment selection process, please contact The Talent Acquisition Team.


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