RN Care Manager

2 weeks ago


Flagstaff, Arizona, United States Northern Arizona Healthcare Full time
Overview

The RN Care Manager is a seasoned Registered Nurse with extensive experience in managing complex situations and providing expert clinical nursing knowledge for specific populations and chronic diseases. This role requires strong internal and external interface skills to provide care management to populations connected with health insurance attributed lists, emergency rooms, hospitals, and primary care services.

ResponsibilitiesPatient Care
  • Evaluate attributed patients to provide clinical care management risk attribution.
  • Complete psychosocial assessments and develop care plans with identified patients to lower risk thresholds for care delivery.
Care Coordination
  • Develop relationships with primary care, specialty services, emergency, and hospital networks required for inter-disciplinary care management.
  • Facilitate the progression of care by advancing the care plan, identifying outcomes, implementing plans, and setting goals that are measurable, realistic, and individualized.
Utilization Management
  • Utilize care delivery techniques such as teach back and motivational interviewing to support patient success.
  • Support patients to ensure appropriate compliance and support occurs to avoid readmission or poor quality outcomes.
Data Integrity
  • Respect and uphold patient rights, demonstrate professional integrity, maintain patient confidentiality, disclose all potential or perceived conflicts of interest when appropriate; accept responsibility and accountability for professional competence.
  • Ensure appropriate documentation in the electronic medical record.
Compliance/Safety
  • Stay current and comply with state and federal regulations/statutes and company policies that impact the employee's area of responsibility.
  • Ensure all certifications and/or licenses are up-to-date and valid prior to expiration dates.
  • Complete all company mandatory modules and required job-specific training in the specified time frame.
QualificationsEducation
  • Bachelor's Degree in Nursing - Required if hired after December 2018
  • Master's Degree in Nursing - Preferred
Certification & Licensures
  • Current, unrestricted license in the State of Arizona - Required
  • BLS (American Heart - Required
  • Fingerprint Clearance Card application number - Required upon hire
  • Fingerprint Clearance Card - Required within 90 days of hire
Experience
  • Two years as a Registered Nurse - Required
  • Care Management or Nurse Navigator experience - Preferred

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