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RN Care Manager
2 months ago
About Ambulatory Care Clinics
Spectrum Health operates a network of outpatient clinics across the region, providing a range of care options to the communities we serve. Our clinics offer a variety of primary care and specialty practices, allowing our team members to learn and grow in their careers.
Scope of Work
As a RN Care Manager, you will play a critical role in planning and prioritizing care for individuals and populations of patients. You will demonstrate expertise in nursing care and management of a caseload of patients with varying complexity, seeking to improve patient, family, and health systems/community outcomes through the application of educational concepts/skills and preventive care in a managed care environment.
Key Responsibilities
- Assess internal and external referrals to identify patient/significant others' needs, level of intensity, insurance benefits, and other patient resources.
- Develop a plan of care and make recommendations to primary care physicians, specialists, and other members of the healthcare team regarding care management strategies, identifying strategies to maximize continuity of care across the continuum.
- Assess the educational needs of patients, families, and members of the healthcare team and develop and implement appropriate teaching strategies or make appropriate referrals.
- Communicate and collaborate with patient/significant others/providers/payers to coordinate services that improve access to appropriate services across the continuum of care and which promotes optimal health in a cost-effective manner.
- Measure patient care outcomes, interpret reports, and analyze data trends for groups of patients.
- Document patient data, plan, interventions, and outcomes according to department guidelines.
Benefits
Spectrum Health offers a comprehensive benefits package to meet your financial, health, and work/life balance goals. This includes:
- A comprehensive benefits package to meet your financial, health, and work/life balance goals.
- An on-demand pay program powered by Payactiv.
- Discounts directory with deals on the things that matter to you, like restaurants, phone plans, spas, and more.
- Optional identity theft protection, home and auto insurance, pet insurance.
- Traditional and Roth retirement options with service contribution and match savings.
Qualifications
To be successful in this role, you will need:
- A Bachelor's Degree in Nursing.
- 5 years of relevant experience in clinical experience preferred.
- 2 years of relevant experience in clinical nursing and/or case management/managed care or related field required.
- Registered Nurse - State of Michigan License.
Work Environment
This role is a full-time position with a 40-hour workweek, Monday through Friday. We are committed to providing a safe and healthy work environment for our team members.
