Care Manager RN

7 days ago

Grand Rapids, Michigan, United States University of Michigan Health-West Full time
Job Title: Care Manager RN

University of Michigan Health-West is seeking a skilled Care Manager RN to join our team.

About the Role:

The Care Manager RN will provide care management services to adult and pediatric patients in an ambulatory setting. This role involves performing clinical assessments and therapeutic interventions for complex patients with multiple chronic conditions and comorbidities.

Key Responsibilities:
  • Receives and acts on referrals for moderate and complex patients through risk stratification, registries, and provider referrals
  • Assesses patients' mental health and biopsychosocial needs through standardized assessments
  • Recommends treatment plans based on evidence-based guidelines
  • Educates patients on preventive health, chronic illness, and recommended treatments
  • Provides care coordination and follow-up for chronic medical conditions across the continuum of care
  • Follows patients longitudinally to evaluate treatment goals
  • Advocates for patients and family while maintaining professional boundaries
  • Educates and supports patients in the use of self-management techniques and develops action plans to encourage self-care
  • Facilitates transitions of care for admitted and discharged patients from the hospital or emergency department to ensure continuity of care
  • Consults with members of the care team throughout the continuum on treatment plans and follow-up care
  • Participates in process improvement activities to enhance primary care services and workflow
  • Offers group education classes for patients with chronic conditions
Requirements:
  • Possesses excellent time management, work delegation, and organization skills
  • Exhibits creative problem-solving and critical thinking skills
  • Excellent written and verbal communication skills
  • Comprehensive knowledge of community resources
  • Knowledge of chronic medical and mental health conditions
  • Ability to triage and manage complex clinical issues utilizing assessment skills and protocols
  • Ability to work independently as well as in a team environment
  • Ability to adapt to changes in healthcare with the goal of improving quality, efficiency, and cost-effectiveness of care
  • Knowledge of electronic medical record documentation
Qualifications:
  • Current State of Michigan License (unrestricted) as a Registered Nurse (RN)
  • Bachelor's in Nursing preferred
  • Case Management Certified preferred
  • Two (2) years of clinical nursing or RN experience required with three (3+) or more years of experience preferred

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