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Under the direction of the Director of Care Management, the RN Care Manager manages high-risk members with chronic illness to promote effective education, self-management support, and timely healthcare delivery, achieving optimal quality and financial outcomes. The RN Care Manager will formulate and implement a care management plan that addresses the member's identified needs by assessing issues, resources, and care goals. The RN Care Manager will advocate for the member and support the member in navigating the health care system. Additionally, the RN Care Manager will collaborate with the interdisciplinary team and members PCP / Health Care Team to identify and support achieving the member's short-term and long-term health goals. HTA's Care Management model is to provide longitudinal care management for identified members. A vital goal of the RN Care Manager within the longitudinal care management framework is to manage the post-acute care of identified members to avoid and limit poor health outcomes, frequent emergency room visits, and hospital readmissions. Based on the RN's work experience in nursing and knowledge of the health care system, the aims are to provide members with education and resources to reduce preventable emergency room visits, hospitalizations, and readmissions.

Essential Job Functions:

• Collaborates with providers and practice staff in identifying appropriate members for care management, utilizing established Care Management criteria.

• Performs initial and periodic holistic assessments for identified care-managed populations. This includes physical and psychosocial concerns for members as appropriate. The assessment consists of a systematic and pertinent data collection about the member's health status. Prioritizes members according to intensity, need, and required follow-up.

• Formulates and implements a care management plan that addresses the member's identified needs by assessing the member/family needs, issues, resources, and care goals; determining the choices available to individual members; and educating the patient/family on the choices available to meet their goals.

• Establishes a care management plan mutually agreed upon by the health care team and the member/representative. Plans specific mutual self-management goals, objectives, and action-oriented interventions with the members.

• Evaluate the effectiveness of the care plan in meeting established care goals; revise the plan as needed to reflect changing needs, issues, and goals. Monitor and evaluate the member's progress at prescribed minimal intervals.

• Collaborates with the healthcare team to revise the care management plan when changes occur. Initiates/participates in care conferences to discuss multidisciplinary team responsibilities, member progress, new problems, etc.

• Identifies and effectively utilizes community resources to meet the SDOH needs of members/families. Facilitates member access to community resources as appropriate in collaboration with Social Work.

• Promotes member self-management and empowers members/families to achieve maximum wellness and independence. Interacts professionally with members/families and involves them in the formation of a plan of care.

• Performs transitional follow-up calls for members recently discharged from acute hospitalizations, with particular emphasis on those members who are at high risk for readmission.

• Collaborates with providers and other healthcare team members, including inpatient facilities, outpatient providers, and the Utilization Management department, to initiate transitions of care and facilitate care across the healthcare continuum, and optimize clinical and financial outcomes.

• Determines and completes appropriate referrals to internal and external associates. Serves as a liaison to providers, members, and families to coordinate services.

• Maintains accurate and timely documentation. Ensures documentation meets current standards and policies.

• Strives to meet established standards for productivity.

• Participates in regular team meetings and peer review activities. Participates in departmental and organizational committees, as applicable. Assists/supports in the orientation of new personnel. Promotes collaborative teamwork.

• Meets regularly with the care management team to provide member updates, identify issues, and develop resolution strategies.

• Performs all duties and responsibilities according to the Nurse Practice Act and the basic principles and guidelines of professional nursing.

• Maintains appropriate professional boundaries with members, families, coworkers, and community providers.

• Maintains a working knowledge of and adheres to applicable federal and state regulations, including, but not limited to, laws related to patient confidentiality, release of information, and HIPAA.

• Interacts harmoniously and effectively with others, focusing on attaining organizational goals and objectives through teamwork.

• Conforms to acceptable attendance and punctuality standards in the HTA Employee Handbook.

• Abides by the organization's compliance program and requirements.

• Current on all required training for the current year.

Essential Job Duties and Requirements:

Coordinates care provided to a community-based member population of various risk stratification levels as follows:

• Ability to effectively engage members by telephone to conduct thorough screening, physical and psychosocial assessments on community-based caseload of members in a timely manner and within established guidelines.
• Consistently collaborates with member and family, physicians, and other health care team members to identify physical and psychosocial issues or barriers that affect health condition management.
• Implements a comprehensive, patient-centered plan of care to proactively manage identified issues and effect positive health outcomes.
• Prioritizes caseload to balance member and departmental needs.
• Acts as a member advocate and coordination link with other health care providers and community resources to positively impact outcomes.
• Advocates for the member to overcome barriers and resolve benefit issues. Assist members to navigate healthcare system and insurance benefits.
• Facilitates transition of care across by the continuum by identifying barriers to discharge and proactively working with members, providers, and vendors to address identified needs and facilitate appropriate transfers the next safest level of care for members.
• Meet with members/providers in person at inpatient hospital, emergency room, SNF, and/or provider offices as needed to facilitate transition of care along with continuum.

Formulates and implements a care management plan addressing the member's identified needs:

• Thoroughly assesses each member's eligibility for needed resources.
• Risk stratifies members and identifies barriers or gaps in treatment and refers to the appropriate team member to address the need as indicated to holistic care positive outcomes.
• Stays abreast of community resources and refers the Member for services and assistance when appropriate.
• Willingly collaborates with health care team members to formulate an individualized care plan and goals that best meet the needs of the family/member.
• Utilizes motivational interviewing techniques to engage members in goal setting.
• Updates individualized member care plan to articulate current short-term and long-term goals, as well as when these goals are met and/or revised.
• Consistently communicates with the health care team members to ensure patient care needs are addressed in a timely manner.
• Communicates care coordination and key elements to provider per department requirements.

Monitors members adherence to treatment plans as follows:

• Consistently monitors adherence to the member's treatment plan and relays issues to appropriate care providers promptly and effectively.
• Proactively identifies barriers to adherence and acts promptly to revise the treatment plan to improve member adherence and outcomes.
• Takes prompt action when issues involving the appropriate and cost-effective utilization of resources are identified, collaborating with appropriate health care team members.
• Confers with the members/families, physicians and other care providers, and insurance carriers in the role of patient advocate, as needed to resolve benefit issues and secure necessary services.

Provides documentation of care management activities as follows:

• Consistently documents all care management activities in the Care Enrollment Record(s) and/or software applications using the established format in a timely and accurate manner per department requirements.
• Promptly sends reports and communications to physicians and other providers as per department requirements and as needed to relay pertinent findings.
• Actively participates in program quality improvement activities.

Provides Health education as follows:

• Considers teaching methods utilized for members/families based on individual needs/differences.
• Utilizes a variety of approaches to effectively educate members/families as well as other members of the health care team regarding community resources, health care benefits, and insurance and managed care issues.
• Follows-up to evaluate the effectiveness of education provided and documents appropriately.
• Participates in multidisciplinary patient care conferences as needed.
• Consistently and accurately documents health education activities in the documentation system per department requirements.
• Appropriately updates departmental leadership with necessary in information impacting delivery of member services or ability to deliver health education.
• Assists in program development and group education.
• Supports training of new staff members.

Education and Experience

Education:

• Associate Degree in Nursing

Required Experience:

• Five years nursing related care experience and/ or home care experience combined.

Preferred Experience:

• BSN or Advanced Degree in Nursing
• Case Management Certification desirable.
• Case Management, Care Management, Telephonic Case Management, and/or Disease Management experience

Other Requirements:

• Registered Nurse licensed in North Carolina or a Compact state.
• Current NC RN licensure in good Standing
• Valid NC driver's license
• Annual Flu Vaccine
• COVID-19 Vaccine

Knowledge, Skills and Abilities:

Required Competencies:

• Knowledge of care management concept along the continuum.
• Knowledge of Medicare Benefits
• Experience and ability to use Microsoft Office products and word-processing software on a daily basis.
• Must be able to drive to local healthcare facilities to meet with members/providers as needed
• Excellent written, verbal and listening communication abilities. Communicates appropriately and clearly to members, coworkers, and providers.
• Ability to manage conflict, stress and multiple simultaneous work demands in an effective and professional manner.
• Ability to successfully articulate the process of attaining goals and outcomes of care management
• Ability to apply clinical knowledge and experience in a care management role
• Ability to engage and collaborate with the member and significant others in the care management process.
• Ability to care manage diverse populations without applying one's own personal values
• Ability to work with minimal supervision within nursing scope of practice
• Ability to think critically and analytically and work with minimal supervision.
• Ability to evaluate and appropriately respond to verbal and non-verbal communication from patients in diverse stages of development
• Ability to use good judgment to protect personal safety while performing duties

Preferred Competencies:

• Advanced clinical knowledge.
• Skills related to physical assessment, wound care, blood pressure monitoring, CBG checks, and Foley Cath care. Clinical knowledge and ability to educate clients of all ages about the following core disease management issues: Diabetes, Hypertension, Hyperlipidemia, CAD, Asthma, COPD, and renal disease required. (This is not intended to be an inclusive list of all conditions.)

Physical Requirements:

• Exerting up to 10 pounds of force occasionally (up to 1/3 of the time) and/or a negligible amount of force frequently (1/3 to 2/3 of the time) to lift, carry, push, pull, or otherwise move objects, including the human body.
• Sedentary work involves sitting most of the time but may involve walking or standing for brief periods of time.
• Jobs are sedentary if walking and standing are required only occasionally, and all other sedentary criteria are met.

ABOUT HEALTHTEAM ADVANTAGE

HealthTeam Advantage is an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran, or disability status.

HealthTeam Advantage (HTA), a Greensboro-based health insurance company, offers Medicare Advantage plans to eligible Medicare beneficiaries in 33 North Carolina counties. HTA has been named a "Best Places to Work" finalist three times by Triad Business Journal. To learn more, visit