Nurse Care Manager
1 week ago
Scheduled Hours40Position SummaryUnder general supervision, will support population health and quality initiatives with a focus on preventative health care measures aimed at improving health outcomes through telephonic and written communication. Primary duties of this position include performing telephonic patient outreach to schedule appointments, obtaining health records from external providers, and sending reminders to patients to complete chronic care gaps as identified by the Care Manager. This position requires an administrative focus with the vast majority of patient interaction occurring via telephonic outreach.Job Description Primary Duties & Responsibilities: Integrates evidence-based clinical guidelines, preventive guidelines, protocols, and other metrics in the development of treatment plans that are patient-centric, promoting quality and efficiency, and the delivery of healthcare for medical home patients.Assesses, plans, implements, coordinates, monitors, documents, and evaluates options and services to optimize the member's health status.Develops systems of care that monitor member's progress and promotes early intervention in acute care situations.Establishes and promotes a collaborative relationship with health care providers, payers, and other members of the health care team to optimize interventions.Manages utilization and practice metrics to refine the delivery of care model to maximize clinical, quality, and fiscal outcomes.Completes necessary paperwork and documentation in a timely manner.If order entry in the electronic medical record is part of the job function, completes requisitions/orders per WashU guidelines.Additional responsibilities include providing proactive care outreach to patients overdue for preventative health services to support value-based care initiatives. NCM will collaborate with providers, clinical staff, social work, case management, and community resources to assist patients with barriers to care. NCM will be responsible for developing and implementing patient centered strategies to improve management of chronic conditions, improve clinical outcomes, and enhance patient satisfaction.Performs special projects and other duties as assigned.Working Conditions:Job Location/Working ConditionsNormal office environmentExposure to blood-borne pathogensPatient care settingDirect patient care settingPhysical EffortTypically sitting at desk or tableTypically standing or walkingTypically bending, crouching, stoopingOccasional lifting (>25 lbs)EquipmentRequires protective devicesOffice equipmentClinical/diagnostic equipmentThe above statements are intended to describe the general nature and level of work performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all job duties performed by the personnel so classified. Management reserves the right to revise or amend duties at any time.Required QualificationsEducation:B.S.N. - Bachelor Of Science In NursingCertifications:The list below may include all acceptable certifications and issuers. More than one credential or certification may be required depending on the role.Basic Life Support - American Heart Association, Basic Life Support - American Red Cross, Registered Nurse - Illinois Department of Financial and Professional Regulation, Registered Nurse - Missouri Division of Professional RegistrationWork Experience:No specific work experience is required for this position.Skills:Not ApplicableDriver's License:A driver's license is not required for this position.More About This JobRequired Qualifications:Registered Nurse in the state of Missouri or Illinois.Basic Life Support certification (Online BLS certifications, those without a skills assessment component, are not sufficient to meet the BLS requirements).Preferred QualificationsEducation:No additional education unless stated elsewhere in the job posting.Certifications:No additional certification unless stated elsewhere in the job posting.Work Experience:No additional work experience unless stated elsewhere in the job posting.Skills:Adult Health Nursing, Ambulatory Care, Clinical Patient Care, Confidentiality, Data Analysis, Delegation Management, Electronic Medical Record (EMR) Software, Emergency Training, Epic EHR, Leadership, Managed Care, Medical Triage, Nursing Fundamentals, Oral Communications, Patient Care Plans, Patient Management, Research Management, Software Platforms, Strategy Implementation, Written CommunicationGradeS26Salary Range$60, $105,700.00 / AnnuallyThe salary range reflects base salaries paid for positions in a given job grade across the University. Individual rates within the range will be determined by factors including one's qualifications and performance, equity with others in the department, market rates for positions within the same grade and department budget.QuestionsFor frequently asked questions about the application process, please refer to our External Applicant FAQ.AccommodationIf you are unable to use our online application system and would like an accommodation, please email or call the dedicated accommodation inquiry number at and leave a voicemail with the nature of your request.All qualified individuals must be able to perform the essential functions of the position satisfactorily and, if requested, reasonable accommodations will be made to enable employees with disabilities to perform the essential functions of their job, absent undue hardship.Pre-Employment ScreeningAll external candidates receiving an offer for employment will be required to submit to pre-employment screening for this position. The screenings will include criminal background check and, as applicable for the position, other background checks, drug screen, an employment and education or licensure/certification verification, physical examination, certain vaccinations and/or governmental registry checks. All offers are contingent upon successful completion of required screening.Benefits StatementPersonalUp to 22 days of vacation, 10 recognized holidays, and sick time.Competitive health insurance packages with priority appointments and lower copays/coinsurance.Take advantage of our free Metro transit U-Pass for eligible employees.WashU provides eligible employees with a defined contribution (403(b)) Retirement Savings Plan, which combines employee contributions and university contributions starting at 7%.WellnessWellness challenges, annual health screenings, mental health resources, mindfulness programs and courses, employee assistance program (EAP), financial resources, access to dietitians, and moreFamilyWe offer 4 weeks of caregiver leave to bond with your new child. Family care resources are also available for your continued childcare needs. Need adult care? We've got you covered.WashU covers the cost of tuition for you and your family, including dependent undergraduate-level college tuition up to 100% at WashU and 40% elsewhere after seven years with us.For policies, detailed benefits, and eligibility, please visit: EEO StatementWashington University in St. Louis is committed to the principles and practices of equal employment opportunity and especially encourages applications by those from underrepresented groups. It is the University's policy to provide equal opportunity and access to persons in all job titles without regard to race, ethnicity, color, national origin, age, religion, sex, sexual orientation, gender identity or expression, disability, protected veteran status, or genetic information.Washington University is dedicated to building a community of individuals who are committed to contributing to an inclusive environment – fostering respect for all and welcoming individuals from diverse backgrounds, experiences and perspectives. Individuals with a commitment to these values are encouraged to apply.
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