Facilitates communications among patient/family, multidisciplinary team, medical management team, community resources and other disciplines to anticipate, identify, evaluate, and act to resolve any potential barriers and constraints to delivery of care in a timely manner.
Collaborates with the patient/family and inter-professional team including the primary care team, hospital care team, post acute care managers, and other care partners to provide a model of care that ensures the delivery of quality, efficient, and cost-effective healthcare services.
Uses evidenced-based approaches to increase patient and family activation and engagement in their own care.
Identifies potential barriers to learning and/or to the optimal delivery of care.
Reports abnormal findings to the responsible provider/care team, and collaborates to develop a plan.
Ensures timely completion of tasks and documentation related to MCO, regulatory and contractual requirements.
Coordinates patient information and communication between and among the patient/family, the referring/accepting facilities and physicians, community caregivers (as applicable) and other members of ACM to ensure smooth transitions of care.

3+ years RN: experience in case management, triage, with prior telephonic/remote experience
Bachelor's Degree in Nursing or related field
Typically requires 5 years of experience in clinical nursing or 1-2 years of care management experience
Applicable certification is encouraged
Proficient computer/Microsoft-suite skills and previous Epic EMR experience

Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short
and Long-Term Disability
Flexible Spending Accounts for eligible health care and dependent care expenses
Family benefits such as adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs
Educational Assistance Program

Care Manager, Registered Nurse – Part-Time, Weekends

Key skills