About this role
Role Overview
- Delivers comprehensive ambulatory care management services to identified patients.
- Conducts care management screenings, assessments, and evaluations.
- Develops and implements patient-centered care plans with shared goals and appropriate interventions.
- Collaborates effectively with patients, families/caregivers, healthcare providers, payers, community-based providers, and other involved parties to ensure efficient, effective, and patient-centered care management services.
- Operates across various settings, including transitions of care, clinics, communities, and post-acute care environments, and supports proactive care for at-risk patients.
Requirements
- Current Registered Nurse (RN) license in state of practice.
- Bachelor of Science in Nursing (BSN) from an accredited institution (degree verification required).
- RNs hired or promoted into this role must obtain their BSN within four (4) years of hire or promotion.
- Demonstrated clinical nursing experience in chronic disease management, and familiarity with chronic disease terminology and processes.
- Demonstrated understanding of disease management including treatment, length of stay, identifying barriers to delivery of care and any variation.
- Proficiency in basic computer skills and Microsoft Office software.
- Caregivers whose duties require them to conduct home or community visits must maintain current BLS certification, have a current driver’s license, current auto insurance, an acceptable driving record and reliable transportation.
Benefits
- We care about your well-being – mind, body, and spirit – which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.