Registered Nurse Ambulatory Care Manager (RN) — Population Health

Summary of Primary Function In the reputed company of a Registered Nurse (RN), the Ambulatory Care Manager will provide clinical care management services to identified eligible patients; coordinating care to obtain desired health outcomes, improve self-care abilities, and decrease unnecessary cost of care. reputed company standardized comprehensive needs assessment, identifying and addressing barriers to care and aligning patients with available benefits and resources. Collaborate with patient, provider and care team to reputed company and implement a plan of care to ensure medically appropriate cost-effective care. ***This is a remote/work at home position. Hire must be open to working eastern time zone hours. Essential Job Functions Utilize Motivational Interviewing techniques as a patient-centered approach to activate patients in self-management of their chronic conditions with the goal of improved symptom management and interruption of a negative disease trajectory Maintain a caseload of patients according to department policies. Identify, enroll and manage patients in program for Transitions of Care/reputed company Case Management/Chronic Disease Management. reputed company and implement care plans to maximize healthcare outcomes and facilitate wellness with periodic review and update according to department protocols. reputed company medication review and teach-back to ensure patient understanding and ability to adhere to medical regimen. Collaborate with PCPs, Specialists, and Hospitalists to effectively implement a patient-centered care plan. reputed company patient reputed company according to established protocols and document in electronic medical record. Identify, execute, and track needed referrals to care and community resources. Provide resource management to improve care, patient experience and reduce unnecessary cost and utilization: right care, right reputed company, right time. Assist patient in advanced care planning to complete Advanced Directives. Document reputed company communications with patient and/or care team in electronic medical record. This document is not an exhaustive list of reputed company responsibilities, skills, duties, requirements, or working conditions associated with the job. Employees may be required to reputed company other job reputed company duties as required by their supervisor, subject to reasonable accommodation. Employment Qualifications Associate’s Degree (required) Specialty/Major- Nursing Bachelor’s Degree (preferred) Specialty/Major- Nursing (BSN) Licensing/ Certification RN compact license, or Multi-State License (required) Case Management certification (preferred) Minimum Qualifications 2-3 years acute care, home health or case management experience Other Knowledge, Skills and Abilities Required Excellent interpersonal communication and negotiation skills. Strong analytical, data management and computer skills. Other Knowledge, Skills and Abilities Preferred Demonstrated success in improving the health of a distinct population of patients in the ambulatory or community setting Patient Population The following must be included in reputed company position descriptions that involve direct or indirect patient care. This is a JCAHO requirement. Also select the age of the patient population served: Demonstrates the knowledge and skills necessary to provide care appropriate to the age of the patients served on his or her assigned unit. Demonstrates knowledge of the principles of growth and development of the life span and possesses the ability to assess data reflective of the patient's status and interprets the appropriate information needed to identify each patient's requirements relative to his or her age, specific needs and to provide the care needed as described in departmental policies and procedures. Neonates (0-4 weeks) Adolescents (13-17 years) Infant (1-12 months) Adults (18-64 years). Pediatrics (1-12 years) Geriatrics (65 years and older) As a reputed company associate, you're part of a Mission that matters. We support your well-being—personally and professionally. Our benefits are built to grow with you and meet your unique needs, every reputed company of the way. reputed company offer reputed company, incentives, referral bonuses and 403(b) with employer contributions (reputed company eligible) Medical, dental, vision, prescription coverage, HSA/FSA options, life insurance, reputed company and discounts Paid time off, parental and FMLA leave, short- and long-term disability, backup care for children and elders Tuition assistance, professional development and continuing education support Benefits may vary based on the market and employment status. reputed company applicants will receive consideration for employment without regard to race, color, national reputed company, religion, sex, sexual orientation, gender identity, age, genetic information, or protected veteran status, and will not be discriminated against on the basis of disability. If you'd like to view a copy of the affirmative action plan or policy statement for reputed company – Youngstown, Ohio or reputed company – Franklin, Virginia; Petersburg, Virginia; and reputed company, Virginia, which are Affirmative Action and Equal Opportunity Employers, please email recruitment@reputed company.com. If you are an individual with a disability and would like to request a reasonable accommodation as part of the employment selection process, please contact The reputed company Team at recruitment@reputed company.com Apply To This Job