Registered Nurse -Care Manager

SSM Health

Madison, WI

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JOB DETAILS

SKILLS

Best Practices, Clinical Best Practices, Communication Skills, Cross-Functional, Data Entry, Depth Perception, Family Social Work, Healthcare Reimbursement, Keyboards, Material Moving, Negotiation Skills, Nursing, Nursing Management, Patient Assessment, Patient Care, Patient Care Authorizations, Performance Management, Physical Demands, Presentation/Verbal Skills, Professional Services, Quality of Care, Registered Nurse (RN), Social Work, Time Management, Treatment Plan

LOCATION

Madison, WI

POSTED

1 day ago

It‘s more than a career, it‘s a calling WI-SSM Health West Beltline

Worker Type:

Regular

Job Highlights: Schedule:

8:00 am - 4:30 pm Monday - Friday Location:

Wisconsin Regional Office - West Beltline Highway, Madison

This role focuses heavily on providing patient education, guidance, and resources related to chronic disease management.

Candidates with prior care management experience are strongly preferred.

This position transitions to a hybrid schedule following completion of the initial orientation period (approximately three months), as long as all productivity expectations are met. Hybrid work arrangement is not available at the start of employment in this role.

Job Summary: Utilizes skilled intervention, clinical best practice knowledge and collaboration with the patient, physician and multidisciplinary treatment team to pace care, achieve quality outcomes and negotiate appropriate reimbursement. Ensures the timely and seamless clinical transition of patients through medically appropriate levels of care.

Job Responsibilities and Requirements: PRIMARY RESPONSIBILITIES Reviews all patients identified for review to determine the medical necessity and appropriateness of enrollment in the care management program. Assesses all assigned patients and integrates family information from social work to collaboratively determine potential, actual and the next level of care needed. Holds, interprets, and integrates the patient’s story into the overall multidisciplinary plan of care. Coordinates and facilitates access to services and patient care progression using best practice interventions that will produce favorable patient outcomes. Collaborates with physicians, nursing, social work, and multiple disciplines, departments, payers, and agencies to eliminate barriers to efficient delivery of care in the appropriate setting. Actively participates in clinical performance improvement activities as assigned. Builds a network of positive working relationships that advocate for the patient. Documents clinical activity in the medical record and supports and coaches accurate clinical documentation by physicians and others. Pursues continuing education in area of expertise/leadership. Works in a constant state of alertness and safe manner. Performs other duties as assigned.

EDUCATION Graduate of accredited school of nursing or education equivalency for licensing

EXPERIENCE Two years‘ registered nurse experience

PHYSICAL REQUIREMENTS Frequent lifting/carrying and pushing/pulling objects weighing 0-25 lbs. Frequent sitting, standing, walking, reaching and repetitive foot/leg and hand/arm movements. Frequent use of vision and depth perception for distances near (20 inches or less) and far (20 feet or more) and to identify and distinguish colors. Frequent use of hearing and speech to share information through oral communication. Ability to hear alarms, malfunctioning machinery, etc. Frequent keyboard use/data entry. Occasional bending, stooping, kneeling, squatting, twisting and gripping. Occasional lifting/carrying and pushing/pulling objects weighing 25-50 lbs. Rare climbing.

REQUIRED PROFESSIONAL LICENSE AND/OR CERTIFICATIONS

State of Work Location: Illinois Registered Professional Nurse (RN) - Illinois Department of Financial and Professional Regulation (IDFPR)

State of Work Location: Missouri Registered Nurse (RN) Issued by Compact State Or Registered Nurse (RN) - Missouri Division of Professional Registration

State of Work Location: Oklahoma Registered Nurse (RN) Issued by Compact State Or Registered Nurse (RN) - Oklahoma Board of Nursing (OBN)

State of Work Location: Wisconsin Registered Nurse (RN) Issued by Compact State Or Registered Nurse (RN) - Wisconsin Department of Safety and Professional Services

Work Shift: Day Shift (United States of America)

Job Type: Employee

Department: 8149000069 Value Based Care

Scheduled Weekly Hours:

40

Benefits:

SSM Health values our exceptional employees by offering a comprehensive benefits package to fit their needs.

Paid Parental Leave :

we offer eligible team members one week of paid parental leave for newborns or newly adopted children (pro-rated based on FTE).

Flexible Payment Options:

our voluntary benefit offered through DailyPay offers eligible hourly team members instant access to their earned, unpaid base pay (fees may apply) before payday.

Upfront Tuition Coverage

:

we provide upfront tuition coverage through FlexPath Funded for eligible team members.

Explore All Benefits

SSM Health is an equal opportunity employer. SSM Health does not discriminate on the basis of race, color, religion, national origin, age, disability, sex, sexual orientation, gender identity,

pregnancy, veteran status ,

or any other characteristic protected by applicable law.

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About the Company

SSM Health

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