Registered Nurse

JOB TITLE: Registered Nurse Care Manager

BASIC JOB PURPOSE:

• The RN Care Manager serves in an expanded healthcare role to collaborate with specialists, members of the healthcare team and patients/families to ensure the delivery of quality, efficient and cost effective healthcare services.
• Develops and assesses plan of care with patient/family, implements, monitors, and evaluates all options with the goal of optimizing patient's health status.
• Utilizes evidence based clinical guidelines, preventive guidelines and protocols to develop patient centered care plans.

DUTIES AND RESPONSIBILITIES:

• Consults and communicates care objectives with primary care providers, specialists and community resources to aid patient in achieving healthcare goals.
• Identifies the targeted population by referral from primary care provider, patient registries.
• Assesses the healthcare, education and psychosocial needs of the patient/family.
• Identifies and maintains relationships with referral and community resources.
• Collaborates with primary care provider, patient, the healthcare team as well as community resources.
• Develops an individualized plan of care with targeted interventions, monitors patient and family's response to plan of care and adjusts plan of care as needed.
• Provides patient with self-management tools/support to build ability for self-care.
• Maintains required documentation for all case management activities.
• Reviews current literature regarding engagement strategies, communication strategies and incorporates best practices into clinical setting.
• Maintain records and enter information into database as required.
• Other duties as assigned.

QUALIFICATIONS:

• Basic Life Support/CPR training
• Demonstrates customer focused interpersonal skills to interact in an effective manner with practitioners, interdisciplinary health care team, community agencies, patients/families with diverse opinions, values as well as religious and cultural beliefs.
• Demonstrates excellent written, verbal/listening skills.
• Demonstrates positive relationship building skills and critical analysis skills.
• Demonstrates ability to work autonomously and be accountable for practice.
• Demonstrates ability to influence to influence and negotiate individual and group decision.
• Demonstrates ability to function in a fluid, dynamic changing environment.
• Ability to speak Spanish is preferred.

EDUCATION/EXPERIENCE/CERTIFICATIONS/LICENSES:

• Bachelor's Degree in Nursing or Associate Degree in Nursing.
• Appropriate certification in Case Management preferred. Must be licensed as an RN in the state of Michigan.
• Must have experience with children & families in individual and group sessions.
• Minimum of three years' experience with adult medicine in primary care/ambulatory care, home health agency, skilled nursing facility or hospital medical-surgical setting within the past five years or an equivalent combination of education, and experience to perform the duties and responsibilities of the job.

TYPICAL WORKING CONDITIONS:

• The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job.
• Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
• The noise level in the work environment is usually quiet to moderate.

TYPICAL PHYSICAL DEMANDS:

• While performing the duties of this job, the employee is regularly required to use hands for use of Personal computer as well as other office equipment.
• The employee is frequently required to stand; walk; sit and talk and use hearing to listen. The employee is occasionally required to reach with hands and arms and stoop, and kneel. The employee must occasionally lift and/or move up to 25 pounds.
• Specific vision abilities required by this job include close vision, color vision and ability to adjust focus.

ACCOMMODATION: Family Health Center has the right to modify the duties and functions of the job description based on the needs of the organization.