You can make a difference as a part of our region's largest health care system, based locally in Billings, Montana. Join our amazing team with a focus on safe, high quality care and an excellent patient experience. Billings Clinic is here to take care of our community and region.We look forward to meeting you. About UsBillings Clinic is a community-owned, not-for-profit, Physician-led health system based in Billings with more than 4,700 employees, including over 550 physicians and non-physician providers. Our integrated organization consists of a multi-specialty group practice and a 304-bed hospital. Learn more about Billings Clinic (our organization, history, mission, leadership and regional locations) and how we are recognized nationally for our exceptional quality.Your BenefitsWe provide a comprehensive and competitive benefits package to all full-time employees (minimum of 24 hours/week), including Medical, Dental, Vision, 403(b) Retirement Plan with employer matching, Defined Contribution Pension Plan, Paid Time Off, employee wellness program, and much more. Click here for more information or download the 2021 Employee Benefits Guide. Magnet: Commitment to Nursing ExcellenceBillings Clinic is proud to be recognized for nursing excellence as a Magnet -designated organization, joining only 97 other organizations worldwide that have achieved this honor four times. The re-designation process happens every four years. Click here to learn more! RN Care Manager (1.0 FTE) Billings Clinic (Billings Clinic Main Campus) req11498Shift: DaySchedule: M-F 8-4:30 Employment Status: Full-Time (.75 or greater) Hours per Pay Period: 1.00 = 80 hours every two weeks (Non-Exempt) Starting Wage DOE: CUSTOM.POSTING.WAGEUnder the direction of department leadership, the RN Care Manager provides services consisting of comprehensive care management, care coordination and care continuing care services. Accountable for a designated patient caseload/population and plans effectively in order to meet patient needs. Supports providers and the multidisciplinary in facilitating patient care. Strives to enhance the quality of clinical outcomes and patient satisfaction while managing the cost of care.Essential Job Functions Assessment* Conducts initial and ongoing assessments and chart reviews of each assigned patient to identify potential and or actual barriers and care needs.* Proactively screens and assesses the acuity and transitional needs of each assigned patient.* Engages and collaborates with patients, support systems and the multidisciplinary/healthcare team to establish a plan of care that addresses the mutually identified needs of the patient.Interventions and Care Coordination* Demonstrates the ability to interpret clinical information and understand health care treatment and systems.* Supports patients to ensure they can function to the best of their ability and maintain optimal health related to their medical condition(s). Identifies and addresses gaps in knowledge/understanding/education related to disease management.* Participates in the patient's plan of care by interacting/collaborating with patients, support systems, healthcare professionals and community and state agencies. Serves as a liaison between hospital, clinic and community agencies to facilitate the exchange of clinical and referral information.* Identifies high-risk patients through risk stratification tools and ongoing assessments including ED utilization and hospitalizations to address the medical/psychosocial/financial needs of patients and their support systems in both hospital and ambulatory settings.* Reinforces goals of care and treatment plans with patients and support systems in order to enhance patient and support system engagement.* Coordinates care conferences to support effective communication as needed.* Helps navigate the patient throughout the continuum of care.* Effectively collaborates and coordinates care with the Social Services Care Manager.* Maintains current knowledge of community resources and ancillary clinical services to meet the needs of hospital, clinic and regional customers.* Provides information about available resources to patients and their support systems.* Partners with the multidisciplinary/healthcare team and the Social Services Care Manager to guide/advocate placement to the appropriate Acute rehab, LTACH, SNF, long-term care facility, assisted living facility, or Home Health Care,Apply here: https://www.aplitrak.com/?adid=YmJnZW5lcmljLjIxNjQ0LjEzMzQ4QGJpbGxpbmdzY2xpbmljb21wLmFwbGl0cmFrLmNvbQ