Registered Nurse Care Manager (Population Health)

Registered Nurse Care Manager (Population Health)

Additional Position Details:

POSITION SUMMARY

The RN Care Manager for Population Health provides care management and care coordination for patients with moderate to complex illness under minimal supervision in the primary care setting. In partnership with the primary care provider and care team members, the Care Manager leads care management within the team through care plan development and delegating to other team members. 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. Assesses plans, implements, coordinates, monitors, and evaluates all options and services to optimize the patient's health status. Integrates evidence-based clinical guidelines, preventive guidelines, and protocols, in the development of patient-centric individualized care plans that are patient-centric, promoting quality and efficiency in health care delivery. The Registered Nurse Care Manager will manage a caseload of approximately 100-150 moderate to complex patients; of which 30 to 50 patients are actively followed by care manager. Provides targeted interventions to avoid hospitalization and emergency room visits. Coordinates care across settings and helps patient/families understand health care options. Diabetes Specialist: The Diabetes Care Manager provides guidance to patients within Care Management with difficulties managing their diabetes. Caseload consists of intensive diabetics that require higher level care management. Mentors and assists non-certified educator RN's. Acts as a resource for diabetes education and information for the medical community. Transitional Care Manager: Makes telephone calls to patients following discharge. Facilitates improved clinical outcomes following discharge and access to follow up care by utilizing discharge instructions, nursing process and computerized databases. Works closely with providers, nurses and other members of the organization by demonstrating effective communication, teaching and negotiating skills. Accountable for quality assessment, efficient managed care and patient experience of care.

QUALIFICATIONS

Education

• Bachelor's degree in Nursing (BSN) or Bachelor's in a healthcare related field, preferred

Required Experience

• Minimum of 3 years recent clinical experience
• Experience in the Sweet Success Program for GDM, preferred

• RN: Registered Nurse licensed by Oregon State Board of Nursing (OSBN) required upon start
• BLS: Basic Life Support for the Healthcare Provider certified through the American Heart Association (AHA) required upon start
• AAACN: American Academy of Ambulatory Care Nursing certification, preferred

Additional Position Specific Experience Requirements for Diabetes Specialist

• 2 years diabetes education in an outpatient setting
• AADE member: American Association of Diabetes Educators
• Certified pump trainer- 3 pump companies
• CPT: Certified Pump Trainer
• CDCES: Certified Diabetes Care and Education Specialist by the National Certification Board for Diabetes Care and Education (Formerly CDE)

Total Rewards Package

• Earn a competitive and progressive salary.
• Benefit from health plans that focus on health and wellness including medical, dental, vision and wellness beginning within 30 days of hire.
• Plan for your future with a retirement package that includes up to 6% employer contribution.
• Experience a healthy work-life balance with our generous earned time off (ETO).
• Continue to enhance your education through our tuition reimbursement and tuition repayment plans.

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At Asante we believe that we are defined by our values - the traits that guide us as we serve patients and the community:

Excellence - Respect - Honesty - Service - Teamwork

Asante is an equal opportunity employer. We are committed to employ and advance in employment women, minorities, qualified individuals with disabilities and protected veterans.