Highland Hospital Job - 41809890 | CareerArc
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Company: Highland Hospital
Location: Rochester, NY
Career Level: Mid-Senior Level
Industries: Healthcare, Pharmaceutical, Biotech

Description

Under general direction of the Clinical Manager, the RN Care Manager's central role integrates and coordinates access and utilization management, proactive patient management, care facilitation and treatment planning functions. The RN Care Manager manages clinical aspects of patient centered medical home, working with the interdisciplinary medical team in the provision of patient care. May participate in supervision of other clinical staff members.

  1. Coordinates medical care of patients identified as high risk by health risk assessment/appraisal or by physician clinical determination.  Adheres to infection control/safety guidelines. Adheres to HIPAA, JCAHO and OSHA regulations and policies. Assumes coordination role at the point of service and through targeted outreach and follow-up. Interacts effectively with physicians, the home care team, patients, and their caregivers.
    1. Identifies patient groups with chronic diseases.
    2. Assists in developing and implementing population-based strategies to close gaps in medical care.
    3. Identifies resources for patient self-management skills.
    4. Assists in developing and implementing care plans for medically complex patients.
    5. Identifies barriers to a successful care management path.
 
  1. Coordinates use of clinical and ancillary resources within and outside of the health system to achieve treatment goals specified in the patient care plan.
 
  1. Participates in program development by:
    1. Assisting with planning short-range and long-range program goals for chronic disease management.
    2. Keeping abreast of organizational developments and practices that may impact operations by participating in continuing education courses, professional organizations and seminars, reading current literature and maintaining professional contacts in the community.
    3. Assisting with the development of current evidence based protocols, policies, work flow/flow sheets, guidelines, etc. related to the provision of care within the medical home model.
    4. Participating in committees as assigned.


Requirements

Education:  Must comply with NYS RN BSN requirements.   Experience: Registered professional nurse in NYS with a minimum of three - five years of professional nursing experience.  Ambulatory care experience in community health, care management, disease management, quality improvement and/or management experience is preferred. Experience working as a member of a multi-disciplinary team is required. Supervisory experience is desirable. Experience in data analysis and chronic illness registries. A satisfactory equivalent of education and experience will be considered. License/Certification Required: Current New York State registered nursing license.  Current BLS CPR certification required.  Valid New York State driver's license and the ability to travel. Skills: Clinical expertise as it relates to chronic disease management. Analytical. Builds effective relationships; builds trust and commitment with practice physicians, the health care team, patients, and their caregivers. Knowledge of nursing processes, health care systems, and community resources.  Understanding of health care technology.  Familiarity with state law on nursing care, nurse practice guidelines, and clinical policies and procedures. Knowledge of wellness/illness, growth and development, human behavior, psychosocial factors, and alternative health care treatments. Knowledge of chart/medical record documentation requirements and federal/state laws related to release of health care information. Basic proficiency with Microsoft Outlook, Word, and Excel.


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