Outpatient Care Management RN
Company: Carle Health
Location: Champaign
Posted on: January 22, 2025
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Job Description:
Overview:$5,000 sign-on bonus and$5,000 relocation (for greater
than 100 miles) or$2,500 relocation (for greater than 50 miles)for
nurses with 1 or more years experience - External Applicants Only
This position will cover the Carle Health South Clinic Hybrid
position with 1 day remote and 4 in office The OP Care Management
RN provides care management and population health services to
patients. The primary target population served is the stratified
risk patient or patients with high vulnerability at times of
transition between care settings. OP Care Management RN will
coordinate care around patient's chronic diseases, coordinate and
facilitate medication management, and effectively manage care
transitions across the continuum. OP Care Management RN will create
a longitudinal, personalized care plan for each unique patient.
Promoting effective partnerships between patients, families,
nurses, physicians, and all other health care disciplines across
the continuum. OP Care Management RN will use a data driven
approach to manage patient populations to improve access to care
and achieve optimal clinical outcomes.Responsibilities:
Communication and coordination between care settings across the
healthcare continuum. Identifies appropriate providers, healthcare
organizations, and community services throughout the continuum of
care and communicates with an interdisciplinary team to develop and
maintain positive working relationships with patients, families and
all other members of the care team. Provide education on medication
adherence, follow up appointments, and other activities to maximize
patient knowledge of self-care and reduce avoidable readmissions.
Empowers patients and families through education and a trusting
relationship to utilize healthcare resources appropriately
minimizing unnecessary healthcare utilization. Conduct holistic
health care assessment including health risk assessment, patient
preference and goals, health literacy, patient engagement level,
patient confidence level to perform self-management, impact of
chronic health conditions and comorbidity and social determinants
of health. Ensure accurate documentation of clinical, financial,
and other information using appropriate systems. Utilize data,
dashboard, or other reporting mechanisms to support high
reliability performance and outcome evaluation. Outpatient Care
Management RN functions as an arm of the primary care provider to
support any and all care coordination, chronic disease education
for patients in collaboration with all cross-continuum care team
members and support services. Documents within patient Electronic
Medical Record (EMR) to support departmental specific workflows to
ensure accuracy in care planning efforts. Effectively communicate
with patients and all cross-continuum care team members in efforts
to achieve optimal patient outcomes. Qualifications:
License/Certifications:Certified Case Manager within 2 years -
Commission for Case Manager Certification (CCMC)Education:College
Diploma: Nursing (Required)Other Knowledge/Skills:by Jobble
Keywords: Carle Health, Champaign , Outpatient Care Management RN, Healthcare , Champaign, Illinois
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