JOB TITLE:

Nurse Care Manager

CLASSIFICATION:

Non Union

CENTER OF EXCELLENCE & UNIT:

Partners 4 Health (NSO)

CATEGORY:

Clinical Direct Service/ License / Certified

REPORTS TO:

Program Director

SUPERVISES:

None

POLICY COUNCIL APPROVAL DATE:

JOB CODE:

VISION

Leading the way in building a healthy community

MISSION STATEMENT

Improving the well-being of individuals, families and the community

VALUES

Respect, Responsibility, Resilience & Recovery

POSITION SUMMARY :

ESSENTIAL JOB DUTIES/ CORE POSITION COMPETENCIES : (A Core Competency is the demonstrated ability to carry out the primary responsibilities of the job)

1

Conduct a comprehensive assessment of patient biomedical, psychological, social and functional needs.

2

Engage patient as part of a care team through advocacy, ongoing communication, health education, identification of resources and service facilitation.

3

Utilizes professional judgment, critical thinking, motivational interviewing and self-management techniques to assist patients in overcoming barriers to goal achievement.

4

Collaborate with appropriate physicians, clinical pharmacist, social workers, nurses, therapist and community health workers to co-manage patients with complex medical and social needs.

5

Perform outbound contacts to patients approved by the multidisciplinary team.

6

Document services and outcomes in patient plan of care. Participate in weekly meetings to address patient outcomes.

7

Participate in the quality improvement and evaluation process with activities designed to reduce risk, inclusive of data collection, analysis and follow-up interventions.

8

Adheres to the SWCS code of ethics, and complies with local, state and federal laws and the mental health codes.

9

Serves on agency committees, working groups and other projects as assigned.

10

Performs other duties as assigned by supervisor, contractual obligations and/or program description.

ESSENTIAL JOB REQUIREMENTS :

EDUCATION:

Associate Degree in Nursing (ADN), Bachelor of Science in Nursing (BSN), or diploma from an accredited and approved nursing program.

EXPERIENCE:

Two (2) years of nursing experience

Case Management experience preferable

REQUIRED

CERTIFICATIONS & LICENSURES:

Registered Nurse or Licensed Practical Nurse with a valid, unrestricted State of Michigan license. Possession of a valid driver’s license and access to a private vehicle for day-to-day job performance.

REQUIRED KNOWLEDGE, SKILLS AND ABILITIES:

Computer skills and knowledge including Windows, Microsoft Word, and Microsoft Excel.

Ability to communicate effectively in writing and verbally.

Demonstrate the ability to triage and apply critical thinking skills.

Understanding of community resources and the needs of diverse populations.

HELPFUL SKILLS:

Creative and resourceful with good negotiating skills preferred

Experience in discharge planning, home health care, rehabilitation medicine, community health or managed care preferred.

PHYSICAL REQUIREMENTS:

Working Conditions

Services will be provided in the office, the clients’ homes or other appropriate community settings. Work may require travel in an urban community.

Physical Requirements

Sitting, standing, walking, driving, repeated hand and wrist motions (for use of computers, phones, and other office equipment) are required. Must be able to tolerate varied weather conditions when traveling within the community.