JOB SUMMARY:

Swope Health is seeking a Nurse Care Manager for the Behavioral Health Department, which will be a Full time Role. Successful candidate will be an active member of the care team and will manage a full array of physical health needs, behavioral health needs, long-term community care services, and family services for designated high risk patients. The Nurse Care Manager ensures that high risk patients have updated care plans and provides support to primary care providers, community support staff (CSS's), and care coordinators. 

PRIMARY FUNCTIONS:

1. Assists patient through the healthcare system:
2. Acting as a patient advocate and navigator
3. Coordinating care provided throughout the full continuum of care, including but not limited to ambulatory care, acute inpatient care, skilled care, home health care, rehabilitative care, pharmacies, DME companies and community programs.
4. Maintain communication between Primary care and Behavioral care teams and other outside providers involved with patient care
5. Encourage improved patient self-management ability by facilitating individualized patient education referrals and a
6. Coordinates continuity of patient care with providers, patients and families following hospital admission, discharge, and ER visits.
7. Facilitates and monitors patient medication management, education and adherence and provides intervention when needed to help improve understanding and adherence
8. Assists with Annual Wellness visits and other preventive care services for patients
9. Tracks quality and performance measures for all patients enrolled into our ACO
10. Identifies gaps in care and works to correct such gaps through care coordination, protocols and standing orders.
11. Identifies barriers to closing care gaps and collaborates with other medical staff, providers, and resources to attempt to resolve barriers
12. Participates on a team for data collection, health outcomes reporting, clinical audits.
13. Monitors patient care utilization
14. Assessing the appropriateness of services rendered
15. Attempt to reduce unnecessary costly expenditures (ER, hospital, and high cost testing) through the above activities
16. Make contact with new and established Medicare ACO patients to answer questions, provide information about the clinics and services and perform health risk assessments
17. Promotes effective working relations as part of a team to facilitate the team's ability to meet its goals and objectives.

SECONDARY FUNCTIONS:

1. Acts as primary contact point for Care Coordinators on the population health team regarding clinical questions and clarification
2. Attends all required training and continuing education as required or provided.
3. Other duties and/or responsibilities as assigned by manager or director

QUALIFICATIONS:

• Have a active Missouri and Kansas , or equivalent multi-state compact license, to practice nursing as a Licensed Practical Nurse -LPN or Registered Nurse- RN in good standing.
• 2 to 3 years in a healthcare setting to include inpatient/outpatient medical surgical and psychiatric nursing experience preferred
• Proficient in Micro Soft office apps
• Current BLS -CPR certification

About Swope Health Services:

Each year, Swope Health serves over 45,000 patients, encompassing more than 200,000 visits in four counties on both sides of the state line. Our team members are proud of the work we do and the promise we've made – delivering coordinated care that values the needs of the whole person and championing better health in our community.

Swope Health is a special place that cares for the people who need it most, wherever they are in the community. As part of our promise to battle health inequities and provide high-quality, comprehensive care, we make care visible. That means we proudly deliver our promise through every action, every day.

Swope Health Services supports its team members with:

• Medical benefits (including a Health Savings Account option), dental and vision
• 401(k) retirement plan with company match
• Company-paid benefits such as life insurance, Accidental Death & Dismemberment, and Short- and Long-Term Disability
• Flexible Spending Account
• Paid Days Off beginning at 12 days annually, effective the first day of employment
• Eight annual company-paid holidays; One annual paid personal day

Swope Health is an affirmative-action, equal-opportunity employer. We consider all qualified applicants without regard to race, color, creed, religion, gender, national origin, age, marital status, veteran status or disability.