Registered Nurse

JOB TITLE: Registered Nurse Care Manager

BASIC JOB PURPOSE:
•    The RN Care Manager 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.
•    Develops and assesses plan of care with patient/family, implements, monitors, and evaluates all options with the goal of optimizing patient’s health status.
•    Utilizes evidence based clinical guidelines, preventive guidelines and protocols to develop patient centered care plans.

DUTIES AND RESPONSIBILITIES:
•    Consults and communicates care objectives with primary care providers, specialists and community resources to aid patient in achieving healthcare goals.
•    Identifies the targeted population by referral from primary care provider, patient registries.
•    Assesses the healthcare, education and psychosocial needs of the patient/family.
•    Identifies and maintains relationships with referral and community resources.
•    Collaborates with primary care provider, patient, the healthcare team as well as community resources.
•    Develops an individualized plan of care with targeted interventions, monitors patient and family’s response to plan of care and adjusts plan of care as needed.
•    Provides patient with self-management tools/support to build ability for self-care.
•    Maintains required documentation for all case management activities.
•    Reviews current literature regarding engagement strategies, communication strategies and incorporates best practices into clinical setting.
•    Maintain records and enter information into database as required.
•    Other duties as assigned.

QUALIFICATIONS:
•    Basic Life Support/CPR training
•    Demonstrates customer focused interpersonal skills to interact in an effective manner with practitioners, interdisciplinary health care team, community agencies, patients/families with diverse opinions, values as well as religious and cultural beliefs.
•    Demonstrates excellent written, verbal/listening skills.
•    Demonstrates positive relationship building skills and critical analysis skills.
•    Demonstrates ability to work autonomously and be accountable for practice.
•    Demonstrates ability to influence to influence and negotiate individual and group decision.
•    Demonstrates ability to function in a fluid, dynamic changing environment.
•    Ability to speak Spanish is preferred.

EDUCATION/EXPERIENCE/CERTIFICATIONS/LICENSES:
•    Bachelor’s Degree in Nursing or Associate Degree in Nursing.
•    Appropriate certification in Case Management preferred. Must be licensed as an RN in the state of Michigan.
•    Must have experience with children & families in individual and group sessions.
•    Minimum of three years’ experience with adult medicine in primary care/ambulatory care, home health agency, skilled nursing facility or hospital medical-surgical setting within the past five years or an equivalent combination of education, and experience to perform the duties and responsibilities of the job.

TYPICAL WORKING CONDITIONS:
•    The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job.
•    Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
•    The noise level in the work environment is usually quiet to moderate.

TYPICAL PHYSICAL DEMANDS:
•    While performing the duties of this job, the employee is regularly required to use hands for use of Personal computer as well as other office equipment.
•    The employee is frequently required to stand; walk; sit and talk and use hearing to listen. The employee is occasionally required to reach with hands and arms and stoop, and kneel. The employee must occasionally lift and/or move up to 25 pounds.
•    Specific vision abilities required by this job include close vision, color vision and ability to adjust focus.

ACCOMMODATION: Family Health Center has the right to modify the duties and functions of the job description based on the needs of the organization.