The Nurse Care Manager coordinates and manages the care of patients with chronic or complex conditions, working collaboratively with physicians, interdisciplinary teams, individual patients, and families to promote positive outcomes and ensure continuity of care.
Performs a comprehensive care continuum process that includes assessment, planning, implementation, coordination, monitoring, and evaluation of the services and options required to support each individual's health needs and goals.
Advocates for, educates, and coaches patients, families, and caregivers on treatment options, disease management, medication adherence, community resources, and psychosocial concerns.
Supports goal-setting and the development of self-care skills appropriate to the patient’s age and developmental level.
Monitors and engages patients across the continuum of care, including facilitating transitions and providing support to prevent readmissions and gaps in care.
Requirements
Current Registered Nurse (RN) license in state of practice.
Bachelor of Science in Nursing (BSN) from an accredited institution (degree verification required).
Demonstrated clinical nursing experience, and familiarity with patient-related terminology and processes.
Demonstrated experience in care management.
Certified Case Manager (CCM) or other relevant certification as determined at position level (preferred).
Two (2) years of experience in nursing, preferably in primary care or ambulatory care settings (preferred).
One (1) year of experience in care management (preferred).
Experience in chronic disease management (preferred).