Primary Care Healthcare Home Nurse Care Manager RN

Company: Compass Health Network
Location: Columbia
Posted on: September 20, 2023

Job Description:

Due to critical service need of the communities we serve, we are offering up to a $4,000 sign-on bonus.*-- We are eager to continue to provide quality and compassionate care in our service areas and need you to make this happen!
The Nurse Care Manager is part of the person-centered integrated care team and provides direct clinical and medical services to persons enrolled in the Health Care Home through a "whole person" approach.--
This is full-time, benefit eligible position working Monday-Friday.--
Responsibilities Include:--
--- Responsible for case load of up to 250 Healthcare Home patients--- Meet with assigned clients to yearly care plans.--- Assist in developing treatment plan healthcare goals for individuals with co-occurring chronic disease--- Meet with assigned clients prior to monitor/educate on client's medical needs as needed--- Provide consultation and education for community and office-based staff about identifiable health conditions--- Assist in contacting/collaborating with medical providers regarding significant health information--- Provide education to clients on medical diseases, treatment, and medication--- Monitor HIT tools and reports for treatment and medication alerts and hospital admissions/discharges--- Review monthly DRVS reports, focusing on targeted population/indicators. The NCM will analyze the information and communicate/collaborate with providers, clinicians and patients--- Perform Medication Reconciliations for HCH enrollees who have been discharged from the hospital--- Aid in UDS measure documentation/tracking/reporting --- Function as part of a multi-disciplinary team --- Will seek culturally competent services and service providers to meet the unique cultural needs of each agency consumer and family member--- Report to Regional Primary Care Nursing Director for guidance and questions regarding clinical supervision issues (PC only)--- Other duties as assigned

Keywords: Compass Health Network, Columbia , Primary Care Healthcare Home Nurse Care Manager RN, Healthcare , Columbia, South Carolina