Care Manager/RN-Anderson MO

Monday-Friday
8am-5pm
Starting Pay $25/hour
Paid Vacation and Sick Leave
8 Paid Holidays
Health, Vison, Dental, 401K Benefits

SUMMARY OF POSITION:

Supporting the Mission and Core Values of ACCESS Family Care, the individual in this position works cooperatively with all staff members; serving each other, our customers, and promoting a team effort and positive presence at all sites.

RN Care Manager will provide comprehensive care management services and involve: Identification of high-risk individuals and use of client information to determine level of participation in care management services; assessment of service needs; treatment plan development, which will include client goals, preferences and optimal clinical outcomes, development of treatment guidelines,, monitoring of individual and population health status; development and dissemination of reports that indicate progress toward meeting client outcomes for client satisfaction, health status, service delivery and costs.

REQUIRED SKILLS AND ABILITIES

Bilingual skills are a plus.
Active, unrestricted RN license (BSN preferred)
2 years medical-surgical/outpatient experience required
Prefer experience with chronic disease case management
Excellent written and oral communication skills essential
Computer proficiency mandatory (excel, word, outlook, PowerPoint, EMR)
Excellent customer service and telephone skills are essential

ESSENTIAL DUTIES AND RESPONSIBILITIES

Develop wellness and prevention initiatives
Facilitate health education groups and 1:1 with patients
Participate in patient assessment, treatment plan development and goal setting for all of their health home enrollees as appropriate
Assist in contacting medical providers and hospitals for admission/discharge
Provide patient education regarding medical diseases, treatments, and medications
Assist with obtaining, tracking, trending, and analyzing data and submitting reports as required
Utilize Missouri HealthNet Division (MHD) technology program and initiatives (i.e., CyberAccess, metabolic screening, Pro-Act)
Monitor and report performance measures and outcomes
Provides the administrative and clinical leadership necessary to coordinate care within a patient centered medical home. Care Manager’s focus is patient-driven and concentrates on prevention and wellness as well as meeting prescribed performance monitors
The RN will triage phone calls, closely collaborate with the team, and establish relationships with internal and external resources to facilitate care transitions and meet patient needs. The RN manages the patient panel by identifying clinical trends for individual patients, collecting and analyzing data and actively engaging patients in educational meetings, which may involve non face to face visits.
RN Care Manager will communicate and navigate Patient Centered Health Home (PCHH) patients in collaboration with the LPN Care Manager and other team members. Priority assignments will be made with the LPN Care Manager, based on patient’s needs and risk level.
Acts as the resource for direction of the LPN Care Manager for follow-up of PCHH patient needs.
Identifies patients for appropriate enrollment in special program(s), (i.e MOHealthNet Health Home Initiative).
Responsible for reviewing population management reports for provider patient profiles to identify patients who do not meet the health outcome quality measures
RN Care Manager is responsible for documentation in EMR and may oversee performance of other team members, including the LPN Care Manager. This position is immediately responsible to the Health Home Director in collaboration with the clinic manager
Demonstrates flexibility to perform other duties as assigned

SERVANT LEADERSHIP

Consistently exemplifies ACCESS Family Care’s Core Values (C.A.R.E.) with patients and coworkers: Compassion, Access, Respect, and Excellence.
Exemplifies Servant Leadership Qualities: Trusted Servant, Humility, Forgiveness, Patience, Trustworthy

EMPLOYEE PARTICIPATION/TEAM EFFORT

Works cooperatively with all staff members; serving each other while promoting a team effort and positive presence at all sites
Assists with the orientation and training of new Team members
Initiates internal Event Report form as required, supporting continuous quality improvement throughout Access Family Care

PROBLEM SOLVING

Demonstrates good judgment by taking appropriate actions regarding questionable concerns.
Follows proper reporting procedures and processes
Reports needs to appropriate management
Manages conflict in an appropriate and professional manner, resolving issues at the lowest level possible, and following chain of command when necessary to resolve customer issues or complaints

PRODUCTIVITY/EFFICIENCY

Manages minimum standard patient panel as directed by COO or Health Home Director.
Maintains a clean and organized work area
Responsive to changing work requirements.Consistently demonstrates ability to respond to changing situations in a flexible manner
Minimizes non-productive time and fills slow periods with education, organizing, housekeeping, or assistance to others
Organizes work areas to be able to effectively complete varied assignments within established time frames
Consistently evaluates work and determines if further steps are needed to meet internal and external customer expectations
Takes initiative to redo inadequate or incomplete work
Meets or exceeds attendance guidelines and consistently starts work on time
Assures accuracy, thoroughness, and reliability of results for the job. Takes ownership for mistakes
Attends (or has an excused absence) for all mandatory in-services i.e., safety/health fairs, employee meetings, and specific departmental in-services

CUSTOMER SERVICE

Consistently demonstrates a commitment to Access Family Care’s Mission, to serve the underserved
Follows dress code and appears professional while on duty
Provides high quality customer services to internal and external customers
Retrieves and responds to voice messages timely
Greets everyone with friendliness and respect and resolves problems to the best of their ability or refers customers cordially to management
Answers and manages telephone calls with pleasant telephone etiquette
Please attach Resume