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    RN Level II - Green Bay, United States - Prevea Health

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    Description
    This position will work as needed

    Job Title/Position:
    RN Care Manager

    Job Classification:
    Direct/Indirect Patient Care

    Date of Analysis:
    Date of Revision/Review:
    __________________________________________________________________________________________

    Brief Description of Job Responsibilities:

    Responsible for coordinating the continuum of care for assigned patients and ensure optimum utilization of resources, excellent service delivery and positive quality outcomes, while minimizing unnecessary medical expenses.


    Specialized Responsibilities:
    (This list may not include all of the duties assigned)

    • Implements evidence based treatment guidelines of clinically diagnosed condition.
    • Prepare chart of assigned patients prior to appointment.
    • Follow protocols for standing orders for medication refills, ordering tests and delivery of routine preventative services.
    • Educate patients and families about managing their condition and or disease.
    • Conduct previsit planning with providers.
    • Write individual care plan with treatment goals.
    • Assess patient barriers to unsuccessful outcomes as it relates to medication, appointments and goals.
    • Coordinate visits with multiple clinicians and or diagnostic tests during one visit.
    • Determine through triage how soon patients need to be seen.
    • Provide telephonic advice on clinic issues.
    • Identify health insurance or financial resources for patients.
    • Systematically send or communicate medical information to patients.
    • Review clinical measurements with patients at visits.
    • Review information from facilities (discharge summary, hospital admission or ER visits) to determine if patients require a follow up visit or who are at risk for adverse outcomes.
    • Contact patients after discharge from facilities.
    • Provide or coordinate follow up care to patients/families who have been discharged.
    • Develop written transiton plan in collaboration with family and patients when transitioning to another facility or provider.
    • Aid in identifying a new primary care physician or specialist or consultant and offer ongoing consultation.

    Performance Requirements:
    Excellent communication, written and analytical skills.

    Education/Experience/Certifications:

    • RN with current Wisconsin license.
    • Minimum of three years in clinic setting.
    • Prefer specialty or primary care with EMR experience.
    • Excellent assessment skills.
    Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled


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