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Worcester

    RN Clinical Care Manager - Worcester, United States - Family Health Center

    Family Health Center
    Family Health Center Worcester, United States

    6 days ago

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    Description
    Job Description

    Job Description


    Job Description:
    The Clinical Care Manager is a Registered Nurse who is part of the primary care practice team and is responsible for organizing,

    coordinating, and providing care coordination and care management services to patients within the practice who are most at risk for health deterioration, sentinel events, and/or poor outcomes.

    The highest risk patients are 1) transitioning to or from home and

    community-based health care facilities for acute care services (hospital or emergency department), rehabilitation services, skilled nursing services, or other community based services; 2) being seen in the office with co-morbidities, unmanaged disease severity, poor self care , polypharmacy, and high utilization rate.

    The Care Manager, as an integral part of the primary care team, is responsible for ensuring that the primary care provider (PCP) and practice team maintains a central role in coordinating and managing the care of these vulnerable patients and that the patients receive optimal care including acute illness management, chronic disease management, and preventive care across multiple health settings and multiple

    physicians/providers.


    Educational Requirements:
    BSN in nursing required. Master's Degree in Nursing preferred.


    Experience Required:
    Minimum two years' experience in case management, disease management, home health care nursing, or intensive outpatient education/self-management support.

    Professional Licensure/Special Skills and Certification Required:
    CMCN (Certified Managed Care Nurse) or RN-BC (Registered Nurse Case Manager) preferred.

    Interpersonal

    Relationships/Organizational


    Expectations:

    • Commitment to providing health care to families in a medically underserved community.
    • Willingness to be flexible in the development of new methods of health service delivery.
    • Ability to deal with sensitive information in a highly confidential manner.
    • Effective communication skills, both oral and written, with patients, families, visitors,
    co-workers, health care professionals, funders and other regulatory agencies.

    • Bilingual in English and another language appropriate to the health center's patient
    population preferred, but not required.

    • Ability to function independently with minimal supervision, and to plan, coordinate,
    and carry out those tasks necessary to meet the job responsibilities.

    • Awareness of resources available within the health center to accommodate the needs of
    patients.

    • Commitment to providing cost conscious, fiscally responsible, timely, efficient,
    effective, safe, patient-centered, culturally competent, equitable, and
    participatory health care.

    • Processes personal health information in accordance with FHC HIPPA policies and
    procedures.


    Reporting Relationship:
    Reports to the Director of Care Management

    EOE
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