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Riverside

    Registered Nurse- Care Manager - Riverside, CA, United States - Neighborhood Healthcare

    Neighborhood Healthcare
    Neighborhood Healthcare Riverside, CA, United States

    2 weeks ago

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    Description
    Community health is about more than just vaccines and checkups. A community where everyone is healthy and happy. We're with you every step of the way, with the care you need for each of life's chapters.

    As a private, non-profit 501(C) (3) community health organization, we serve over 414,995 medical, dental, and behavioral health visits from more than 87,099 people annually.

    We do this in pursuit of our mission to improve the health and happiness of the communities we serve by providing quality care to all, regardless of situation or circumstance.

    The RN Care Manager supports Enhanced Care Management (ECM) patients with complex medical conditions and completes medication reconciliation with pharmacies for all ECM-enrolled patients.

    This role will provide care coordination and connection to services and social support for ECM patients, including appointment scheduling and referral management.

    In addition, this role will require travel to Neighborhood Healthcare sites as needed for designated meetings and trainings.
    Manages a caseload of patients with complex medical needs
    Engages, supports, and encourages patient activation towards achieving health goals
    Tracks medical and behavioral health outcomes in the web-based care management platform and patient electronic health information platform
    Improves health literacy by providing chronic medical and behavioral health education to patients and families
    Facilitates communication between patients and providers by identifying health and wellness goals to incorporates into health action and shared care plans
    Coordinates physical care management and care coordination relationships with external healthcare providers
    Ensures smooth transitions of care by coordinating patient admission and discharges with hospitals
    Conducts medication reconciliations with input from the providers
    Tracks and assures required assessments and screenings are performed, including comprehensive health assessments and shared care plans
    Reviews adult comprehensive health assessments upon completion by other care team members

    Quality Management & Record Keeping
    Contributes to the success of the organization by participating in quality improvement activities
    Documents all patient care coordination, education, and other services in the ECW
    Bachelor's degree in nursing required; Valid CA Registered Nursing license in good standing required
    Valid BLS certification from approved American Health Association provider required upon hire
    Three years' experience in healthcare required
    Experience with community outreach, behavioral health, working with high-risk and/or pediatric populations is required
    Bilingual (English/Spanish) preferred
    Excellent verbal and written communication skills, including superior composition, typing and proofreading skills
    Ability to work with Microsoft applications, such as Excel and Word
    ability to interact effectively with clinic personnel, patients, and community-based organizations
    Knowledgeable about and experience social and health issues
    Knowledgeable about and experience with evidenced based communication such as Motivational Interviewing, or similar empathy-based communication strategies (emotional intelligence)
    Ability to sufficiently engage patients and providers both on the phone and in person
    Knowledge about sensitivity to multi-cultural community, mental health conditions, and addictive disorders
    Awareness of the impact of unmitigated bias and judgement on health; Excellent planning and organizational ability
    Ability to work with highly confidential information in a professional and ethical manner

    10 per hour, depending on experience.
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