- 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.
- RN with current Wisconsin license.
- Minimum of three years in clinic setting.
- Prefer specialty or primary care with EMR experience.
- Excellent assessment skills.
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rn level ii - Green Bay, WI , USA, United States - Prevea Health
Description
This position will work as neededJob 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)
Performance Requirements:
Excellent communication, written and analytical skills.
Education/Experience/Certifications:
