- Provide follow-up care to all identified patients based on level of complexity, social determinants of health and the identified stratification tool.
- Collaborate and coordinate care with any potential post discharge concern or barrier that has been identified.
- Provide transitional care to risk stratified patients post discharge from either outpatient or inpatient venues.
- Assure that hospital discharged patients have adequate education and knowledge of their medication list.
- Determine frequency of telephone encounters based on specific patient need.
- Identify barriers to care (includes social determinants of health) for care managed patients and will reach out to appropriate recourses based on patient needs.
- May determine at any time that a patient requires a face-to-face visit.
- Current Vermont RN/LPN license.
- CPR Certification.
- Prior experience working in a nursing position required; prior case management experience in a similar outpatient setting preferred.
- Experience in using a variety of electronic medical record and ability to learn other systems, basic keyboarding skills and email communication.
- Work Life Balance
- Generous Time Off
- Medical, dental, and vision insurance.
- Health savings account option.
- Robust 403 (b) retirement savings plan, with employer match and 100% vesting schedule.
- Comprehensive Wellness Program.
-
District Manager
3 weeks ago
Donuts of Rutland Fair Haven, United States**Summary**: The District Manager is responsible for creating an outstanding guest experience and growing restaurant profitability by recruiting, developing, training and retaining restaurant managers; measuring and improving restaurant guest satisfaction; working with restaurant ...
-
Customer Care Manager
6 days ago
Clayton Careers Middlebury, United StatesClayton Homes, a Berkshire Hathaway company and the nation's leading housing provider, is a vertically integrated housing company that builds, sells, and insures affordable housing. Our commitment to creating a World Class Customer Experience is unparalleled in the housing indust ...
-
District Manager
2 weeks ago
Donuts of Rutland Rutland, United StatesJob Description · Job Description · Summary : The District Manager is responsible for creating an outstanding guest experience and growing restaurant profitability by recruiting, developing, training and retaining restaurant managers; measuring and improving restaurant guest sa ...
-
District Manager
1 week ago
Donuts of Rutland Rutland, United StatesJob Description · Job DescriptionSummary: The District Manager is responsible for creating an outstanding guest experience and growing restaurant profitability by recruiting, developing, training and retaining restaurant managers; measuring and improving restaurant guest satisfac ...
-
District Manager
1 week ago
Donuts of Rutland Rutland, United StatesJob Description · Job DescriptionSummary: The District Manager is responsible for creating an outstanding guest experience and growing restaurant profitability by recruiting, developing, training and retaining restaurant managers; measuring and improving restaurant guest satisfac ...
-
Facilities Associate
1 week ago
Counseling Service Of Addison County, Inc. Middlebury, United StatesFacility Associate at the Counseling Service of Addison County · Are you an individual who enjoys helping to maintain locations where people work and live as well as a passion for making a positive impact on mental and developmental health care services? Join our dynamic team as ...
Care Manger - Rutland, United States - Community Health Centers of the Rutland Region
Description
Job Description
Job DescriptionCOMMUNITY HEATH:
Community Health is a primary care network that provides nationally-recognized programs, a focus on wellness, dental, behavioral health and pediatric specialties, walk-in Express Care, a culture of community and quality health care that almost everyone, insured or uninsured, has come to depend on. As an equal opportunity employer, we offer a team-oriented, collaborative work environment for close to 400 employees at eight different locations in Rutland and southern Addison counties.
ABOUT THE ROLE:
The Care Manager will collaborate with patients that have been identified through risk stratification. The care manager then supports the patient, their families and care team members to help a patient manage their medical conditions and co-occurring behavioral health, psychological and social determinants of health through the healthcare system. The Care Manager supports patients who are moving between health care practitioners, inpatient, and outpatient venues (including visiting nurses) and home settings as their condition and care needs change. It includes community resources and services that support a patient through one level of care to another.
FUNCTIONS OF THE POSITION:
SKILLS REQUIRED FOR SUCCESS:
HOW WE SUPPORT YOU: