The Outpatient Care Manager is responsible for assisting the care team (providers, medical assistants, nurses, and additional clinical personnel.) by coordinating care for patients on providers’ daily schedules, and by proactively managing and coordinating care for patients not on the schedule so as to offer complete preventive and/or chronic care for all St. Luke's Physician Group patients.
JOB DUTIES AND RESPONSIBILITIES:
Facilitates the information flow between hospitals, long-term care facilities, home health representatives, and the patient’ s primary care team.
Works with providers, clinical staff members, and clerical staff members to help identify high risk, high need patients.
Assists physicians and other care team members in implementing processes for best practices in preventive services, chronic care and disease management.
Utilizes electronic health record, chronic disease registry, and other quality reporting software to capably manage the care of individual patients and populations.
Works collaboratively with providers and the care team to ensure patient adherence to medical plan of care, including all appropriate preventive and disease-specific screenings, interventions, and treatment goals – including self-management goals.
Identifies, utilizes, and properly directs patients to cultural and community resources. Verifies that practices have necessary behavioral health screening tools.
PHYSICAL AND SENSORY REQUIREMENTS:
Requires sitting, standing, and walking for extended periods of time (up to 8 hours at a time) Requires continual use of fingers for patient care, writing and handling patient charts. Routine use of upper extremities: occasional requirement to left items up to 25 pounds. Regularly requires ability to stoop, bend, reach above shoulder level, and climb stairs. Requires the ability to hear normal conversation and good general, near and peripheral vision.
EDUCATION:
RN degree and license for the appropriate state (PA & NJ,) required.
TRAINING AND EXPERIENCE:
3+ years of direct patient care experience. Current CPR or equivalent Proficient in Excel and Word.
Please complete your application using your full legal name and current home address. Be sure to include employment history for the past seven (7) years, including your present employer. Additionally, you are encouraged to upload a current resume, including all work history, education, and/or certifications and licenses, if applicable. It is highly recommended that you create a profile at the conclusion of submitting your first application. Thank you for your interest in St. Luke's!!
St. Luke's University Health Network is a regional network of hospitals, physicians and other related organizations providing care primarily in Lehigh, Northampton, Monroe, Carbon, Schuylkill, Bucks, Montgomery and Berks counties in Pennsylvania and Warren County in New Jersey.
The Network provides services at more than 150 sites. St. Luke's University Health Network is comprised of six hospital sites. The Network includes:
Areas of exceptional medical expertise include:
St. Luke's offers an exceptional benefit plan for employees. Our values are reflected in all we do for patients, each other and the community:
Pride - We take pride in our accomplishments and in our organization.
Caring - We show consideration for others and their feelings. We treat others as we want to be treated.
Respect - We recognize the value, diversity and importance of each other, those we serve and the organization.
Accountability - We are responsible to make decisions and solve problems in a timely and effective manner.
Flexibility - We adapt to the changing needs and expectations of those we serve.
Teamwork - We work together to improve quality.
The mission of St. Luke's University Health Network is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care.