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Registered Nurse - Ambulatory Care Management
THIS OPPORTUNITY IS ELIGIBLE FOR A SIGN-ON BONUS!
We provide a flexible work environment that allows for a greater level of independence – and with Rochester Regional Health there are opportunities for long-term career growth!
A registered nurse, working in collaboration with primary care providers and care team to identify and proactively manage the needs of patients with high risk or complex medical, behavioral health and/or psychosocial problems through practice, community and home based visits and telephonic support. The Care Manager develops and implements a care management plan based on patient goals, preferences and disease states to promote improved health care outcomes and quality of life. The care manager links patients to appropriate community resources, facilitates referral to appropriate care services, supports patient self-management, and communicates with providers in order to reduce barriers to improved health care outcomes. The Care Manager serves as an integral member of the primary care practice's care team, assesses patients for risk of adverse health outcomes, and measures the impact of care management interventions.
Associate’s Degree in Nursing required with Care Management experience
OR an Associate’s Degree in Nursing and Bachelor’s Degree in another discipline
Bachelors in Nursing (BSN) preferred
Clinical nursing experience with 3+ years of community health experience preferred
Knowledge of community resources required
Prior nursing experience is required
Care Management. Identify High risk populations that meet eligibility criteria for complex care management services using standard analytics and referral resources. Monitor and analyze utilization of health care services including IP, ED and 30 day readmission visits with appropriate follow up. Develop an individualized, patient centered care management plan based on the patient's goals, strengths and barriers that promote improved health care outcomes and quality of life in collaboration with patient, family or care giver and other members of the health care team
- Acute Care
- Health Facilities
- Basic Life Support
- Emergency Departments
- Urgent Care
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Job ID: 2307352054
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