As a Community Health Center, we provide care to everyone, regardless of their ability to pay. Our Mission is to respond to the healthcare needs of our communities with an integrated array of quality services and actively remove barriers to care. We take pride in our team of passionate professionals who work to make a difference in the lives of all people. Our Vision is Healthy, prosperous, engaged communities where everyone thrives. We work towards our vision by providing comprehensive, integrated, whole-person care, including medical, dental, behavioral health, and prescription services.
We are looking for a full-time (1.0 FTE) Registered Nurse Care Manager to join our integrated team at our Ashland Downtown Clinic location. This position will help support patients receiving medical, behavioral health and recovery services. The RN Care Manager will manage high risk and chronically ill patients, in collaboration and continuous partnership with patients and their family/caregiver(s), clinic/hospital/providers and specialty providers and staff, and community resources in a team approach. The schedule for this position is Monday-Friday, no weekends, no holidays, and no overnights; with varying hours between 8:00 AM – 6:00 PM.
Duties include but are not limited to:
- Conduct in-office patient visits as outlined in care plan and based on patient’s health status and self-management interests
- Create and promote engagement with a care plan, developed with the patient, primary care provider and/or specialty care provider and family/caregiver(s)
- Increase patients’ ability for self-management and shared decision-making
- Increase utilization of preventative care
- Promote timely access to appropriate care to reduce emergency room utilization and hospital readmissions
- Increase continuity of care by managing relationships with tertiary care providers, transitions-in-care, and referrals
- Work with internal providers on coordinating schedules, getting a client in to other service lines as needed
- Facilitate patient access to appropriate medical and specialty providers, assisting with residential and detox referrals
- Assist with the identification of “high-risk” patients with a chronic illness and those with special health care needs, coordinate care, and track outcomes
- Assess for social drivers of health and work with Community Health Workers on integrated Care Management
- Attend all Care Management training courses/webinars and meetings – Provide feedback for the improvement of the Care Management Program
- Participate in quality improvement efforts by; utilizing dashboards, tracking tools and providing quality reporting data monthly
- Follow protocols, clinical policy and procedure in collaboration with the Primary Care Provider/Specialty Care provider for chronic care management. Follows clinical guidelines protocols and policies related to all direct patient care.
- Performs nursing assessment and triage. Conducts nursing assessments according to the ASAM Criteria or other assessment tools, and collection of a UDS, determining the patient’s level of care.
- Performs and/or assists provider in the inductions of suboxone in office, utilizing COWS score, in office inductions of naltrexone, application of BRIDGE device, sublocade injections and education with naloxone under provider direction
- Helps monitor OB clients, talking with their OB provider about pain management for delivery and postpartum.
- Provides education about Neonatal Abstinence syndrome, support systems, and concerns
- General Education with patients about substance use, tobacco cessation, prevention, communicable disease management, new medical diagnosis
- Monitor medication adherence, including checking the PDMP, help monitor side effects, provide patient education, assist prior authorizations and prescription assistance programs
- Provide medication reconciliation and complete refill requests, including for controlled substances under direction and approval from prescribing provider
- Connect patients to relevant community resources, with the goal of enhancing patient health and well-being, increasing patient satisfaction, and reducing health care cost
- Serve as the contact point, advocate, and informational resource for patients, care team, family/caregiver(s), payers, and community resources
- Facilitate and attend meetings between patient, family/caregiver(s), care team, and community resources, as needed
. Requirements:
- RN with two to three years related experience and/or training; Evidence of essential leadership, communication, education, and counseling skills.
- Current, valid, and unrestricted Wisconsin license to practice as a Registered Nurse.
- Ability to pass a Wisconsin Healthcare background check.
- CPR certification within 6 months of hire.
- Wearing a mask is a requirement for all of our positions.
Preferred:
- Local knowledge about connections to community health care and social welfare resources is desirable.
- Experience with Electronic Health Records.
Wage:
- $24.26-$28.75/hour depending on experience
Deadline to Apply:
- January 27th, 2021
Benefits Package Includes:
- Health and dental insurance
- 403b retirement plan- up to 4% employer match
- Three weeks Paid Time Off (PTO)
- Generous holiday pay
- Tuition reimbursement (eligible after one year of employment)
- Employer-paid life insurance benefit
- Employer-paid short & long-term disability insurance
Email [email protected] with questions.
NorthLakes Community Clinic is an Equal Opportunity Employer. All qualified applicants will be considered for employment regardless of age, race, color, creed, religion, sex, sexual orientation, national origin, ancestry, marital status, disability, military or veteran status, or any other classification protected by applicable law.
Source: Indeed.com
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