Nurse Case/Care Manager
Compass Health Network

Job Info

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Compensation: LPN $23.37 RN $30.00

POSITION PURPOSE

The Healthcare Home Nurse Care Manager is part of the person-centered integrated care team and provides direct clinical and medical services to persons enrolled in the Health Care Home through a “whole person” approach.

ESSENTIAL FUNCTIONS – JOB SPECIFIC

• Responsible for case load of up to 250 Healthcare Home patients
• Meet with assigned clients to complete health screening
• Assist in developing treatment plan healthcare goals for individuals with co-occurring chronic disease
• Meet with assigned clients prior to monitor/educate on client’s medical needs as needed
• Provide consultation and education for community and office-based staff about identifiable health conditions
• Assist in contacting/collaborating with medical providers regarding significant health information
• Provide education to clients on medical diseases, treatment, and medication
• Monitor HIT tools and reports for treatment and medication alerts and hospital admissions/discharges
• Review monthly care manager reports, focusing on targeted population/indicators. The NCM will analyze the information and communicate/collaborate with providers, clinicians and clients
• Coordinate Metabolic Syndrome Screenings and provide follow up for positive screens per DMH directive
• Perform Medication Reconciliations for HCH enrollees who have been discharged from the hospital
• Interface with other human/social service agencies to provide holistic services to clients
• Function as part of a multi-disciplinary team
• Will seek culturally competent services and service providers to meet the unique cultural needs of each agency consumer and family member
• Travel to neighboring clinics for nursing coverage and training as needed
• Other duties as assigned

ESSENTIAL FUNCTIONS – COMPANY WIDE

• Regularly attends work except for approved absences
• Attends all training as required
• Maintain professional, “champion” behavior
• Provides quality customer service
• Provides services with a commitment to service excellence
• Works in a way that exhibits a commitment to personal excellence
• Team oriented and values diversity

WORKING CONDITIONS & EXPOSURE RISK

• Regular exposure to blood, body fluids, and biohazard waste materials

 

EDUCATION

• High School/GED required
• Practical Nursing or Registered Nursing degree required
• Bachelor’s degree in nursing preferred

WORK EXPERIENCE

• At least five (5) years of experience providing medical nursing services to individuals required for an LPN
• At least two (2) years of experience providing medical nursing services to individuals preferred for an RN
• Proficiency in Microsoft Office Suite and Electronic Medical Records preferred

LICENSURE/CERTIFICATION

• Licensed Practical Nurse (LPN) required
• Registered Nurse (RN) preferred

 

Compass Health is an Equal Opportunity/Affirmative Action Employer and an E-Verify participant.

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