RN Care Manager - Heart of the City

Cherry Health - Grand Rapids, MI

Job Title: RN Care Manager - Heart of the City

Position: Registered Nurse Care Manager

Job Type: Full Time

Pay:

Shift:

Work Type: On-Site

Location

Address:

City: Grand Rapids

State: MI

ZIP Code:

Job Responsibilities

Identify targeted high-risk populations within practice sites per primary care provider referral, risk stratification, and patient lists.
Assess over time the healthcare, educational, and psychosocial needs of the patient/family using standardized assessment tools.
Collaborate with primary care providers, patients, and members of the healthcare team to develop a comprehensive individualized care plan and targeted interventions.
Continually monitor patient/family response to the plan of care and revise the care plan as necessary.
Provide patient self-management support, focusing on empowering the patient/family to build capacity for self-care.
Implement systems of care that facilitate close monitoring of high-risk patients to prevent and/or intervene early during acute exacerbations.
Implement clinical interventions and protocols based on risk stratification and evidence-based clinical guidelines.
Act as the lead in ensuring continuity of care that extends beyond the practice boundaries.
Serve as a liaison to acute care hospitals, specialists, and post-acute care services.
Provide follow-up with patients/families when patients transition from one setting to another.
Complete and maintain required documentation of post-hospital visit follow-up and medication reconciliation.
Collaborate with leadership to continuously evaluate processes and propose/develop process improvement strategies.
Understand and adhere to Cherry Health’s compliance standards and policies.
Keep abreast of all pertinent federal, state, and Cherry Health regulations.

Required Skills

Core Skills

Basic Life Support/CPR certification
Customer-focused interpersonal skills
Excellent written, verbal, and listening communication skills
Ability to work autonomously
Ability to influence and negotiate decisions
Ability to function effectively in a dynamic environment
Leadership qualities including time management and decision-making skills
Knowledge of chronic conditions and evidence-based guidelines
Critical thinking skills and the ability to analyze complex data sets
Excellent assessment and triage skills
General computer knowledge

Preferred Skills

Completion of self-management support training

Requirements

Experience: Three years of experience with adult medicine and pediatric patients in primary care/ambulatory care, home health agency, skilled nursing facility, or hospital medical-surgical settings within the past five years.

Education: Degree as RN (Associates or Bachelors)

License & Certification:

Licensure with the State of Michigan as a Registered Nurse

Schedule:

COVID-19 Requirements: Not Specified

Benefits

Loan repayment through NHSC and Michigan State Loan Repayment Program for select roles
Medical, Dental, and Vision Insurance for employees and families
Generous Paid Time Off benefit – 4 weeks per year for full-time
Paid holidays - 8 full day paid holidays and 2 half day paid holidays
403(b) Retirement Savings Plan with generous employer match
MET and MESP 529 Savings Plans
Pet Insurance
Employee Assistance Program

Supplemental Pay

Not specified

Special Notes

Cherry Health offers equal opportunity employment without regard to race, color, religion, gender, national origin, age, disability, genetic information, marital status, height, weight, sexual orientation, gender identity, or veteran status.

Facility Details

Name: Cherry Health

Description: Michigan’s largest Federally Qualified Health Center (FQHC) focusing on removing barriers and delivering comprehensive quality health care services to underserved communities.

Specialties:

Primary Care
Dental
Vision
Behavioral Health
Pharmacy Services
Substance Abuse Services
Residential Re-entry Services
School-based Health Centers

Mission: Cherry Health improves the health and wellness of individuals by providing comprehensive primary and behavioral health care while encouraging access by those who are underserved.