Ambulatory RN Care Manager (Grand Rapids MI, Business Hours Only, Full-Time)

Saint Joseph Mercy Health System - Grand Rapids, MI

Job Title: Ambulatory RN Care Manager (Grand Rapids MI, Business Hours Only, Full-Time)

Position: Registered Nurse Care Manager at Trinity Health Alliance of Michigan

Job Type: Full Time

Pay:

Shift: Day Shift

Work Type: On-Site

Location

Address:

City: Grand Rapids

State: MI

ZIP Code:

Job Responsibilities

Performs assessment, treatment planning, intervention, monitoring, evaluation and documentation on identified High Risk members.
Assesses and develops a care plan in collaboration with the admitting, attending and consulting physician, the member and other health care practitioners.
Effectively manages members on an outpatient basis to ensure provision of an appropriate level of care, to minimize inpatient re-admissions, and to ensure that members’ medical, environmental and psychosocial needs are met across the continuum of care.
Keeps member/family members or other customers informed and requests further assistance when needed.
Demonstrates ability to follow through with requests, sharing of critical information, and getting back to individuals in a timely manner.
Functions as liaison between administration, members, physicians and other healthcare providers.
Interacts professionally with member/family/physicians and involves member/family/physicians in formation of the plan of care.
Performs a Health Risk Assessment (HRA) of the member and determines an acuity score for necessary scheduled follow-up.
Develops an outcome-based plan of care, based on the member’s input and assessed member needs.
Implements and evaluates the plan of care as often as needed as evidenced by documentation in the member’s case file.
Documents member assessment and reassessment, member care plans, and other pertinent information completed in the member’s medical record in accordance with Trinity Health Alliance of Michigan charting methodology, nursing standards, and company policies and procedures.
Maintains standard workflow to meet NCQA standards alignment and manages patient caseload to meet annual contract patient care goals.

Required Skills

Core Skills

Graduation from an accredited BSN Program
Current Michigan RN license
Current CPR certification
Valid Michigan Driver’s license
Three years acute care or case management experience

Preferred Skills

Two years of utilization or HMO experience
Ability to work in a fast-paced environment managing multiple tasks and patients

Requirements

Experience: Three years of acute care or case management experience, preferred two years of utilization or HMO experience

Education: Graduation from an accredited BSN Program

License & Certification:

Current Michigan RN license
Current CPR certification
Valid Michigan Driver’s license

Schedule:

Ability to work flexible schedules

COVID-19 Requirements: Not Specified

Benefits

Not specified

Supplemental Pay

Not specified

Special Notes

Possible exposure to infectious disease, hazardous chemicals, and blood and body fluids.
We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.

Facility Details

Name: Saint Joseph Mercy Health System

Description: A healthcare organization focused on health care innovation and person-centered care.

Specialties:

Not specified

Mission: Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings.