RN Care Manager Byron Center Geriatrics Home Visits

Care Manager Position

Home visit position

The care manager position is for the Byron Center Geriatrics Home Based Primary Care Program. This position requires the candidate to have a vehicle and the ability to travel and see patients in their homes. Patients in the home-based care program are spread out across the West Michigan area. This particular position's territory includes Grand Haven, Spring Lake, Muskegon, West Olive, Allendale.

Scope of work plans and prioritizes care for individuals and population of patients, focusing on strategies that will promote optimal health within populations. Demonstrates expertise, current knowledge in nursing care and management of a caseload of patients of varying complexity and seeks to improve patient, family and health systems / community outcomes through the application of educational concepts / skills and preventive care in a managed care environment.

• Assesses internal and external referrals to identify patient/significant others' needs, level of intensity, insurance benefits and other patient resources.
• Develops plan of care and makes recommendations to PCPs, specialists and other members of the health care team regarding care management strategies, identifying strategies to maximize continuity of care across the continuum.
• Assesses the educational needs of patients, families and members of the health care team and develops and implements appropriate teaching strategies or makes appropriate referrals.
• Communicates and collaborates with patient/significant others/providers/payers to coordinate services that improve access to appropriate services across the continuum of care and which promotes optimal health in a cost-effective manner.
• Measures patient care outcomes, interprets reports and analyzes data trends for groups of patients.
• Documents patient data, plan, interventions and outcomes according to department guidelines.

Qualifications

• Bachelor's Degree or equivalent in Nursing or a healthcare related field required
• BSN must be obtained within 7 years for those who start in this RN role on or after January 1, 2017
• 5 years of relevant experience clinical nursing and or case management/managed care or related field
• Registered Nurse (RN) - State of Michigan Upon Hire required
• Basic Life Support (BLS) - AHA American Heart Association or ARC American Red Cross Ambulatory required upon hire

Primary Location

SITE - 7751 Byron Center - Byron Center

Department Name

Geriatric Home Based - Medical Group West

Employment Type

Full time

Shift

Day (United States of America)

Weekly Scheduled Hours

40

Hours of Work

8:00 a.m. to 5:00 p.m.

Days Worked

Monday to Friday

Weekend Frequency

N/A