Care Management

Position Overview Care Management Consultant – Cardiovascular Surgery Department Work Shift: Day Shift (United States of America) | Scheduled Weekly Hours: 40 The Care Management Consultant operates within the full scope of nursing practice, serving as a patient advocate and navigator. The role develops longitudinal personalized care plans, coordinates interdisciplinary provider efforts, and leverages data analytics to manage population health. Essential Duties Transitional and Longitudinal Care Planning and Execution Conduct assessments of patient/family needs and formulate documented plans to ensure continuity of care for high‑risk patients. Coordinate care continuity with patients and families following admission, discharge, and ER visits. Delegate tasks to assistive personnel, holding them accountable for completion. Collaborate with physicians, hospitalists, PCPs, APPs, and specialists to coordinate interdisciplinary activities for high‑risk clinical and benefit decisions. Communication and Coordination Between Care Settings Identify appropriate providers and facilities across the continuum and maintain positive relationships. Serve as coordinator and manager for defined health populations across inpatient, outpatient, and community settings. Collaborate with primary care practices to individualize patient assistance and improve care quality. Guide development of multiple health‑care partnerships to achieve positive health outcomes. Ensure transitions of care are completed and patients have resources to improve outcomes and prevent readmissions. Educate patients on system‑wide care management and ensure availability for questions and concerns. Utilization Management and Data Analytics Manage high‑risk patient care, including those with multiple comorbidities or high readmission risk, using patient registries when appropriate. Participate in data collection, outcome reporting, clinical audits, and programmatic evaluations. Analyze data to identify utilization patterns, promote cost reduction, and enhance quality of care. Assist in ongoing root‑cause analysis and action‑plan development for readmissions. Required Skills Excellent oral and written communication, customer service, leadership, and teamwork skills. Ability to work independently, set priorities, and coordinate care efficiently. Highly organized, detail‑oriented, and capable of handling multiple tasks. Proficient in motivational interviewing, teach‑back method, and self‑management support. Sound judgment, decision‑making, and problem‑solving abilities. Qualifications Level 1 – Current Ohio RN, ADN, and ≥3 years clinical RN experience; or Licensed Social Worker (LSW) or Counselor (LPC) in Ohio with a bachelor’s degree in Social Work. Level 2 – Current Ohio RN, ADN, 3 years clinical RN experience, 2+ years in CM/UR/Navigator/Coordinator/leadership roles or equivalent certification; demonstrated leadership and project‑management skills. Level 3 – Current Ohio RN, ADN, 3+ years clinical RN experience, 5+ years in CM/UR/Navigator/Coordinator/leadership roles or equivalent certification; demonstrated advanced leadership, project‑management, KPI creation, and goal‑setting skills. Care Management Consultant Level Grid Level I: Committee participation, performance‑improvement input. Level II: Lead performance‑improvement initiatives, mentorship, and training. Level III: Lead projects, provide case study information, and offer advanced leadership. Patient‑Centered Care & Behavioral Expectations Act with compassion, empathy, and respect. Focus on quality and results, encouraging ownership of change. Maintain a positive environment and uphold patient privacy and confidentiality. Promote safe patient handling, appropriate use of PPE, and awareness of slip/trip/fall risks. Genesis is committed to being an equal opportunity employer. Selection of applicants for employment is based only on qualifications and the requirements of a specific job. #J-18808-Ljbffr