ICP Community Care Manager / Clinical Integration

ICP Community Care Manager / Clinical IntegrationWork where every moment matters. Every day, almost 40,000 Hartford HealthCare colleagues come to work with one thing in common: Pride in what we do, knowing every moment matters here. We invite you to become part of Connecticut's most comprehensive healthcare network. Integrated Care Partners (ICP) is a physician-led, clinically integrated health care network whose mission is to assist our members in providing the highest quality care at the most reasonable cost for our patients in the current, rapidly changing medical environment.The ICP Community Care Manager is a healthcare professional position, working as a member of the ICP Community Care Management team. The ICP Community Care Manager facilitates transitions as patients move from one level of care to another, ensuring that uninterrupted quality care, as well as providing ongoing education and disease management for ICP attributed patients with chronic conditions. They are responsible for providing support and performing duties in a manner that ensures effective and efficient customer service and patient care.Performs transition of care services for ICP attributed patients admitted to acute inpatient settings Participates in care planning, family, and discharge planning meetings throughout patient's inpatients stay, as appropriate Partners with inpatient care coordination team to address barriers to discharge and provides timely communication back to the patient's primary care provider Collaborates other HHC system partners upon patient's discharge form acute inpatient setting to the community Identifies resources within HHC system and larger community to address patient care needs Provide education for patients, families, community, and other professionals regarding disease prevention, impact of illness and advocacy for benefits and health maintenanceEducation: Bachelor's degree in Nursing OR Master's degree in Social Work required Experience: Minimum 2 years of experience working in a healthcare setting Licensure, Certification, Registration: Current Connecticut RN License or other healthcare license as deemed appropriate Knowledge, Skills and Ability Requirements A passion for helping vulnerable populations Knowledge of medical terminology, as well as ACO and healthcare reform topics Willingness to develop new skills and ability to receive feedback Positive, customer-focused approach Proven ability to work effectively independently as well as in a team environment Must be comfortable and flexible with ambiguity and change processesWe take great care of careers. With locations around the state, Hartford HealthCare offers exciting opportunities for career development and growth. Here, you are part of an organization on the cutting edge – helping to bring new technologies, breakthrough treatments and community education to countless men, women and children. We know that a thriving organization starts with thriving employees-- we provide a competitive benefits program designed to ensure work/life balance. Every moment matters. And this is your moment.