Care Manager - RN

MIDLAND COMMUNITY HEALTHCARE SERVICES, INC. Midland, Texas Job Title CARE MANAGERS Department COLEMAN / WOMEN’S SERVICES / PEDIATRICS Reports To CLINIC MANAGER(S) AES Code 29-1141.00 (Primary), 29-1141.04 (Secondary) FLSA Exemptions Status NON-EXEMPT Job Summary Care Managers play an important supporting role to the patients and physicians of Midland Community Healthcare Services. They are expected to lead the patient through their healthcare needs by providing excellent customer service while assessing, implementing, and evaluating their individual cases. They are responsible for maintaining accurate and complete medical records of appropriate patients in a manner consistent with medical, administrative, ethical, legal, and regulatory requirements of the health care system. Job Duties Observe, interview, and assess referred patients to identify care needs. Monitor care/case‑managed patients in collaboration with other health care professionals. Be knowledgeable of current trends in nursing and case/care management, network with colleagues, and participate in professional organizations or conferences to keep abreast with changes. Augment the provider’s plan of treatment for patients by encouraging the patients to set achievable goals for themselves, thus making the plan of treatment successful. Follow the guidelines of the Board of Nursing when evaluating standards of nursing practice in specialty areas such as pediatrics, geriatrics, obstetrics and gynecology. Assist patients in goal setting based on information gathered by observing, interviewing patients, or by monitoring or analyzing their records. Make recommendations to physicians, other health care providers, insurance companies, patients, or health care organizations to improve patient care. Identify training needs or conduct staff training sessions as needed in regard to care management. Assist in leadership opportunities related to clinical staff under the direction of the Clinic Manager. Assist management in implementing initiatives vital to the operation of MCHS and the success of its mission. Educate patients with regard to treatment procedures, medications, diets, and provider instructions related to care/case management. Follow up on patient calls, lab results, referrals, prescription requests, and questions related to care/case management. Consult and coordinate with healthcare team members to assess, plan, implement, or evaluate care plans related to case/care management. Schedule patient referrals and educate patients as to why a referral is needed as well as the referral process. This is a collaboration with the provider and referral coordinator. Review records for completeness, accuracy, and compliance with company, state, and federal regulations. Assist in quality improvement, auditing, safety, and compliance measures of the organization. Follow Primary Care Medical Home standards in relation to patient care and interaction. Performs other duties as assigned by the Clinic Manager. Supervisory Responsibilities Indirect supervision of nurses and medical assistants. Critical Skills and Abilities Customer Service Oriented. Oral comprehension, expression, recognition, and clarity. Written comprehension and expression. Computer & technology skills – ability to navigate and utilize Microsoft Office and proprietary medical software packages. Time management – ability to prioritize tasks to best serve the patient and clinic flow. Cultural competency – ability to deal with people of various cultures and social status, as well as outside entities. Qualification Requirements Associate’s Degree in Nursing or Bachelor of Science in Nursing, required. Texas Board of Nursing license in good standing, required. Current CPR certification not required. 3+ years of customer service experience, preferred. 3+ years of supervisory experience, preferred. No felony results on a criminal background screening. Drug screen test with a negative result. Work Environment / Conditions BBP Class II: This position has a potential for some exposure‑prone duties. Employees will receive basic personal protective equipment training, basic bloodborne pathogen standard training, and safety precautions. Employees in this class are also offered vaccinations provided by Midland Community Healthcare Services. Physical demand: Ability to interact with patients and operate office equipment for patient services. Employees must be able to lift a minimum of 25 lbs, or more, independently as necessary. Vision, writing, speaking, and typing abilities are required to read and verify patient information, to read information on medical records, and to document in paper and electronic medical charts. Ability to pull, push, lift, and manipulate equipment and files is required to move freely about the front office and medical record areas. In compliance with EEOC 29 CFR part 1630, reasonable accommodations will be made for employees with disabilities as long as it does not constitute undue hardship upon MCHS. #J-18808-Ljbffr