RN Care Manager

Job Description Job Description University of Toledo Physicians' mission is to improve the human condition through excellence in patient care and medical discovery. Representing more than 200 physicians, UT Physicians are leaders in clinical care, research and education of the future physicians, providing care in a wide range of medical specialties from the most complex diagnoses and treatments to primary care for the entire family. The primary site of inpatient care services is at the University of Toledo Medical Center, but many of our physicians’ practice at hospitals and medical offices throughout the region. University of Toledo Physicians offers competitive pay and benefits including: 403B, Pension, health and tuition waiver at UT. POSITION INFORMATION Job Title: Care Manager- Ambulatory Department: Value Based Care Reports to: Manager, Care Management and Coordination POSITION SUMMARY The Longitudinal Care Manager (LCM) will be responsible for the planning, organizing, implementing, and coordinating care management activities utilizing the nursing process to provide a team-based, patient-centered approach. This role will work collaboratively with physicians and the care team to promote health services that are appropriate, safe, and efficient. Strong organizational, analytical, and positive relationship-building skills are essential for this position. This role may be aligned to specific patient populations based on program needs. ESSENTIAL JOB FUNCTIONS AND ACCOUNTABILITIES Conducts comprehensive health, self-management, socio-economic, behavioral, and risk status assessments with patients. Supports treatment adherence. Establishes and maintains care plans based on the documented patient-set goals and needs. Guides specific, measurable, attainable, realistic, and time-bound goals. Conducts proactive outreach and provides appropriate follow-up to patients and care team. Meets deadlines. Maintains ongoing communication with the specialty care physicians and other providers involved in the patient’s plan of care, updating the care plan as necessary. Communicates with agencies and community service providers, identifies available community and health resources, and helps the patient and family access needed care and services. Educates the patient, family, guardian, or caregiver to support self-management, independent living, and activities of daily living. Maintains a professional, collaborative, and productive relationship with providers and the care team. Participates in quality improvement projects as needed and implements quality improvement initiatives. Promotes effective collaboration amongst care team members, including the patient and family. Identifies and builds upon the assets and strengths of all members of the care team. Effectively utilizes all tools available to support care coordination. Maintains a high level of proficiency with tools within EMRs and other applications intended to support patient care. Works with a team of health care professionals and will require flexibility to shift responsibilities as necessary. Participates in program, department, and clinic team meetings as indicated. Other duties as assigned. REQUIRED QUALIFICATIONS Education : Graduate of an accredited RN program License and/or Certification : Current unencumbered Ohio Registered Nurse Licensure BLS Certification Skills : Excellent interpersonal, written, and verbal communication skills Demonstrated ability to work collaboratively. Ability to meet deadlines, prioritize, organize time, and work autonomously. Years of Experience : 2+ years of experience PREFERRED QUALIFICATIONS Education : BSN preferred License and/or Certification : Case Manager Certification preferred (CCM) Skills : Care management experience preferred. Experience with quality improvement processes preferred. Years of Experience : 5+ years of experience GENERAL REQUIREMENTS Works in a safety- conscious manner that supports and ensures safe work practices. Complies with all UTP and ot #J-18808-Ljbffr